Person: AKANSEL, NERİMAN
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AKANSEL
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NERİMAN
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Publication Pain interference with daily living activities and dependency level of patients undergoing cabg surgery(Elsevier Science Inc, 2022-03-18) Tüfekçi, Hatice; Akansel, Neriman; AKANSEL, NERİMAN; Sivrikaya, Sibel Karaca; Sağlık Bilimleri Fakültesi; Hemşirelik Ana Bilim DalıBackground: Postoperative pain is one of the most intensive problems experienced by patients undergoing coronary artery bypass graft surgery. The severity of pain after surgery hinders general activity, sleep, deep breathing, and sleep quality.Aims: This descriptive study was done to determine the interference of postoperative pain with daily activities and dependency levels on coronary artery bypass graft surgery patients.Design: Descriptive study.Settings: Cardiovascular Surgery Ward of a university hospital.Participants: Sixty five patients who undergone CABG surgery.Methods: The sample of the study was composed of 65 patients in the Cardiovascular Surgery Ward of a university hospital between April 15, 2016-April 15, 2017, who had undergone coronary artery bypass graft surgery and agreed to participate in the study. A Data Collection Form, the short form of Brief Pain Inventory (PI-SF), and the Katz Activities of Daily Living Index (ADL) were used to collect data. Data were collected through face-to-face interviews on postoperative day 1, and through phone interviews on postoperative days 7 and 15.Results: Patients' satisfaction with pain management was high during the postoperative period. However, most of the patients were found to have postoperative stinging pain in the sternum. The worst, least, and average pain in the last 24 hours current pain was significant in all postoperative days (p =.00 0). Paired comparisons of 1st-7th days were significant for the worst pain in the last 24 hours (p =.00 0). Average and current pain was significant in paired comparisons of all postoperative days (p =.00 0). Postoperative pain interfered with ADL and patients were semi-dependent on the 1st postoperative day and their independence level increased after discharge.Conclusions: Although patients are satisfied with pain management after surgery, they continue to experience post-operative pain which interferes with activities of daily living.Publication Experiences of patients' primary caregivers with tracheostomy suctioning before discharge(Elsevier Sci Ltd, 2023-10-21) Alakan, Yeliz Sapulu; ŞAPULU ALAKAN, YELİZ; Akansel, Neriman; AKANSEL, NERİMAN; Özmen, Ömer Avsin; Sağlık Bilimleri Fakültesi; Hemşirelik Ana Bilim Dalı; AAI-3243-2021Purpose: This study aimed to determine the experiences of primary caregivers of patients with tracheostomies on the tracheostomy suctioning procedure.Methods: This is a semi-structured qualitative study of 11 primary caregivers of patients with tracheostomies in one university hospital in a province in northwest Turkey. Data were collected using a semi-structured interview technique with the primary caregivers of the patients and interviews were audio-recorded. The content of the audio recordings obtained during each interview was evaluated by the researchers using the content analysis method. The data were categorized, coded, and analyzed by creating themes and sub-themes.Results: The experiences of primary caregivers with tracheostomy suctioning before discharge were classified under three themes and 11 sub-themes. The study's main themes were emotional reactions, information needs, and caring responsibility. Caregivers showed either positive or negative emotions when performed tracheostomy suctioning on their patients. Insufficient information on the patient care and recovery process were mostly emphasized topic by caregivers. Such that they express the knowledge deficiency on tracheostomy suctioning and counseling provided either by nurses/physicians. Thus compete with difficulties ends up with feelings of pressure and avoidance of caring responsibility.Conclusion: Caregivers lack of knowledge and poor skills on tracheostomy suctioning ends up with fear, anxiety, and obstacles on patient caring. Implementing individualized education, supporting patients and their caregivers on tracheostomy suctioning, and following up on caregivers' abilities are valuable interventions.Publication Experience of pain and satisfaction with pain management in patients after a lumbar disc herniation surgery(Elsevier Science, 2021-12) Sınmaz, Tuğba; Akansel, Neriman; AKANSEL, NERİMAN; Sağlık Bilimleri Fakültesi; Hemşirelik Bölümü; CAQ-5054-2022Purpose: The descriptive study was performed to assess patients' pain experienced in the early postoperative period of a lumbar disc herniation surgery and their satisfaction with the pain management administered. Design: This was a descriptive and cross-sectional study conducted from May 8 to November 8, 2017. Methods: Data collection was performed during interviews through the Patient Information Form (20 questions), Turkish version of clinical quality indicators in the Postoperative Pain Management questionnaire (19 questions). The questionnaire included 14 items and 3 subdimensions named nursing interventions, pain management, and the environment. The remaining 5 questions were related to pain management satisfaction and pain severity. Questionnaire items scored on a 1 to 5 Likert scale. The higher the total score obtained from the questionnaire is the satisfaction with pain management increases. Findings: The mean score obtained from the total questionnaire was 51.4 (standard deviation: 6.6). Characteristics of patients with lumbar disc herniation did not influence the total score obtained from the instrument and its sub-dimensions (P .05). Overall satisfaction with pain management was high (mean: 8.3; standard deviation: 1.6) on the 0 to 10 visual analog scale. There was a statistically significant difference between the length of hospital stay, the type of anesthesia used, having more pain than expected, and the satisfaction score of patients (P < .05). As the length of procedure increases, the average and current pain scores increase as well (P < .05). Conclusions: Results of this study indicate that despite pain experienced after the lumbar disc herniation surgery, patients' satisfaction with pain management was high. Encouraging nurses to implement systematic and evidence-based practices in pain management may help alleviate patients' pain after surgery and reduce variety of pain management practices among nurses.Publication The Turkish form of psychometric properties of opioids questionnaire(Kare, 2022-04-01) Yılmaz, İrem; Akansel, Neriman; Yılmaz, İrem; AKANSEL, NERİMAN; Tıp Hastanesi; Hemşirelik Yönetimi Ana Bilim Dalı; AAF-9414-2021; CAQ-5054-2022Objectives:This study was performed to conduct The Psychometric Properties of Nurses' Mental Models About Opioids Questionnaire in the Turkish Language.Methods: This was a validation study in which the sample consisted of 86 nurses working in surgical clinics and agreed to participate in the study. Data were collected using the data collection form, examining nurses' demographic characteristics (10 items) and the questionnaire (14 items).Results: In this study, the interclass correlation coefficient was calculated as 0.80. Items' suitability was assessed using the experts' opinions, and the internal consistency was examined considering the Cronbach's alpha value. Cronbach's alpha value ranged from 0.78 to 0.81 for the items in the scale. This value was 0.81 for all 14 items on the scale, and the reliability was found to be high. The questionnaire was entitled "Nurses' Perception of Administering Opioids"in Turkish, believing that this Turkish title would be suitable.Conclusion: Nurses' Perception of Administering Opioids was a valid and reliable tool, and the items represented nurses' perceptions of administering opioids in Turkish nurses.