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CERRAHİ VE DAHİLİ KLİNİKLERDE ÇALIŞAN HEMŞİRELERİN STEROİD TEDAVİSİNE İLİŞKİN BİLGİ DÜZEYLERİNİN BELİRLENMESİ
2020
Journal:  
Ege Üniversitesi Hemşirelik Fakültesi Dergisi
Author:  
Abstract:

Başlık:Cerrahi Ve Dahili Kliniklerde Çalışan Hemşirelerin Steroid Tedavisine İlişkin Bilgi Düzeylerinin Belirlenmesi Özet:Amaç: Bu çalışma, cerrahi ve dahili kliniklerde çalışan hemşirelerin steroid tedavisine ilişkin bilgi düzeylerinin belirlenmesi amacıyla yapılmıştır. Gereç ve Yöntem: Tanımlayıcı tipteki bu araştırma, Afyon Kocatepe Üniversitesi Ahmet Necdet Sezer Araştırma ve Uygulama Hastanesi Cerrahi ve Dahili Klinikleri’ nde çalışan 326 hemşireden araştırmaya katılmayı kabul eden ve araştırmanın yapıldığı tarihlerde izinli yada raporlu olmayan ve toplam 261 hemşireyle 7 Şubat – 6 Mart 2019 tarihleri arasında yapılmıştır. Araştırma verileri, “Kişisel Bilgi Formu” ve “Genel Bilgi”, “Komplikasyonlar” ve “Hemşirelik Uygulamaları” bölümlerini içeren toplamda 3 bölüm ve 54 maddeden oluşan  “Steroid Tedavisi Hemşire Bilgi Anketi” kullanılarak toplanmıştır. Bulgular ve Sonuç: Araştırma bulguları incelendiğinde, hemşirelerin %63.6’sının cerrahi kliniklerde, %36.4’ünün dahili kliniklerde çalıştığı, %20.7’sinin mezuniyet sonrası steroid ilaçlara ilişkin eğitim aldığı saptanmıştır. Hemşirelerin anketin tedaviye ilişkin genel bilgi bölümünden ortalama 12.52±4.7, steroid tedavisinin komplikasyonlarına yönelik bilgi bölümünden ortalama 8.13±3.1, steroid tedavisinde hemşirelik uygulamalarına yönelik bilgi bölümünde ise ortalama 14.34±4.4 puan aldığı ve hemşirelerin anketin bütün bölümlerinden ortalamanın üzerinde puan aldığı belirlenmiştir. Anketin tüm bölümlerinden dahili kliniklerde çalışan hemşirelerin, cerrahi kliniklerde çalışan hemşirelerden daha fazla puan aldığı, lisans ve yüksek lisans mezunu olan hemşirelerin bilgi puanlarının, lise ve önlisans mezunu hemşirelerin bilgi puanlarından daha yüksek olduğu, hemşirelerin meslekte çalışma süresi ve klinik deneyim süresi arttıkça bilgi puanlarının da arttığı belirlenmiştir. Araştırma sonucunda hemşirelerin bilgi puanlarının ortalamanın üzerinde olduğu ancak hasta eğitimine gerekli önemin verilmediği saptanmıştır. Anahtar kelimeler:   Steroid Tedavisi, Kortikosteroid, Hemşirelik, Hasta Eğitimi, Bilgi Düzeyi. Destekleyen kurumlar:yok Kaynakça: Akı G. Yüksek Doz Metilprednizolon Tedavisi Alan Multipl Skleroz Hastalarında Bu Tedavinin Erken Dönemde Bilişsel Testlere (P300-P50) Etkisi. Uzmanlık Tezi, Malatya: İnönü Üniversitesi Sağlık Bilimleri Enstitüsü; 2007. Alparslan GB, Kapucu S. Steroidlerin Kullanımında Hemşirenin Sorumlulukları. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi 2008; 77–84 Alparslan GB, Kapucu SS. The Changes and Difficulties Experienced by Patients Using Steroids. J Ren Care 2010; 36(2): 81-89 Arvas A. İmmün Baskılanması Olan Hastaların Aşılanması. Türk Ped Arş 2014; 49: 181-185 Ateş Önal S. Analjezik Adjuvanlar. Ağrı 2006; 18(4): 10-23 Babacan E, Ulupınar Alıcı A. Hemşirelerin Hasta Eğitimi ile İlgili Düşünce ve Uygulamaları. HEAD 2008; 5(2): 29-36 Baklacıoğlu B. Hemşirelerin Steroid Alan Hastaların Bakımına İlişkin Bilgileri. Yayınlanmamış Yüksek Lisans Tezi, Ankara: Hacettepe Üniversitesi Sağlık Bilimleri Enstitüsü; 1995. Bellieu J, Emms H. Rimmer T. ve ark. https://www.nwcscnsenate.nhs.uk/files/2814/3394/6186/Corticosterioids.pdf. , erişim tarihi: 07.10.2018 Clifton D, Ross M, O’Callaghan C. Psychiatric Sequelae of Corticosteroid Use in Hematology in Australia: A Qualitative Study. Nurs Health Sci 2018; 20(1): 125-131 Çiftci S, Öncü Alptekin J, Duman Z. ve ark. Uzun Dönem Glukokortikoid ve Siklosporin-A Kullanımına Sekonder Gelişen Osteoporotik Vertebra Fraktürleri: Olgu Sunumu. Turk J Osteoporos 2017; 23: 75-78 Davis LL. Instrument Review: Getting the Most From a Panel Of Experts. Appl Nurs Res 1992; 5(4): 194-197 Dorff TB. , Crawford ED. Management and Challenges of Corticosteroid Therapy in Men With Metastatic Castrate-Resistant Prostate Cancer, Ann Oncol 2013; 24(1): 31-38 Fsadni CJ. A Study on the Management of Corticosteroid Side Effects in Cancer Patients, The Journal of the Malta College of Family Doctors 2015; 4(3): 18-30 Griffiths H, Jordan S. Corticosteroids: İmplications for Nursing Practice. Nurs Stand 2002; 17(12): 43-53 Gudbjornsson B, Juliusson UI, Gudjonsson FV. Prevalence of Long Term Steroid Treatment and the Frequency of Decision Making to Prevent Steroid İnduced Osteoporosis in Daily Clinical Practice. Ann Rheum Dis 2002; 61(1): 32–36 Guidry JA, George JN, Vesely SK. ve ark. Corticosteroid Side-Effects and Risk for Bleeding in İmmune Thrombocytopenic Purpura: Patient and Hematologist Perspectives. Eur J Haematol 2009; 83(3): 175-182 Gür C, Boz M, Müderrisoğlu C. ve ark. İnsülin Direnci ve Kortizol Düzeyleri Arasındaki İlişkiler. İstanbul Med J 2015; 16: 73-76 Grover VK, Babu R,  Bedi SPS. Steroid Therapy – Current Indications in Practice. Indian J Anaesth 2007; 51(5): 389-393 Işıklı D. Hemşirelerin Farmakoloji Bilgi Düzeylerinin Değerlendirilmesi. Yayınlanmamış Yüksek Lisans Tezi, Konya: Selçuk Üniversitesi Sağlık Bilimleri Enstitüsü Farmakoloji ve Toksikoloji (Vet) Anabilim Dalı; 2006. Karadakovan A. Kortikosteroid Sağaltımının Yan Etkileri ve Hemşirenin Sorumlulukları. Ege Üniversitesi Hemşirelik Yüksek Okulu Dergisi, 1989; 5(3): 51-56 Küçükakça G. Cerrahi Kliniklerde Çalışan Hemşirelerin Yüksek Riskli İlaç Uygulamaları Konusundaki Bilgi Durumlarının ve İlaç Hatalarıyla İlgili Tutum ve Davranışlarının İncelenmesi. Yüksek Lisans Tezi, Erzurum: Atatürk Üniversitesi Sağlık Bilimleri Enstitüsü; 2013. Liu D, Ahmet A, Ward L, ve ark. A Practical Guide to the Monitoring and Management of the Complications of Systemic Corticosteroid Therapy. Allergy Asthma Clin Immunol 2013;9(1): 30 Mahdy A, Hussain N, Khalidi DA. Knowledge, Attitude, and Practice Analysis of Corticosteroid Use Among Patients: A Study Based in the United Arab Emirates. Natl J Physiol Pharm Pharmacol 2017; 7(6): 562-568 Margolin L, Cope DK,  Bakst-Sisser R. ve ark. The Steroid Withdrawal Syndrome: A Review of the Implications, Etiology, and Treatments. J Pain Symptom Manage 2007; 33(2): 224-228 Olgun N. Adrenal Bez Hastalıkları. İn: Karadakovan A, Eti Aslan F. Editör. Dahili ve Cerrahi Hastalıklarda Bakım. Adana: Nobel Kitabevi; 2. Baskı. 2011. ss.881-891 Alkan H. Hasta Eğitimi ve Davranış Değişikliği Geliştirme. Journal of Cardiovascular Nursing 2016; 7(2) :41-47  Özen A. Kortikosteroid Kullanan Hastaların Bilgi ve Tutumlarının Değerlendirilmesi. Yayınlanmamış Uzmanlık Tezi, Ankara : Gülhane Askeri Tıp Akademisi Askeri Tıp Fakültesi Aile Hekimliği Anabilim Dalı; 2014. Pisu M, James N, Sampsel S. ve ark. The Cost of Glucocorticoid-Associated Adverse Events in Rheumatoid Arthritis. Rheumatology 2005; 44(6): 781-788 Radley K. NICE Guidance on Use of Topical Corticosteroids in Atopic Eczema. Nurs Times 2004; 100(38): 26–27. Rice JB. White AG, Scarpati LM. ve ark. Long-term Systemic Corticosteroid Exposure: A Systematic Literature Review, Clin Ther 2017; 39(11): 2216-2229 Salerno A, Hermann R. Efficacy and Safety of Steroid Use for Postoperative Pain Relief, J Bone Joint Surg Am 2006; 88(6):1361–1372 Samancı N, Balcı N. Kortikosteroidler ve Klinikte Kullanımları. T Klin Tıp Bilimleri 2001; 21: 131-140 Şenyuva E, Taşocak G. Hemşirelerin Hasta Eğitimi Etkinlikleri ve Hasta Eğitim Süreci. İÜFN Hem Derg 2007; 15(59) : 100-106 Talas MS, Pınarcı E. Bir Üniversite Hastanesinde Yatan Hastaların Steroid Kullanımına Uyumunun Değerlendirilmesi. Dicle Tıp Dergisi 2010; 37(4): 385-393 Turgay M.http://ichastaliklariromatoloji.medicine.ankara.edu.tr/files/2014/02/Kortikosteroidler.pdf/erişim tarihi: 01.10.18 Tülek Z. Multipl Sklerozlu Hastanın Hemşirelik Bakımı. C.Ü. Hemşirelik Yüksekokulu Dergisi 2007; 11(2): 25-32 Waljee A, Rogers M. Lin P. ve ark. Short Term Use of Oral Corticosteroids and Related Harms Among Adults in the United States: Population Based Cohort Study. BMJ 2017 357: 1415 Warrington TP,  Bostwick JM. Psychiatric Adverse Effects of Corticosteroids. Mayo Clin Proc 2006;81(10): 1361-1367 Yıldırım N, Çiftçi B, Kaşıkçı M. Hemşirelerin Hasta Eğitimi Verme Durumu ve Etkileyen Faktörlerin Belirlenmesi. Atatürk İletişim Dergisi 2017; 14: 217-230        

Keywords:

Identification of the levels of steroid treatment of patients performed in surgical and internal clinics
2020
Author:  
Abstract:

Title:Determination of the level of information on steroid therapy for nurses working in surgical and internal clinics Summary:Objective: This study was carried out to determine the level of information on steroid therapy for nurses working in surgical and internal clinics. Instruments and Methods: This research of the identificative type was conducted between February 7 and March 6, 2019 with a total of 261 nurses who accepted to participate in the research from 326 nurses working in the Surgery and Internal Clinics of the Afyon Kocatepe University Ahmet Necdet Sezer Research and Application Hospital and were licensed or not at the date of the research. The research data was collected using the "Steroid Treatment Nursing Information Survey" consisting of a total of 3 sections and 54 articles, including "Personal Information Form" and "General Information", "Complications" and "Nursing Applications" sections. Results and Results: Study findings found that 63.6 percent of nurses worked in surgical clinics, 36.4 percent worked in internal clinics, and 20.7 percent received postgraduate training in steroid drugs. The average 12.52±4.7 of the Nurses’ survey’s general information section on treatment, the average 8.13±3.1 of the Steroid Therapy Complications Information section, the average 14.34±4 of the Steroid Therapy Nursing Practices Information section. He received 4 points and the nurses received a score above the average of all parts of the survey. The survey found that nurses working in internal clinics from all sections received more points than nurses working in surgical clinics, that nurses with bachelor and master graduates received more points than nurses with high school and pre-graduate graduates received more points than nurses with high school and pre-graduate graduates received more points than nurses with high school and pre-graduate graduates received more points than nurses with high school and pre-graduate graduates received more points. The study found that nurses’ information scores were above the average but the patient’s training was not given the necessary importance. Keywords: Steroid Treatment, Corticosteroid, Nursing, Patient Education, Information Level. Supported by: No Source: G. The effect of this treatment on early-term cognitive tests (P300-P50) in patients with multiple sclerosis in high doses of methylprednisolone therapy. Specialist thesis, Malta: Inönü University Institute of Health Sciences; 2007. Alparslan GB, Kapucu S. Nurses' Responsibilities in the Use of Steroids. The Faculty of Health Sciences of Hacettepe University Nursing Magazine 2008; 77-84 Alparslan GB, Kapucu SS. The Changes and Difficulties Experienced by Patients Using Steroids. J Ren Care 2010; 36(2): 81-89 Arvas A. Vaccination of patients with immunity. Turkish Ped Arş 2014; 49: 181-185 Ateş Önal S. Analjezik Adjuvanlar. Pain 2006; 18(4): 10-23 Babacan E, Ulupınar Recipient A. Nurses' Thoughts and Applications concerning Patient Education. Head 2008; 5(2): 29-36 Baklacıoğlu B. Information about the care of the nurses with steroid fields. Unpublished Master's Thesis, Ankara: Hacettepe University Institute of Health Sciences; 1995. Bellieu J, Emms H. Rimmer T. and Ark. HTTPS://www.nwcscnsenate.nhs.uk/files/2814/3394/6186/Corticosterioids.pdf Access date: 07.10.2018 Clifton D, Ross M, O'Callaghan C. Psychiatric Sequelae of Corticosteroid Use in Hematology in Australia: A Qualitative Study. Nurs Health Sci 2018; 20(1): 125-131 Farmers S, Advanced Alptin J, Duman Z. and ark. Long-term use of glucocorticoids and cyclosporin-A Secondary development of osteoporosis vertebral fractures: Facts Presentation. Turk J Osteoporos 2017; 23: 75-78 Davis LL. Instrument Review: Getting the Most From a Panel Of Experts. Appl Nurs Res 1992; 5(4): 194-197 Dorff TB. by Crawford ED. Management and Challenges of Corticosteroid Therapy in Men With Metastatic Castrate-Resistant Prostate Cancer, Ann Oncol 2013; 24(1): 31-38 Fsadni CJ. A Study on the Management of Corticosteroid Side Effects in Cancer Patients, The Journal of the Malta College of Family Doctors 2015; 4(3): 18-30 Griffiths H, Jordan S. Corticosteroids: Implications for Nursing Practice. Nurs Stand 2002; 17(12): 43-53 Gudbjornsson B, Juliusson UI, Gudjonsson FV. Prevalence of Long Term Steroid Treatment and the Frequency of Decision Making to Prevent Steroid Induced Osteoporosis in Daily Clinical Practice. Ann Rheum Dis 2002; 61(1): 32-36 Guidry JA, George JN, Vesely SK. and ARC. Corticosteroid Side-Effects and Risk for Bloeding in Immune Thrombocytopenic Purpura: Patient and Hematologist Perspectives. Eur J Haematol 2009; 83(3): 175-182 Gür C, Boz M, Müderrisoğlu C. and ark. Relationships between insulin resistance and cortisol levels. Istanbul Med J 2015; 16: 73-76 Grover VK, Babu R, Bedi SPS. Steroid Therapy - Current Indications in Practice. Indian J Anaesth 2007; 51(5): 389-393 Light D. The assessment of the farmacological level of information of nurses. Unpublished Master's Thesis, Convention: Selçuk University Institute of Health Sciences Pharmacology and Toxicology (Vet) Anabolic Department; 2006. Karadakovan A. Side Effects of Corticosteroid Supply and Nursing Responsibilities. The University of Ege Higher School of Nursing magazine, 1989; 5(3): 51-56 Small G. Review of the information status and behavior of nurses working in surgical clinics on high-risk medication applications and the behavior and behavior related to drug errors. Master's Thesis, Erzurum: Ataturk University Institute of Health Sciences; 2013. Liu D, Ahmet A, Ward L, and Ark. A Practical Guide to the Monitoring and Management of the Complications of Systemic Corticosteroid Therapy. Allergy Asthma Clin Immunol 2013;9(1): 30 Mahdy A, Hussain N, Khalidi DA. Knowledge, Attitude, and Practice Analysis of Corticosteroid Use Among Patients: A Study Based in the United Arab Emirates. Natl J Physiol Pharm Pharmacol 2017; 7(6): 562-568 Margolin L, Cope DK, Bakst-Sisser R. and ark. The Steroid Withdrawal Syndrome: A Review of the Implications, Etiology, and Treatments. J Pain Symptom Manage 2007; 33(2): 224-228 Adult N. Adrenal Belly Diseases. In: Karadakovan A, Eti Lion F. Editor. Internal and surgical diseases. Book of the Nobel Prize; 2. and pressure. 2011 ss.881-891 Alkan H. Patient education and behavior change development. Journal of Cardiovascular Nursing 2016; 7(2) :41-47 Ozen A. The assessment of the information and attitudes of patients using corticosteroids. Unpublished Specialty Thesis, Ankara: Gülhane Military Medicine Academy Military Medicine Faculty Family Medicine Anabolic Department; 2014. Pisu M, James N, Sampsel S. and Ark. The Cost of Glucocorticoid-Associated Adverse Events in Rheumatoid Arthritis. Rheumatology 2005; 44(6): 781-788 Radley K. NICE Guidance on Use of Topical Corticosteroids in Atopic Eczema. Nurs Times 2004; 100(38): 26-27. by Rice JB. White AG, Scarpati LM. and ARC. Long-term Systemic Corticosteroid Exposure: A Systematic Literature Review, Clin Ther 2017; 39(11): 2216-2229 Salerno A, Hermann R. Efficacy and Safety of Steroid Use for Postoperative Pain Relief, J Bone Joint Surg Am 2006; 88(6):1361-1372 Samanci N, Balci N. Corticosteroids and Clinical Use. T Clin Medical Sciences 2001; 21: 131-140 Shenyuva E, Taşocak G. Nurses' Patient Education Activities and Patient Education Process. IFN both magazine 2007; 15(59) : 100-106 Talas MS, Pınarcı E. Evaluation of the conformity of patients in a university hospital with the use of steroids. Dicle Medical Journal 2010; 37(4): 385-393 Turgay M.http://ichastaliklariromatology.medicine.ankara.edu.tr/files/2014/02/Corticosteroids.pdf/input date: 01.10.18 Tülek Z. Care for multiple sclerosis patients. by C. Journal of Nursing Higher School 2007; 11(2): 25-32 Waljee A, Rogers M. Lin P. and ark. Short Term Use of Oral Corticosteroids and Related Harms Among Adults in the United States: Population Based Cohort Study. BMJ 2017 357: 1415 Warrington TP, Bostwick JM. Psychiatric adverse effects of corticosteroids. Mayo Clin Proc 2006;81(10): 1361-1367 Lightning N, Farmers B, Kashkisti M. Nurses provide patient education and the determination of the influential factors. Ataturk Communications Magazine 2017; 14: 217-230

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Ege Üniversitesi Hemşirelik Fakültesi Dergisi

Field :   Sağlık Bilimleri

Journal Type :   Ulusal

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Ege Üniversitesi Hemşirelik Fakültesi Dergisi