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    Caregiver Contribution to Self-care in Ostomy Patient Index: Turkish Validity and Reliability Study
    (Galenos Publ House, 2024) Yildiz, Tulin; Malak, Arzu; Erden, Dilek; Avcu, Cagla; Onler, Ebru; Duran, Yasin; Coskunkan, Ufuk
    Aim: This study was conducted to evaluate the Turkish validity and reliability of the Caregiver Contribution to Self-care in Ostomy Patient Index, to evaluate the relatives of patients with stoma who contributed to their self-care in Turkish society, and to contribute to the literature of the measurement tool. Materials and Methods: This methodological type of research was carried out between September 2020 and January 2021 in a state and a university hospital in Tekirda & gbreve;. The research sample consisted of 223 individuals who contributed to the self-care of individuals with colostomy, ileostomy and urostomy, who applied for outpatient control. In the analysis of the data, descriptive statistics, language and content validity, confirmatory factor analysis (CFA), item analysis, internal consistency and test-retest methods were used. Results: The Content Validity Index was 0.99 and Cronbach's alpha 0.890. According to the CFA, fit indices were within acceptable limits and all items were statistically significant in the 3 sub-dimensions of the scale. As in the original version of the scale, item 18, which was not statistically significant, was not included in the analysis and was accepted as an addition. The correlation between test-retest and scale items was 0.983 for the whole scale and between 0.973 and 0.987 for the sub-dimensions. Conclusion: At the end of the study, it was determined that the scale was suitable for Turkish society and was valid and reliable in Turkish.
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    Effect of Educational Training to Promote Awareness Regarding Corneal Donation: Comparison of Students Enrolled in Health Care Versus Non-Health Care Curriculums at a Turkish University
    (Baskent Univ, 2023) Yildiz, Tulin; Onler, Ebru; Avcu, Cagla
    Objectives: The aim of this study was to determine the awareness of university students enrolled in health care versus nonhealthcare curriculums, to study knowledge on corneal donation before and after education. Materials and Methods: This cross-sectional and descriptive study was conducted at a university for 5 months, from January 2020 to May 2020. A team of researchers reviewed the literature and prepared a questionnaire consisting of 22 points of information, to assess the participants' knowledge and perceptions of corneal transplant. The questionnaire was used for face-to-face interviews conducted with the participants at 3 time points: before the educational training, immediately after the educational training, and 4 to 6 weeks after the educational training. The research sample consisted of 276 students. Data were analyzed with SPSS software (version 22.0). This study complies with the Helsinki Congress and Istanbul Declaration. Results: Although the average score before the educational training was 10.93, we observed an average score of 20.79 points immediately after the educational training and an average score of 19.65 points 4 to 6 weeks after the educational training, which demonstrated a significant increase in students' knowledge level. The mean score achieved by the nursing students from the questionnaire before and after the educational training was found to be significantly higher than the mean score of the physical education and sports students. The willingness of nursing students to donate their own cornea was significantly higher before and immediately after education, and the willingness to donate a relative's cornea was found to be significantly higher just before education. Conclusions: Greater awareness of corneal donation was associated with higher levels of education, suggesting that social awareness can increase when all health care professionals are informed about corneal donation via online platforms or face-to-face methods.
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    The Effect of the COVID-19 Pandemic on the Surgery Process
    (Marmara Univ, Inst Health Sciences, 2023) Yildiz, Tulin; Avcu, Cagla
    With this review, it was aimed to discuss the effect of the COVID-19 pandemic on the process before, during and after surgery. Studies that were accessed using the keywords COVID-19, perioperative and surgery in Pubmed and Science Direct and Turkish databases were discussed. The measures taken with the declaration of the pandemic also affected surgical practices, and postponing elective cases other than emergency and cancer surgery was one of the common measures implemented in many countries. In addition to all these measures and recommendations, the fact that the operating room environment has some unique risk factors draws attention to the process before, during and after the surgery. Guidelines for the measures to be taken in the national and international arena are published in order to plan the workforce of health professionals and to use limited health care resources effectively, as well as to prevent the spread of COVID-19. These measures and recommendations are shaped according to the statistical fluctuation in the number of infected cases and health care resources in countries, and policies and procedures regarding the preoperative, intraoperative and postoperative period are updated. It is extremely important to follow the current literature in order to protect both patients and healthcare professionals involved in the surgical process and to prevent cross-contamination against the COVID-19 virus.
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    The effect of non-pharmacological methods on pain in patients undergoing open heart surgery: A systematic review and meta-analysis
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2024) Yildiz, Tulin; Oyuktas, Merve; Avcu, Cagla
    Background: In this meta-analysis, we aimed to determine the effect of non-pharmacological methods on pain in patients undergoing open heart surgery. Methods: Scientific articles published between January 2002 and April 2022 were scanned in ScienceDirect, Scopus, PubMed, Web of Science, Google Scholar, Mendeley, Wiley Online Library databases. The keywords open heart surgery, cardiovascular surgery, non-pharmacological, complementary medicine, and pain were used in Turkish and English language. As a result of the search, 7,952 studies were identified and analyzed. Research data were obtained from 49 scientific articles. Results: The total sample size of the studies included in the analysis was 3,097. The total effect size was found to be 3.070, with a 95% confidence interval of 2.522 at the lower limit and 3.736 at the upper limit. Non-pharmacological pain methods in open heart surgery included positive environmental experience, distraction, massage therapy, hand massage, foot massage, acupuncture therapy, lavender essential oil inhalation, cold application, music therapy, breathing and relaxation exercises, neurolinguistic programming, guided visualization, imagery, therapeutic touch, osteopathic treatment, and transcutaneous electrical nerve stimulation. Conclusion: The pain of patients who underwent open heart surgery with non-pharmacological methods combined with pharmacological methods was three times less than those without non-pharmacological methods. Based on these findings, non-pharmacological methods are recommended for use due to their ease of application, and low side effects.
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    Validity and reliability of the Turkish version of the Ostomy Self-Care Index
    (Wiley, 2024) Avcu, Cagla; Yildiz, Tuelin
    Although stoma is often life-saving, evacuation outside of natural ways and changes in body image negatively affect the quality of life of the individual. To our knowledge, there is no Turkish scale that evaluates the self-care of individuals with a stoma. This study aimed to examine the validity and reliability of the Ostomy Self-Care Index in Turkish. This is a methodological study. The study sample consisted of 253 individuals with ostomy. 'Ostomy Individual Information Form' and 'Ostomy Self-Care Index' were used as data collection tools. Data were collected between September 2020 and January 2021 through face-to-face interviews conducted at two public hospitals in Turkey. In the analysis of the data, descriptive statistics, language and content validity, confirmatory factor analysis, item analysis, internal consistency and test-retest methods were used. The content validity index was 0.99, and Cronbach's alpha was 0.949. According to confirmatory factor analysis, the goodness of fit indices were at the desired level, the factor loads of the items were between 0.575 and 0.964, and all items were included in eight sub-dimensions in line with the original scale. As in the original version of the scale, item 18, which was not statistically significant, was excluded in the analysis and was accepted as an addition. The correlation of scale items in the test-retest was between 0.837 and 0.988. This study determined that the Ostomy Self-Care Index is valid and reliable for measuring the self-care of stoma patients in Turkey. This scale can be used as a guide for evaluating the self-care of individuals with a stoma and planning their care.