Patient perception of environmental and nursing factors contributing to sleep disturbances in a neurosurgical intensive care unit
Uğraş, Gülay Altun
Many factors may affect sleep in the neurosurgery intensive care unit (NSICU), including therapeutic and diagnostic procedures, medications, the underlying disease process, and noise generated in NSICU. This study was aimed to determine the factors and nursing interventions, which affect the patients' sleep in NSICU, and to ascertain future descriptive research studies in nursing. The sample consisted of 84 voluntary patients hospitalized at a university hospital. They were consecutively asked to fill out a questionnaire in face-to-face interviews, and on the same day they were transferred out of the NSICU to a neurosurgical ward. Sixty-six patients (78.6%) experienced sleep disturbances. In those patients, being kept immobile (63.6%) and being in a noisy environment (57.6%) were the facto...
Effects of Abdominal Massage on Bowel Activity and Pulmonary Function Test Results in Older Patients Undergoing Partial Hip Replacement: A Randomized Controlled Trial
Kanat, Canan | Altun Uğraş, Gülay
Abstract Purpose This study aimed to determine effects of abdominal massage (AM) on bowel activity and pulmonary function test results in older patients after surgery. Design A randomized controlled trial. Methods This study was conducted with 78 older patients with partial hip replacement. The intervention group (n = 39) received AM for 15 minutes at least 30 minutes after the morning and evening meals after surgery. The control group (n = 39) received routine nursing care. The bowel activity (intra-abdominal pressure, number of bowel sounds) and pulmonary function test results were measured before surgery, on the first evening after surgery, in the morning and evening on days 1 to 3 after surgery, and before and after AM. Findings The bowel activity and pulmonary function test re...
The Effects of Open and Closed Endotracheal Suctioning on Intracranial Pressure and Cerebral Perfusion Pressure: A Crossover, Single-Blind Clinical Trial.
Uğraş, Gülay Altun
Although endotracheal suctioning is a routine nursing intervention, this procedure can lead to an increase in intracranial pressure (ICP). This study was planned to determine the appropriate suctioning technique (open system suctioning [OS] and closed system suctioning [CS]) to minimize variability of ICP and cerebral perfusion pressure (CPP) in neurologically impaired patients. The study, which was designed as a crossover, single-blind clinical trial, consisted of 32 neurosurgical patients who underwent ICP monitoring, intra-arterial blood pressure monitoring, and endotracheal intubation in the intensive care unit. According to the need for suctioning, each patient in the experimental and control groups underwent suctioning with both closed and open systems. Recordings were composed of th...
The Effects of Virtual Reality on Preoperative Anxiety in Patients Undergoing Colorectal and Abdominal Wall Surgery: A Randomized Controlled Trial
Uğraş, Gülay Altun | Kanat, Canan | Yaman, Zeliha | Yılmaz, Mualla | Türkmenoğlu, Mehmet Özgür
Purpose: The purpose of this study was to investigate the effects of a virtual reality (VR) application on preop erative anxiety (PA) in patients undergoing colorectal and abdominal wall surgery. Design: A prospective, parallel two-armed, randomized controlled trial. Methods: Eighty six patients were divided into the control group (n = 43) and in the experimental group (n = 43). The experimental group received a preoperative VR application for 10 minutes. The routine preoperative procedure used at the clinic was used for the patients in the control group. The anxiety level was assessed using the Anxiety Specific to Surgery Questionnaire (ASSQ) and measured with physiological responses to anxiety, such as changes in systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate ...