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  1. Home
  2. Browse by Author

Browsing by Author "Midilli, TS"

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    Effects of Reiki on Pain and Vital Signs When Applied to the Incision Area of the Body After Cesarean Section Surgery A Single-Blinded, Randomized, Double-Controlled Study
    Midilli, TS; Gunduzoglu, NC
    This study was conducted to determine the effects of Reiki on pain and vital signs when applied for 15 minutes to the incision area of the body after cesarean section surgery. The study was single-blinded, randomized, and double-controlled (Reiki, sham Reiki, and control groups). Forty-five patients, equalized by age and number of births, were randomly assigned to the Reiki, sham Reiki, and control groups. The treatment, which was applied to the patients in these 3 groups, was applied for 15 minutes to the incision area of body in the first 24 and 48 hours after the operation within 4 to 8 hours of the application of standard analgesics. The study data were collected using a patient follow-up form and a visual analog scale. Mean visual analog scale measurement values were significantly different from each other according to groups and times (P<.05). A reduction in pain of 76.06% was determined in the Reiki group patients between day 1 pre-tx and after application on the second day (day 2 post-tx) measurements. Mean breathing rate and systolic blood pressure measurement values were significantly different from each other according to groups (P<.05). The Reiki group was observed to use fewer analgesics throughout the study and to need them after a longer time than the sham Reiki and control groups (P<.05). It was concluded that Reiki applied for 15 minutes to the incision area after a cesarean operation had the expected effects on pain and the need for the use of analgesics, but it had no effect on vital signs.
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    The Effect of White Noise and Brahms' Lullaby on Pain in Infants during Intravenous Blood Draw: A Randomized Controlled Study
    Midilli, TS; Ergin, E
    Objective . This study investigates the effects of white noise and Brahms' lullaby in managing pain in infants who were administered with intravenous blood draws in a pediatric blood-sampling unit. Design . This study was an experimental, randomized controlled trial. Setting . This study was conducted on 0-12-month-old infants admitted to a pediatric blood-sampling unit of a university hospital in Turkey between July and October 2019. Participants . The sample comprised 59 infants 0-12 months of age. The infants were randomly assigned to three groups: (a) white noise, (b) Brahms' lullaby, and (c) control. Outcome measures . We evaluated the pain of the infants according to the Neonatal Infant Pain Scale (NIPS). We measured their pain and crying time before, during, and after the procedure. Results . The means of the NIPS scores of the infants in the white noise and Brahms' lullaby groups were lower than that of the control group before, during, and after the procedure. The means of the NIPS scores of the infants in the white noise and Brahms' lullaby groups were significantly lower than that of the control group during and after the procedure (P <.05). The crying time of the infants in the white noise and Brahms' lullaby groups were significantly lower than that of the control group after the procedure (P <.05). Conclusion . The white noise and Brahms' lullaby used during the intravenous blood draw procedure reduced the pain of infants. (Altern Ther Health Med. 2023;29(2):148-154)
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    Effects of Reiki on Post-cesarean Delivery Pain, Anxiety, and Hemodynamic Parameters: A Randomized, Controlled Clinical Trial
    Midilli, TS; Eser, I
    The aim of this study was to investigate the effect of Reiki on pain, anxiety, and hemodynamic parameters on postoperative days 1 and 2 in patients who had undergone cesarean delivery. The design of this study was a randomized, controlled clinical trial. The study took place between February and July 2011 in the Obstetrical Unit at Odemis Public Hospital in Izmir, Turkey. Ninety patients equalized by age and number of births were randomly assigned to either a Reiki group or a control group (a rest without treatment). Treatment applied to both groups in the first 24 and 48 hours after delivery for a total of 30 minutes to 10 identified regions of the body for 3 minutes each. Reiki was applied for 2 days once a day (in the first 24 and 48 hours) within 4-8 hours of the administration of standard analgesic, which was administered intravenously by a nurse. A visual analog scale and the State Anxiety Inventory were used to measure pain and anxiety. Hemodynamic parameters, including blood pressure (systolic and diastolic), pulse and breathing rates, and analgesic requirements also were recorded. Statistically significant differences in pain intensity (p = .000), anxiety value (p = .000), and breathing rate (p = .000) measured over time were found between the two groups. There was a statistically significant difference between the two groups in the time(p = .000) and number (p = .000) of analgesics needed after Reiki application and a rest without treatment. Results showed that Reiki application reduced the intensity of pain, the value of anxiety, and the breathing rate, as well as the need for and number of analgesics. However, it did not affect blood pressure or pulse rate. Reiki application as a nursing intervention is recommended as a pain and anxiety-relieving method in women after cesarean delivery. (C) 2015 by the American Society for Pain Management Nursing
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    An Investigation of the Perceptions and Practices of Nursing Students Regarding Spirituality and Spiritual Care
    Kalkim, A; Midilli, TS; Baysal, E
    The aim of this research was to determine Turkish nursing students' knowledge, practices and perceptions of spirituality and spiritual care and to investigate the relationship between their perceptions and their demographics. This study was a descriptive survey conducted at a nursing school providing degree-level education in the city of Manisa, in the western part of Turkey. The sample of the study consisted of the 400 nursing students. A nursing student sociodemographic form, a form on nursing students' knowledge and practices of spirituality and spiritual care, and the Spirituality and Spiritual Care Rating Scale were used to collect the data. Half of the students could meet patients' or individuals' spiritual needs, and the spiritual care that they gave was most frequently listening, empathy, and psychological support. The research findings were that nursing students' perceptions of spirituality and spiritual care were sufficiently although not very sufficiently defined. Being female, being in the second year of education and seeing spiritual care education as necessary were determinants of their perceptions of spirituality and spiritual care.
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    Comparison of Glucose Values of Blood Samples Taken in Three Different Ways
    Midilli, TS; Ergin, E; Baysal, E; Ari, Z
    The purpose of the study was to determine differences and correlations between the blood glucose values of venous blood and the first and second drops of capillary blood samples taken in three different ways. Blood samples were (a) venous blood, (b) the first and second drops of capillary blood from the middle finger of the right hand (only washed with soap and water), and (c) the first and second drops of capillary blood from the middle finger of the left hand (washed with soap and water and cleaned with alcohol). It was concluded that the fasting capillary blood glucose values could be used in place of venous blood glucose values, that only washing the hands with neutral soap and water for 30 s could be sufficient for capillary blood glucose measurement, and that the first or second blood drop from a clean hand could be used for capillary blood glucose measurement.
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    The Effect of Music on Dyspnea Severity, Anxiety, and Hemodynamic Parameters in Patients With Dyspnea
    Ergin, E; Midilli, TS; Baysal, E
    This randomized controlled study (pretest, posttest, test control group) was conducted with the aim of determining the effect of music on the severity of dyspnea, anxiety, and hemodynamic parameters in patients with dyspnea. The research was conducted in the Chest Diseases Service of a public hospital in the western region of Turkey. The number of patients included in the sample was determined by power analysis, and as a result, 60 patients were accepted, 30 in the music group and 30 in the control group. Sixty percent of the patients who took part in the study were male, their mean age was 61.21 +/- 1.13 years, and their mean dyspnea severity before the intervention was 62.68 +/- 22.28. The difference between the mean dyspnea severity and anxiety scores of the music group patients before and after the application of music was found to be statistically significant (P < .05), but no statistically significant difference was found in hemodynamic parameters (P > .05). In light of the research findings, it was concluded that music had an effect on anxiety and the severity of dyspnea in patients with dyspnea but that it had no effect on hemodynamic parameters.
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    Effects of structured patient education on knowledge level and INR control of patients receiving warfarin: Randomized Controlled Trial
    Baysal, E; Midilli, TS
    Objective: To determine the effects of patient education about the safety of warfarin therapy on related-knowledge levels and on International Normalized Ratio (INR) control. Methods: In the study, randomized controlled experimental study design was used. It was conducted between September 2014-March 2015 with 63 patients who use warfarin at least two months at cardiology and cardiovascular surgery outpatient departments of two different hospitals in Manisa. Participants in the intervention group received one-to-one education about the safety of warfarin therapy and a booklet. Participants in the control group received usual care. Patients' warfarin knowledge levels in both groups were measured three times at monthly intervals. Results: Before education warfarin knowledge levels were inadequate in intervention group, but it was higher after education and reached a good level. No significant difference was found between the International Normalized Ratio controls of the two groups. No significant relationship was found between pre- and post-education warfarin knowledge levels and the INR number in the therapeutic range. Conclusion: One-to-one education supported by written and visual material was effective in increasing patients' warfarin knowledge levels.
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    Affecting factors and relationship between patients' attitudes towards the nursing profession and perceptions of nursing care in a university hospital
    Midilli, TS; Kirmizioglu, T; Kalkim, A
    Objective: To evaluate affecting factors and the relationship between patients' attitudes towards the nursing profession and perceptions of nursing care. Methods: This cross-sectional study was conducted at Hafsa Sultan Hospital of Celal Bayar University, Manisa, Turkey, from September to November 2014, and comprised inpatients. Data was collected by using a patient information form, the attitude scale for the nursing profession and the patient perception of hospital experience with nursing care scale. SPSS 21 was used for data analysis. Results: Of the 604 participants, 320(53%) were female and 266(44%) were aged 60 years or above. Mean satisfaction level on the patient perception scale was 70.79+/-6.69, and on the attitude scale 176.77+/-11.63. A positive, statistically significant relationship was found between the two scores (p<0.01). It was detected that the age for patient perception of nursing care, and gender and education level for patients' attitudes towards the nursing profession were the affecting factors (p<0.05 each). Conclusion: Nursing care satisfaction and positive attitudes towards the nursing profession increased while patients' perceptions of nursing care improved.
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    Relationship Between Health Anxiety and Psychological Resilience Among Nursing Students and Predictors of Psychological Resilience in the Last Period of the COVID-19 Pandemic
    Midilli, TS; Kalkim, A; Uslu, B
    Objective: The study aimed to determine health anxiety and psychological resilience and to investigate the relationship between health anxiety and psychological resilience among nursing students in the last period of the coronavirus disease (COVID-19) pandemic. Methods: This cross-sectional and descriptive study was conducted with 507 students in Turkey. The questionnaires used in the study were a student nurse information form, the Health Anxiety Inventory, and the Resilience Scale for Adults. Results: The mean age of the students was 20.70 +/- 1.77 years. The health anxiety mean score was 36.19 +/- 6.55, and the resilience scale mean score was 117.13 +/- 16.00. There was a weak negative correlation between the students' psychological resilience and their health anxiety (r = -0.207, P < 0.001). Conclusion: Having an extended family and having good relationships with family and friends were the predictors of psychological resilience. Social support and psychological care services under a biopsychosocial model by the management of university or faculty should be implemented for university students in order to preserve their resilience and well-being, to cope with the pandemic.
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    The relationship between psychiatric nurses' spiritual care practices, perceptions and their competency
    Irmak, H; Midilli, TS
    Purpose: The research aimed to examine the relationship between psychiatric nurses' spiritual care practices, perceptions and competencies. Methods: This study was conducted as a descriptive -correlational study. The population of the study consisted of the nurses working at Manisa Mental Health Hospital (N =134). It was intended to contact the whole of the population, and so there was no selection process. Thus, the study sample consisted of 128 nurses, who accepted to participate in the research. Spirituality Spiritual Care Rating Scale used to determine nurses' perceptions spirituality and spiritual care. Spiritual Care Competence Scale was used to evaluate the nurses' spiritual care competence. Results: Spirituality and Spiritual Care Rating Scale of psychiatric nurses item score mean was 3.93 +/- 0.49, the Spiritual Care Competence Scale of psychiatric nurses item score mean was 3.54 +/- 0.63. There was no significant relationship between two scales (p > 0.05). As a result of multiple regression analysis, psychiatric nurses' which accounts for only 20.1% of spirituality and spiritual care perceptions of feel incompetent about spiritual care. Conclusion: Psychiatric nurses' perceptions of spiritual and spiritual care were high, but their competence was at a moderete level. There was no a correlation between nurses' perceptions and competencies of spiritual care.
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    Evaluation of outpatient cancer patients' use of nonpharmacological methods in the management of chemotherapy-induced nausea and vomiting
    Ergin, E; Midilli, TS; Akdag, E; Kirgöz, C
    Purpose: The present study aimed to investigate nonpharmacological methods in managing chemotherapy-induced nausea and vomiting by outpatient cancer patients. Materials and Methods: This descriptive study was conducted in the outpatient chemotherapy unit of Hafsa Sultan Hospital, Faculty of Medicine, Manisa Celal Bayar University, with 251 cancer patients receiving chemotherapy. The study data were collected using the Patient Information Form and the Nausea Visual Analogue Scale (VAS). Results: Of the patients, 88% (n=221) experienced nausea and vomiting before chemotherapy. The mean score of these patients from the VAS was moderate (5.24 +/- 1.84). Of the patients, 82.1% (n=206) used nonpharmacological methods to prevent nausea and vomiting. According to their statements, of the patients who used nonpharmacological methods, 83.5% (n = 172) took hot and cold showers, 50.5% (n = 104) drank herbal teas, 35% (n = 72) had massage. Conclusion: The severity of nausea was moderate. Most of the patients used nonpharmacological methods. Of these methods, the one used most frequently was taking hot and cold showers. It is recommended that nurses should guide and encourage patients to use evidence-based nonpharmacological methods.
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    Effects of Different Position Changes on Hemodynamic Parameters and Dyspnea Severity in Patients with Dyspnea
    Baysal, E; Midilli, TS; Ergin, E
    Objective: This study was planned to determine the effects of different position changes on hemodynamic parameters and dyspnea severity in patients with dyspnea. Methods: This was a quasi-experimental study, using a one-group, pre-test and post-test design. From March-December, 2015, 58 pulmonary service patients who had been hospitalized due to dyspnea and various respiratory diseases were assessed for dyspnea severity, oxygen saturation (SpO(2)), systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR) and respiratory rate (RR). Results: According to repeated measures variance analysis of patients in the prone and orthopnea position, there was no statistically significant difference between the measurement of dyspnea severity, O-2 saturation, SBP, DBP, and RR. However, the HR of patients increased in the prone position and dyspnea severity was shown to be reduced in the orthopnea position. Conclusion: Comparing all the positions given to the patients, it was found that towards the 15th minutes, the orthopnea position had a positive effect on patients' mean dyspnea severity, SBP and O-2 saturation but a significant difference was observed only on the mean dyspnea severity.
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    Dysmenorrhea Characteristics of Female Students of Health School and Affecting Factors and Their Knowledge and Use of Complementary and Alternative Medicine Methods
    Midilli, TS; Yasar, E; Baysal, E
    The purpose of this study was to examine the menstruation and dysmenorrhea characteristics and the factors affecting dysmenorrhea of health school students, and the knowledge and use of the methods of complementary and alternative medicine (CAM) on the part of those students with dysmenorrhea. This is a descriptive study. A descriptive analysis was made by calculating the number, percentage, mean, Pearson chi(2), and logistic regression analysis. A total of 488 female students participated in the research and 87.7% (n = 428) of all students experienced dysmenorrhea. It was detected that a family history of dysmenorrhea and regular menstrual cycles of the students were dysmenorrhea-affecting factors (P < .05). Seven of 10 students with dysmenorrhea used CAM methods. Heat application of CAM methods for dysmenorrhea management was the most commonly used and also known by the students. The students who experienced severe pain used analgesics (P < .05) and CAM methods (P < .05).
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    The relationship between nurses' perceptions and competency about spiritual care and influencing factors
    Karaman, A; Midilli, TS
    Purpose This study aims to investigate the relationship between nurses' perceptions and their competences in spiritual care and influencing factors. Design and Methods This correlational study was conducted with 700 nurses. The Spirituality and Spiritual Care Rating Scale (SSCRS) was used to determine nurses' spirituality perceptions. The Spiritual Care Competence Scale (SCCS) was used to evaluate the nurses' spiritual care competence. Findings The study results show a significant relationship between the mean item scores of the SSCRS and the SCCS (r = 0.264, p < 0.01). Practice Implications The nurses' perceptions were high, but their competency in spiritual care was at a medium level.
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    Psychometric Evaluation of the Turkish Form of the Spiritual Care Competence Scale
    Daghan, S; Kalkim, A; Midilli, TS
    The methodological study was aimed to assess the psychometric properties of the Turkish version of the Spiritual Care Competence Scale (SCCS-T). The research was conducted on final-year Turkish nursing students (n=297) in the faculties of nursing and health science in two cities in the western part of Turkey. Exploratory factor analysis revealed that three factors accounted for 75.18% of the explained variance. The Cronbach's alpha coefficient for the SCCS-T was .97. The three-factor model of the SCCS-T was found to be a reliable and valid scale for evaluating spiritual care competencies of Turkish nursing students and nurses.
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    Nursing Students' Perceptions of Spirituality and Spiritual Care and Their Spiritual Care Competencies: A Correlational Research Study
    Kalkim, A; Midilli, TS; Daghan, S
    This research aimed to describe nursing students' perceptions of spirituality and spiritual care and their spiritual care competencies and to investigate the relationship between these variables. The sample of this descriptive and correlational study consisted of 325 nursing students. The questionnaires used in the study were the Student Nurse Information Form, the Spirituality and Spiritual Care Rating Scale, and the Spiritual Care Competency Scale. The mean scores of the Turkish versions of Spirituality and Spiritual Care Rating Scale and Spiritual Care Competency Scale were 3.90 +/- 0.45 and 3.69 +/- 0.68. Importance to giving spiritual care to the patients in nursing care, willingness to receive training in spiritual care, and listening to patients to meet their spiritual requirements accounted for 17% of the spirituality and spiritual care perceptions of the students (F = 16.118, P = .001, R-2 = 0.17). The participants' spirituality and spiritual care perception levels accounted for 14% of their spiritual care competences (F = 16.851, P = .001, R-2 = 0.14). It was determined that the students' perceptions of spiritual care competence were not at the desired level and that they should be improved. Therefore, it is recommended that changes should be made in the curricula and that training programs should be improved in order to strengthen students' spiritual care competency.

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