Özet:

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

Anahtar Kelimeler: