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BAYRAM, RIDVAN

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BAYRAM

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    Publication
    Practices of the abcdef care bundle in intensive care units as reported by nurses: A cross-sectional study from Turkey
    (Wiley, 2023-08-15) ERBAY DALLI, ÖZNUR; AKÇA DOĞAN, DERYA; PEHLİVAN, SEDA; BAYRAM, RIDVAN; Bayram, Rıdvan; Yıldız, Hicran; YILDIZ, HİCRAN; Sağlık Bilimleri Fakültesi; HemşirelikAna Bilim Dalı; 0000-0003-2282-0846; 0000-0001-7040-2732; 0000-0002-1670-0672; 0000-0003-4241-5231; KIG-7211-2024; AAI-6539-2021; ACM-4054-2022; AAK-5246-2021; ABI-1236-2020; ABG-1164-2020
    Background: Recent critical care guidelines recommended the evidence-based ABCDEF care bundle for intensive care unit (ICU) patients. However, limited information is available on the implementation of the bundle in Turkish ICUs.Aim: To assess the current practices of the ABCDEF care bundle as reported by ICU nurses.Study Design: A cross-sectional study using a web-based survey was conducted. Researchers invited nurses with at least 1 year of ICU experience to participate by sending the link to the research questionnaires they created in Google Forms to the one ICU nurse association and one communication group of which they are members.Results: A total of 342 ICU nurses completed the survey. Although 92% of the participants performed pain assessments in their ICUs, 52.7% reported not using protocols. Based on the responses of the nurses, spontaneous awakening and breathing trials are performed in 88.8% and 92.4%, respectively, of ICUs. Fewer than half of the participants reported following a sedation protocol in their ICUs. Only 54.7% of ICU nurses surveyed reported routinely monitoring patients for delirium. It was reported that early mobilization was practised in 68.7% of ICUs, but non-ventilated patients were mobilized more frequently (70.2%), and 9.7% of ICUs had mobilization teams. Family members were actively involved in 95% of ICUs; however, 9.7% used dedicated staff to support families and 3.5% reported that their unit was open 24 h/day for visits.Conclusions: While the implementation of most pain and sedation evaluations in ICUs were reported by nurses, many of them did not use structured delirium assessments. There is a need to encourage early mobilization programs and family participation.Relevance to Clinical Practice: Health institutions can improve patient care and outcomes by establishing and standardizing a protocol for each component of the ABCDEF care bundle in ICUs.
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    Publication
    Evaluation of sexual dysfunction in patients undergoing hemodialysis treatment
    (Springer, 2021-08-22) Bayram, Rıdvan; Yıldız, Hicran; Karaca Sivrikaya, Sibel; BAYRAM, RIDVAN; YILDIZ, HİCRAN; Sağlık Bilimleri Fakültesi; 0000-0003-4241-5231; 0000-0003-1467-5255; AAI-7132-2021; ACM-4054-2022; AAK-5246-2021
    Aim In this study. it was aimed to determine the prevalence of sexual dysfunction (SD) and the factors that may affect the occurrence of SD in patients receiving hemodialysis treatment. Methods The sample of the study consists of 49 patients (20 females. 29 males) receiving treatment in the hemodialysis unit of a university hospital. The data of the study were collected through a general information form including socio-demographic characteristics and risk factors. Female Sexual Function Index (FSFI). International Assessment Form for Erectile Function (IIEF) and Quality of Life Scale (SF-36). Results In our study. SD was detected in all patient groups. While the most affected area was seen to be orgasmic function and the least affected area was sexual desire in famales. the most affected area was found to be orgasmic function and the least affected area was erectile dysfunction in males. Such factors as age. profession. having a child. working status and duration of hemodialysis were found to affect occurrence of SD. There was a relationship between all sub-dimensions of sexual function and quality of life in male and female subjects. Conclusion In conclusion. sexual dysfunction is commonly encountered in patients undergoing hemodialysis treatment. In these patients. psychosocial factors as well as disease-related factors have an effect on SD. Therefore. SD should be evaluated together with disease-related factors as well as psychosocial factors in patients undergoing hemodialysis treatment.