Browsing by Author "Gençbaş, Dercan"
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Article Citation Count: 0Anxiety and Depression After Cesarean: Non-pharmacological Evidence Based Practices;(Dokuz Eylul University, 2022) Terzioğlu, Füsun; Gençbaş, Dercan; Boztepe, Handan; Doğu, Nilgün; Akdeniz, Canberk; Yüceer, Buğse; NursingThe purpose of this review is to examine the non-pharmacological evidence-based practices of anxiety and depression after a cesarean section delivery. Postpartum anxiety and depression have increased in the last decade, the rates of postpartum depression are around 13% worldwide. In the postpartum period, women may experience anxiety and depression due to the operation they have undergone; such as being in an unfamiliar environment, facing new technological equipment and encounters with the medical teams, the post-operative pain, the new roles women undertake as mothers. One of the factors that increase anxiety and depression in the postpartum period is the type of delivery. In Turkey, the rate of cesarean delivery is comparatively high, which is approximately 52%. Anxiety and depression after cesarean section develop due to fear and concern such as the complications that may occur during and after the mother's anesthesia, the possibility delaying breastfeeding her baby, and experiencing pain. Non-pharmacological evidence-based applications such as reiki, acupressure, hand and foot massage, yoga, reflexology, aromatherapy, skin to skin care, nursing care protocols were found to be effective in studies conducted to reduce anxiety and depression after cesarean-section. Nurses who have critical roles and responsibilities in pre-and post-cesarean care practices are recommended to include these evidence-based non-pharmacological practices in routine care practices. © 2022, Dokuz Eylul University. All rights reserved.Article Citation Count: 19Evaluation of the Efficiency of the Nursing Care Plan Applied Using NANDA, NOC, and NIC Linkages to Elderly Women with Incontinence Living in a Nursing Home: A Randomized Controlled Study(Wiley, 2018) Gençbaş, Dercan; Bebis, Hatice; Cicek, Hatice; NursingPURPOSE: Evaluate the efficiency of the nursing care plan, applied with the use of NANDA-I, NOC, and NIC (NNN) linkages, for elderly women with incontinence who live in nursing homes. METHODS: A randomized controlled experimental design was applied. NNN linkages were prepared and applied for 12 weeks in an experimental group. NOC scales were evaluated again for two groups. RESULTS: A 0.5 NOC point change targeted in all elderly in the experimental group were provided between pretest-posttest scores. The experimental group had higher life quality and lower incontinence severity/symptoms than the control group. CONCLUSION: It is important that NNN linkages effective for solving the problems are used in different groups and with larger samples to create further evidence linking NNN.Article Citation Count: 2Evaluation of wound healing in patients with hip prosthesis according to nursing outcome classification(Wiley, 2022) Gençbaş, Dercan; Kilinc Akman, Esra; Gencbas, Dercan; NursingPurpose The purpose of this study is to perform Turkish adaptation and validation of NOC (1102) Wound Healing: Primary Intent and examine wound healing in patients with hip prosthesis diagnosed with impaired tissue integrity. Method The study was carried out in methodological and descriptive design, and the sample of the study consisted of 55 patients. Introductory Characteristics Form and Wound Healing: Primary Intention NOC Form were used for data collection. Ethical consent was obtained before initiating the study. Findings In the study, content validity index value of the NOC scale was calculated was 95.71%. Looking at NOC scale indicators for postoperative day 1, 2, and 7 and the distribution of the total mean scores, it was determined that there was a statistically significant difference between the mean scores over time (p = 0.000). It was found that patients with chronic disease had lower NOC scale scores and wound healing was slower on the postoperative first day compared to the patients with no chronic diseases (p < 0.05). Conclusions As a result of the study, it was concluded that the Turkish version of the Wound Healing: Primary Intention NOC (1102) scale was a valid tool for evaluating the location of the wound in patients with hip prosthesis, the presence of chronic diseases affected wound healing, and mean scores obtained by the patients in NOC scale increased over time with a good progress in terms of wound healing. Implications of Nursing Practice With the use of Wound Healing: Primary Intention NOC (1102) scale, a common language will be formed in the evaluation of the wound site of patients undergoing hip prosthesis.Article Citation Count: 5Musculoskeletal Pain, Related Factors, and Posture Profiles Among Adolescents: A Cross-Sectional Study From Turkey(Elsevier Science inc, 2021) Gençbaş, Dercan; Gencbas, Dercan; Tosun, Betul; Bebis, Hatice; Sinan, Ozlem; NursingPurpose: The aim of the study was to evaluate musculoskeletal pain due to mechanical reasons and related risk factors in adolescents and to define posture profiles of adolescents. Design: A cross-sectional study. Methods: The study was conducted with 2221 adolescents between February 2015 and May 2015. The questionnaire used to collect data consisted of three parts: (1) descriptive characteristics of the participants, (2) pain assessment of 14 parts of the body, and (3) Back Pain and Body Posture Evaluation Instrument (BackPEI). Results: The prevalence of low back pain among the participants was 73.3% (n = 1,343), while the prevalence of back pain was 68.4% (n = 1,254). The participants attributed their pain to their poor sitting postures at school (38.1%, n = 847) and carrying school backpacks (84.1%, n = 1,713). There was a statistically significant difference in the physical activities of adolescents and the BackPEI score (z = 4.40; p = .001). Posture factors of the BackPEI score increased while school desk comfort score increased (Spearman's rho = 0.148; p = .001), but it decreased while the school grades of the adolescents increased (Spearman's rho [rho] = -0.161; p = .001). Conclusions: According to this study, body posture was related to musculoskeletal pain and was correlated with physical activities, school desk comfort, and school grades of the adolescents. It is suggested that correct posture and ergonomic positions should be taught to adolescents when using computers, carrying school backpacks, and sitting in school chairs to prevent musculoskeletal pain. (C) 2020 American Society for Pain Management Nursing. Published by Elsevier Inc. All rights reserved.Review Citation Count: 3NOC/NIC Linkages to NANDA-I for Continence Care of Elderly People with Urinary Incontinence in Nursing Homes: A Systematic Review(Istanbul Univ-cerrahapasa, 2019) Gençbaş, Dercan; Moorhead, Sue; Gencbas, Dercan; Ozdemir, Serpil; Seven, Memnun; NursingAim: The aim of this study was to review interventional studies conducted by nurses about elderly people with urinary incontinence in nursing homes and to match the results to standardized nursing terminology using the Nursing Interventions Classification and the Nursing Outcomes Classification Linkages to the NANDA-I diagnoses guidelines. Method: A systematic review of quantitative intervention studies was conducted using the PRISMA statement as a guide. The interventional research in English was scanned using the MEDLINE and CINAHL databases from January 2005 to May 2015. Fourteen studies that had at least one nurse researcher were conducted in nursing homes, excluding surgical and pharmacological interventions. The Nursing Outcome Classification and Nursing Intervention Classification Linkages to NANDA-I diagnoses and the Clinical Conditions Part II-U List were used as a guide to select North American Nursing Diagnosis Association International nursing diagnoses, Nursing Outcome Classification Scales, and Nursing Interventions from the data. Results: We found the frequency of use of various NANDA-I diagnoses, Nursing Interventions, and Nursing Outcomes based on the Nursing Outcomes Classification and Nursing Interventions Classification Linkages to NANDA-I diagnoses and the Clinical Conditions List for incontinence. Conclusion: Using the Nursing Outcomes Classification and Nursing Interventions Classification Linkages to NANDA-I diagnoses guide may provide new nursing perspectives on non-standardized research. In future studies, this may allow a comparison of data worldwide, enabling nurses to use the results in evidence-based practices.Review Citation Count: 0Sezaryen Sonrası Eras Uygulamaları ve Kinezyo BantlamanınBağırsak Hareketlerine Etkisi(2021) Terzioğlu, Füsun; Doğu, Nilgün; Boztepe, Handan; Gençbaş, Dercan; Akdeniz, Canberk; Özgündöndü, Buğse; NursingSezaryen, kadınlarda sık uygulanan abdominal cerrahi türlerindenbiridir. Yüksek oranda tercih edilen sezaryen ile doğum sonrası di ğer abdominal cerrahilerde olduğu gibi anestezi ve cerrahi girişimebağlı bağırsak fonksiyonları etkilenebilmektedir. Doğum sonu dö nemde bağırsak problemleri, ameliyat sonrası komplikasyon, hasta nede kalış süresinde uzama ve sağlık maliyetlerinde artmaya nedenolmakta ve annenin konforunu azaltmaktadır. Bağırsak problem lerinin önlenmesi ve yönetiminde, farmakolojik yöntemlerin annesağlığı ve emzirme sürecine olumsuz etkileri nedeniyle günümüzdefarmakolojik olmayan (nonfarmakolojik) yöntemler kullanılmayabaşlanmıştır. Literatürde, Cerrahi Sonrası Hızlandırılmış İyileşme(ERAS) protokolü uygulamalarından sakız çiğneme, erken oral hid rasyon, erken mobilizasyon ve kinezyo uygulamalarının sezaryensonrası bağırsak problemlerinin önlenmesinde ve yönetiminde etkiliolduğu belirtilmektedir. Multidisipliner protokollerde yer alan kanıttemelli bu uygulamaların, sezaryen sonrası hemşirelik bakım süre cine entegre edilerek standardize edilmesi hasta bakım kalitesi açı sından oldukça önemlidir. Derleme tarzında hazırlanmış bu makale nin amacı, sezaryen sonrası uygulanacak bu yöntemlerin bağırsakfonksiyonları üzerine etkilerini tartışmak ve hemşirelerin bağımsızolarak uygulayabilecekleri uygulamalar içerisine entegre etmesineyönelik önerilerde bulunmaktır.Article Citation Count: 1Sırt Ağrısı ve Vücut Duruşu Değerlendirme Aracı: Türkçe Geçerlik ve Güvenirlik Çalışması(2019) Gençbaş, Dercan; Bebiş, Hatice; NursingAmaç: Adölesanların vücut duruşu ve sırt ağrısı gibi sorunlarını ölçmek için nitel veri araçları nadir bulunmaktadır. Bubağlamda, bu çalışmada Portekiz’de geliştirilen Sırt Ağrısı ve Vücut Duruşu Değerlendirme Aracı’nın Türkçe’ye uyarlanması amaçlanmıştır.Yöntem: Bu çalışma metodolojik olarak planlanmıştır. Araştırmanın evrenini bir ortaokulda öğrenim gören 139 öğrencioluşturmaktadır. Ölçek uyarlamasında geçerlilik çalışması için dil, kapsam, yapı ve ölçüt geçerliliği; güvenirlik için isezamana göre değişmezlik analizleri yapılmıştır. Etik kurul onayı ve kurum izni alınmıştır.Bulgular: Araç Türkçe’ye çevrildikten sonra alınan uzman görüşleri ile elde edilen Kapsam Geçerlilik İndeksi 90.8 olarakoldukça yüksek bulunmuştur. Ölçüt geçerliliği için “Visual Analoge Scale (VAS)” kullanılmıştır. Sırt Ağrısı ve Vücut DuruşuDeğerlendirme Aracı’nın skoru ile VAS skoru arasındaki korelasyon katsayısı r=-.684 şeklinde hesaplanmıştır (p=.000).Tekrarlanabilirliği test etmek için, aracın son hali iki hafta sonra 91 öğrenciye tekrar uygulanmıştır. Araçtaki 1’den 20’yekadar olan sorularda yapılan kappa analizine göre, 3 soru “orta”, 15 soru “iyi”, 3 soru da “çok iyi” derecede uyumlu olaraksınıflandırılmıştır. Test-tekrar test arasında istatistiksel olarak anlamlı bir fark saptanmamıştır (Z = -.127, p =.899).Sonuç: Sonuç olarak, Sırt Ağrısı ve Vücut Duruşu Değerlendirme Aracı Türk adölesanlar için geçerli ve kullanılabilir biraraçtır.Article Citation Count: 0Üniversite Öğrencilerinin Sağlıklı Yaşam Biçimi Davranışları Profili(2023) Gençbaş, Dercan; Terzioğlu, Füsun; Akdeniz, Canberk; Özden, Esra; Çil, Cansu; Eskioğlu, Serkan; NursingÜniversite öğrencilerinin sağlıklı yaşam biçimi davranışları, stresle baş etme durumları, sosyal medya bağımlılıkları, gizli kronik hastalıklara özgü sağlık bulgularını belirlemek amacıyla bu çalışma, Ankara’da bir vakıf üniversitesinde 156 üniversite öğrencisi ile gerçekleştirilmiştir. Veri toplama araçları olarak, Sağlık Bulguları Formu, Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II, Stresle Başa Çıkma Tarzları Ölçeği ve Sosyal Medya Bağımlılığı Ölçeği-Öğrenci Formu kullanılmıştır. Gençlerin SYBDÖ-II toplam puanları 129,92±20,87, SBÇTÖ toplam puanı 51,53±6,28 ve SMBÖ-ÖF toplam puanı 66,77±17,03 olarak saptanmıştır. Gençler, SYBDÖ-II alt boyutlarından en yüksek puanı “manevi gelişim”, en düşük puanı ise “fiziksel aktivite” alt boyutundan almışlardır. Yeterli-dengeli beslenme ve düzenli fiziksel aktivite davranışları kapsamında 135, bağımlılık davranışları kapsamında 61, üreme sağlığı davranışları kapsamında 54 ve stres yönetimi davranışları kapsamında 121 öğrencinin riskli sağlık davranışlarına sahip olduğu tespit edilmiştir. Bu çalışmada elde edilen bu bulgulara göre gençlerde sağlık açısından riskli bulunan fiziksel aktivite yetersizliği, sağlıksız beslenme ve etkisiz stres yönetimi konularında eğitim ve danışmanlıkların verilmesi gereğini ortaya koymaktadır.Article Citation Count: 0Validation of the outcomes tools for urinary incontinence in Nursing Outcomes Classification system and their sensitivities on nursing interventions(2020) Gençbaş, Dercan; Bebiş, Hatice; Moorhead, Sue; NursingAim: There are many scales to measure urinary incontinence (UI). Nursing OutcomesClassification (NOC) scales which include Urinary Continence, Urinary Elimination, Self-CareToileting, Medication Response, and Tissue integrity: Skin and Mucous Membranes are ideal foruse in the nursing process for comprehensive and holistic assessment, with surveys available.For this reason, the purpose of this study is to evaluate the validity of these NOC outcomes andindicators used for UI.Methods: This research is a methodological study. Scope validations were applied andcalculated according to Fehring 1987 work model. Total of 55 experts which were the sample ofthe study rated Fehring as a “senior degree” with a score of 90 according to the experts’ scoring.These weighted scores obtained for NOC indicators were classified as critical, supplemental orexcluded.Results: In the NOC system, 5 NOCs proposed for nursing diagnosis of UI were proposed. Theseoutcomes are; Urinary Continence, Urinary Elimination, Tissue Integrity, Self Care-Toileting, andMedication Response. After the scales were translated into Turkish, the weighted average of thescores was obtained from specialists for the coverage of all 5 NOCs. After getting the experts’opinion, 79 of the 82 indicators were calculated as critical, 3 of the indicators were calculated assupplemental. All NOCs were identified as valid and usable scales in Turkey.Conclusion: The five NOCs were verified for the evaluation of the output of individuals whoreceived nursing knowledge of UI and variant types. Recommendations include the testing ofNOC outcomes in clinical practice and inclusion in nursing curriculum.Article Citation Count: 2Validation of the outcomes tools for urinary incontinence in nursing outcomes classification system and their sensitivities on nursing interventions(Galenos Publishing House, 2020) Gençbaş, Dercan; Bebiş,H.; Moorhead,S.; NursingAim: There are many scales to measure urinary incontinence (UI). Nursing Outcomes Classification (NOC) scales which include Urinary Continence, Urinary Elimination, Self-Care Toileting, Medication Response, and Tissue integrity: Skin and Mucous Membranes are ideal for use in the nursing process for comprehensive and holistic assessment, with surveys available. For this reason, the purpose of this study is to evaluate the validity of these NOC outcomes and indicators used for UI. Methods: This research is a methodological study. Scope validations were applied and calculated according to Fehring 1987 work model. Total of 55 experts which were the sample of the study rated Fehring as a "senior degree" with a score of 90 according to the experts' scoring. These weighted scores obtained for NOC indicators were classified as critical, supplemental or excluded. Results: In the NOC system, 5 NOCs proposed for nursing diagnosis of UI were proposed. These outcomes are; Urinary Continence, Urinary Elimination, Tissue Integrity, Self Care-Toileting, and Medication Response. After the scales were translated into Turkish, the weighted average of the scores was obtained from specialists for the coverage of all 5 NOCs. After getting the experts' opinion, 79 of the 82 indicators were calculated as critical, 3 of the indicators were calculated as supplemental. All NOCs were identified as valid and usable scales in Turkey. Conclusion: The five NOCs were verified for the evaluation of the output of individuals who received nursing knowledge of UI and variant types. Recommendations include the testing of NOC outcomes in clinical practice and inclusion in nursing curriculum. © 2020 by the University of Health Sciences Turkey.