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Öğe Apendektomi Sonrası Hastaların Günlük Yaşam Aktivitelerinde Yaşadıkları Güçlüklerin Belirlenmesi: Prospektif Gözlemsel Bir Çalışma(2023) Bozkul, Gamze; Bulut, HülyaGiriş: Apendektomiler en sık uygulanan acil cerrahi prosedürler arasındadır ve hastalar günlük yaşam aktivitelerini yerine getirmede sıklıkla güçlüklerle karşılaşırlar. Amaç: Bu çalışmanın amacı hastaların apendektomi ameliyatı sonrası yaşadıkları güçlükleri belirlemektir. Yöntem: Çalışmaya apendektomi geçiren toplam 60 hasta dahil edildi. Çalışmanın verileri Hasta Tanıtıcı Bilgiler Formu ve Ameliyatın Hastaların Günlük Yaşam Aktiviteleri Üzerindeki Etkisi Formu kullanılarak toplandı. Verilerin değerlendirilmesinde tanımlayıcı istatistiksel yöntemler, Mann Whitney U ve Friedman testleri kullanıldı. Bulgular: Apendektomi ameliyatı sonrası hastalar günlük yaşam aktivitelerini gerçekleştirirken güçlük yaşamıştır ve bu güçlükler ilk iki hafta daha yüksekken zaman içinde istatistiksel olarak anlamlı şekilde azalmıştır (p < 0,05). Apendektomi ameliyatı sonrasında bulantı ve kusma 0,53 ± 1,2, mobilizasyon sırasında ağrı 4,07 ± 1,41, iştahsızlık 0,7 ± 1,26, yara yerinde rahatsızlık 1,47 ± 1,78 ve yarayı gizleme isteği 0.4±1.07 kadın hastalarda erkek hastalara kıyasla daha yaygındır. Ayrıca, açık apendektomi geçiren hastalar ameliyat sonrası daha fazla güçlük yaşamıştır (p < 0,05). Sonuç: Çalışmanın sonuçlarına göre, apendektomi geçiren hastalar güçlükler yaşamıştır. Apendektomi geçiren hastaların yaşayabilecekleri olası güçlükleri önlemek için taburcu olduktan sonra telefonla takip edilmeleri ve danışmanlık verilmesi önerilmektedir.Öğe Assessment of surgical smoke knowledge and exposure symptoms of the operating room team: a Turkish sample(John Wiley and Sons Inc, 2025) Gezer, Derya; Bozkul, GamzeBackgrounds: The aim of this study was to assess the level of knowledge of operating room (OR) staff about surgical smoke and to examine its negative effects on health. Methods: A descriptive and cross-sectional design was used. The study population consisted of the health care team working in the OR of a university and a state hospital. The sample consisted of 113 participants who met the inclusion criteria and agreed to participate in the study. Data were collected using a data collection form based on the literature. A P-value of >0.05 was considered statistically significant. Results: The mean age of the participants was 36.10 ± 8.13 years. 61.9% of the participants had not received training on surgical smoke. It was determined that 85% of the participants were bothered by surgical smoke, always experiencing discomfort from the odour (39.9%), occasionally pain or burning in the throat (33.6%), and rarely vision impairment (31.9%) due to exposure to surgical smoke. Conclusions: The level of knowledge of the healthcare team working in the OR about the risks of surgical smoke and prevention measures is inadequate. Exposure to surgical smoke has been linked to adverse effects such as eye irritation, headaches, and respiratory symptoms. © 2025 Royal Australasian College of Surgeons.Öğe Depreme Bağlı Yaşanan Ezilme Sendromu ve Hemşirelik Bakımı(Sivas Cumhuriyet Üniversitesi, 2023) Karahan, Sabri; Bozkul, Gamze; Sağdıç, Büşra ÇırakEzilme sendromu sıklıkla doğal ve insan kaynaklı deprem, maden göçükleri, bina yıkılması, toprak kayması gibi afetler sonucunda meydana gelmektedir. Özellikle 6 Şubat 2023’te yaşanan deprem felaketleri ile birlikte ülkemizin bir deprem bölgesi olduğu gerçeği tekrar bilimsel bir gerçek olarak karşımıza çıkmıştır. Aşırı basınç altında kalan bir uzvun veya vücut bölgesinin hasar görmesi sonucu kas yıkımı ürünlerinin dolaşıma katılması ile ortaya çıkan sistemik bir sendrom olan ezilme sendromu depremlerde sıklıkla karşılaşılan bir durumdur. Ezilme sendromu erken dönemde yüksek mortaliteye sahip olup acil bir durumdur. Ezilme sendromunun tedavi ve bakımı depremzedenin kurtarılma anı ile başlar ve uzun süren bir rehabilitasyon dönemi ile sonuçlanır. Ezilme sendromunda hemşirelik bakımı, hastanın hayatını kurtarmak ve uzuv kaybını önlemek için oldukça önemlidir. Hemşirelerin rolü, hastanın stabilize edilmesi, hayati işlevlerin devamlılığı ve enfeksiyon riskinin azaltılmasıdır. Bu derleme depreme bağlı sıklıkla gelişen ezilme sendromuna dair güncel bilgileri derleyerek ve hemşirelik bakımı hakkında güncel bilgilendirmeyi sağlamak amacıyla yazılmıştır.Öğe Effect of short film video and video-based education on fear, pain, and satisfaction of children undergoing day surgery(Elsevier Science Inc, 2024) Bozkul, Gamze; Karakul, Atiye; Duzkaya, Duygu Sonmez; Dilsen, SahikaPurpose: This study aims to determine the effect of introducing the operating room environment with different informative multimedia methods to pediatric patients aged 7-12 in the preoperative period in day surgery on fear, pain, and patient satisfaction in three different groups comparatively.Design and methods: This randomized controlled study was conducted with the guidelines of Consolidated Standards of Reporting Trials (CONSORT). The sample of children was allocated to the Short Film Group (n:30), Video Based Education Group (n:30) and Control Group (n:30). Fear, pain, and satisfaction were measured.Results: The age distribution of the children in the study was 7.57 +/- 1.25 years in the short film group, 7.27 +/- 0.52 years in the video-based education group, and 7.57 +/- 2.27 years in the control group. There was no significant difference between the groups in terms of demographic status, fear, and vital signs before the procedure. Fear, pain, and satisfaction levels of children in short film groups were lower than video-based education groups.Conclusion: The result of this research reveals that preoperative short film education in children is more effective than video-based education in reducing fear, pain, and satisfaction levels. This intervention could be an effective method to improve outcomes. Nurses can increase children's comfort by using educational programs that attract children's attention.Practice implications: Healthcare team members working in pediatric surgical units can use the short film method, which is effective, easy, and applicable in the field, to reduce pain and fear in the preoperative period and increase satisfaction in children undergoing day surgery.(c) 2023 Elsevier Inc. All rights reserved.Öğe Efficacy of different warming methods for perioperative hypothermia prevention on body temperature and shivering among transurethral resection patients: A systematic review and meta-analysis study(Elsevier Sci Ltd, 2024) Bozkul, Gamze; Ugras, Guelay AltunPurpose: The present study attempts to assess the impacts of distinct warming strategies employed to avert perioperative hypothermia on core body temperature and shivering among transurethral resection patients. Methods: We performed a comprehensive search of Turkish and English keywords across a range of databases, including PUBMED, Web of Science, Cochrane Library, SCOPUS, Ovid, EBSCOhost, Yoktez, DergiPark, and TR Index, to identify studies on the subject published between January 1, 2001-2024. The search procedure yielded 11 studies to be recruited for meta-analysis. We analyzed the data using the trial version of Comprehensive MetaAnalysis Software (CMA). The degree of heterogeneity was quantified using Higgins I2 tests, while we assessed publication bias through Kendall's Tau and Egger's regression analyses. Results: This meta-analysis focuses exclusively on the effects of forced air warming and irrigation fluid warming, as only these methods provided sufficient data to calculate effect size. Our findings demonstrated that while forced air warming significantly affected preoperative (g = 0.279), intraoperative (15th minute, T4) (g = 0.845), postoperative (g = 0.647) body temperature and postoperative shivering (g = -2.279), irrigation fluid warming had a significant impact on postoperative body temperature (g = 1.007) and intraoperative shivering (g = 0.188). Conclusion: Overall, our results indicated that forced air warming and irrigation fluid warming can serve as a preventive measure against hypothermia and shivering among transurethral resection patients. Given that other forms of warming could not be included in this research, further studies are recommended to explore scholarly evidence on the efficacy of these methods.Öğe Examination of Postgraduate Thesis on the Effect of Massage Applied in the Postoperative Period on Pain(Cem TIRINK, 2023) Bozkul, Gamze; Karakul, AtiyeThis study, it was aimed to examine the quality and quantity of postgraduate theses on the effect of massage applied in the postoperative period on pain. The literature search was conducted on 5-10 March 2022 in the National Thesis Center database of the Council of Higher Education without any year limitation. The keywords "surgery", "massage" and "pain" were used while scanning. Theses that met the inclusion criteria were included in the study. The theses reached were evaluated according to their titles, and the theses that were not related to the subject were removed. In the search, 18 theses were reached. The five theses reached were excluded from the study because they were not related to the subject. Of the remaining 13 studies, two were excluded because they were specializations in medicine, one was physiotherapy and rehabilitation, and one was family medicine. Since the full text of one of the theses could not be reached, it was excluded from the study. Eight theses from the master's and doctoral theses in the field of nursing, which are suitable for the inclusion criteria, were examined in order to make the selection. Three of the theses were master's theses, and the remaining five studies were carried out as doctoral theses. The time of publication of theses varies between 2009-2019. When the types of these are examined, three studies are quasi-experimental, four studies are randomized controlled studies, and one study is a study with a pretest-posttest control group study. The research group of one of the theses consists of pediatric patients. Various types of massage were compared in the studies evaluated. It has been seen that hand massage and foot massage are mostly used. It has been concluded that hand massage or foot massage applied in the postoperative period is effective to reduce pain. In line with these results, it is recommended to use massage, which is one of the nonpharmacological methods, in pediatric and adult patients to reduce pain in the postoperative period.Öğe Experiences, difficulties and coping methods of female nurses caring for breast cancer surgery patients: A qualitative study(Elsevier Sci Ltd, 2024) Sagdic, Busra Cirak; Bozkul, Gamze; Karahan, SabriAim: The present study aims to qualitatively explore the experiences, problems, and coping methods of nurses caring for mastectomy patients. Methods: The study employs an exploratory-descriptive design with the participation of 14 nurses serving in a surgical oncology clinic. We gathered the data through semi-structured, face-to-face interviews and analyzed the transcriptions of audio recordings using the thematic analysis method. We then extracted relevant codes and subthemes to achieve the main themes. The main themes are presented in three relevant contexts. Results: Participating nurses' experiences are addressed through the themes of 'emotional difficulties,' 'physical difficulties,' and 'positive awareness.' In addition, their coping methods are considered within the themes of 'coping methods' and 'motivation.' The final context is identified as needs, where the themes of 'organizational needs' and 'psychosocial needs' are explored. Our findings highlighted that although participating nurses usually confront physical and emotional challenges, they exert much effort to develop both positive awareness and engage in behavioral changes. Interestingly, we observed that participants remain ineffective in dealing with and have difficulties employing relevant solutions for professional issues. Conclusion: Overall, even though participating nurses need to deal with the burden of physical and emotional challenges when caring for patients, their coping strategies with these difficulties often remain insufficient. Thus, our humble recommendation may lie in satisfying the organizational and psychosocial needs of surgical nurses to promote their coping skills when fulfilling their demanding tasks with mastectomy patients.Öğe Health literacy of university students: A mixed method study(Elsevier Science Inc, 2024) Turhan, Mahmut; Bozkul, GamzePurpose: The aim of this study was to determine the health literacy levels of university students and to examine their views and perceptions on this concept. Method: The research was conducted as a mixed methods research between December 2022 and May 2024. Data were collected using the Personal Information Form, Turkey Health Literacy Scale-32 and Semi-Structured Interview Form. Quantitative data collection phase of the study was conducted with 315 students and qualitative data collection phase was conducted with 9 students with inadequate and excellent health literacy levels. Results: The average age of the participating university students was 20.37 +/- 2.996. Their health literacy levels were: inadequate 7.3 %, problematic/limited 29.8 %, adequate 39.7 %, and excellent 23.2 %. Students with excellent health literacy are hindered by 'information pollution' but benefit from 'desire to research,' 'easy access to resources,' 'role models,' and 'curiosity.' Those with inadequate health literacy are adversely affected by 'information pollution,' 'inadequate awareness,' 'rising costs,' and 'high criticism skills,' while 'desire to research,' 'role models,' and 'consciousness' positively impact their literacy. Students believe improving health literacy involves 'scientific activities,' 'preventing information pollution,' 'creating awareness,' 'being researchers,' and 'fostering curiosity'. Conclusion: There are many factors that positively and negatively affect the level of health literacy in university students. It is recommended to make institutional and policy-level arrangements to increase the level of knowledge, awareness and motivation regarding health literacy. Practice implications: The health literacy levels of university students, who will constitute the future generations of the country, need to be improved. To improve health literacy, nurses can recommend that university students increase their awareness. (c) 2024 Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe Mesleğin Başında Hemşirelik Öğrencilerinin Mesleki Algıları: Nitel Bir Çalışma(Ondokuz Mayıs Üniversitesi, 2022) Bozkul, Gamze; Karakul, Atiye; Andı, Senem; Düzkaya, Duygu Sönmez; Eren, Nadiye Barış; Çamcı, GülşahAmaç: Bu çalışmanın amacı; hemşirelik bölümü birinci sınıf öğrencilerinin meslek algılarının değerlendirilmesidir. Yöntem: Meslek algılarının belirlenmesinde nitel; fenomenolojik yöntem kullanılmıştır. Çalışmanın örneklemini dahil edilme kriterlerine uyan 15 hemşirelik öğrencisi oluşturmuştur. Veriler, Colaizzi'nin yedi aşamalı yöntemi doğrultusunda MAXQDA nitel veri analiz programında analiz edilmiştir. Araştırmada bir üniversitenin etik kurulundan yazılı izin, kurum izni ve araştırmaya katılan öğrencilerden aydınlatılmış onam alınmıştır. Bulgular: Görüşmelerden elde edilen veriler doğrultusunda içsel ve dışsal faktörler olmak üzere iki tema, 10 kod ve 12 alt kod elde edilmiştir. Dışsal faktörler teması, pandemi süreci, toplumsal algı ve mesleğin geleceği kodlarından oluşmaktadır. Sonuç: Çalışmanın sonucunda, genel olarak birinci sınıf hemşirelik öğrencilerinin mesleki algılarının olumlu yönde olduğu bulunmuştur. Ayrıca pandemi sürecinde hemşirelerin takdir görmesi, mesleğin öneminin artmasının hemşirelik öğrencilerinin meslek algısı olumlu yönde etkilediği görülmüştür. Bu doğrultuda, hemşirelik öğrencilerinin olumlu mesleki algılarının sürdürülmesi ve mesleki gelişimi için sistemsel düzenlemelerin yapılması önerilmektedir.Öğe NÖROŞİRURJİ YOĞUN BAKIM ÜNİTESİNDE HASTA AİLESİNİN GEREKSİNİMLERİ(Ondokuz Mayıs Üniversitesi, 2023) Uğraş, Gülay Altun; Bozkul, Gamze; Şeren, HasanNöroşirürji yoğun bakım ünitesi ani ve beklenmedik şekilde ortaya çıkan yaralanma/hastalıklar ile planlı ameliyatlar sonrası hastaların tedavi ve bakımlarının yapıldığı özellikli alanlardır. Nöroşirürji yoğun bakım ünitesine hastaların yatışları sadece hastalar için değil aileleri için de stresli ve zorlayıcı bir durumdur. Yoğun bakım ünitesinde hastası yatan ailelerin birçok gereksinimi olmakla birlikte bu gereksinimler karşılanamamaktadır. Hasta ailelerinin güven ve bilgi başta olmak üzere yakınlık, destek ve konfor gereksinimleri bulunmaktadır. Yoğun bakım ünitesinde hastası yatan ailelerin gereksinimlerinin karşılanmasında; aile merkezli bakımın benimsenmesi, açık ziyaret politikalarının oluşturulması ve yoğun bakım ünitesi ekibi ile iletişimin sağlanması ve sürdürülmesi etkili yaklaşımlardır. Yoğun bakım hemşireleri; aile üyelerini hastalarının bakımına ve hastasıyla ilgili kararlara aktif katılımını sağlayarak, hastalarının ziyaret olanaklarını planlayarak, yoğun bakım ünitesi ekibiyle sürekli iletişim yollarını açık tutarak, güven ilişkisini geliştirebilir ve ailelerin bilgi gereksinimini karşılayabilir. Bu derlemenin amacı, nöroşirürji yoğun bakım ünitesinde hastası olan ailelerin gereksinimlerini ve bunları karşılamaya yönelik yaklaşımları güncel literatür doğrultusunda aktarmaktır.Öğe Nursing interventions for the self-efficacy of ostomy patients: A systematic review(Elsevier Sci Ltd, 2024) Bozkul, Gamze; Celik, Sevilay Senol; Arslan, Hande NurBackground: Self-efficacy interventions, which include the acquisition of skills that enable patients to manage their health on a daily basis, play a key role in ostomy patients, which leads to significant changes in the quality of life of patients. In this context, nursing interventions to increase self-efficacy of ostomy patients are very important. In this context, nursing interventions are crucial to increase the self-efficacy of ostomy patients. Objectives: The aim of this systematic review is to describe nursing interventions for ostomy patients' self-efficacy (primary outcome) and the impact of these interventions on patient outcomes (complications, quality of life, satisfaction, psychological resilience, stoma adaptation) (secondary outcomes). Method: As a systematic review, this study included articles published in PUBMED, Web of Science, Science -Direct, TUBITAK-ULAKBIM, and TRDizin databases between January 2013 and January 2023 that included nursing interventions for self-efficacy ostomy patients. This systematic review was developed using the Preferred Reporting Items for Systematic Reviews and Meta -Analyses (PRISMA) checklist. The risk of bias was assessed using the RoB2 tool developed by Cochrane. Results: A total of 1211 articles were retrieved from the databases using Turkish and English keywords. Fifteen studies met the study criteria. These studies found that various interventions, such as training, telephone follow-up, psychosocial support groups, or mobile applications provided to intervention groups, increased selfefficacy, decreased stoma-related complications, improved stoma adaptation, and improved quality of life by increasing patients' knowledge and awareness of stoma. Conclusion: Nursing interventions to improve the self-efficacy and adaptation of ostomy patients are critical. This improvement leads to a reduction in adverse patient outcomes and ostomy complications, shorter hospital stays, and increased patient and nurse satisfaction. Keywords : Ostomy, self-efficacy, nursing interventions.Öğe Postoperative Delirium and Evidence-Based Nursing Management in Geriatric Patients(2023) Bozkul, Gamze; Arslan, Hande Nur; Celik, Sevilay SenolDelirium is an important complication that is frequently encountered in geriatric patients in the postoperative period and is characterized by increased unfavorable patient outcomes, causing repeated hospital admissions, increased costs of surgery and care, and decreased quality of life. Nurses play a key role in the provision of care for this complication, which affects patients and their families unfavorably in every aspect from the diagnosis to the management of postoperative delirium. In this review, it is aimed to discuss postoperative delirium and nursing interventions in geriatric patients in line with current and evidence- based information.Öğe Postoperative Ileus and Nonpharmacological Nursing Interventions for Colorectal Surgery: A Systematic Review(Elsevier Science Inc, 2025) Arslan, Hande Nur; Celik, Sevilay Senol; Bozkul, GamzePurpose: This review evaluates nonpharmacological interventions for postoperative ileus (POI) prevention and treatment. Design: We systematically reviewed articles from various databases between January 2012 and February 2023 on POI prevention in colorectal surgery patients, emphasizing nursing interventions. Methods: Inclusion was based on criteria such as language (English or Turkish), date range, and study type. The risk of bias was evaluated using Cochrane's RoB2 tool. Findings: Of the 3,497 articles found, 987 unique articles were considered. After title and abstract reviews, 977 articles were excluded, leaving 52 randomized controlled trials for examination. Common interventions included chewing gum, early hydration, acupuncture, and coffee consumption. Compared to control groups, intervention groups had quicker bowel function return, shorter hospital stays, fewer complications, and enhanced quality of life. Conclusion: Nondrug nursing interventions post colorectal surgery can effectively mitigate POI, optimize bowel function, and boost patient satisfaction, warranting their incorporation into post-surgery care protocols. (c) 2024 American Society of PeriAnesthesia Nurses. Published by Elsevier Inc. All rights are reserved, including those for text and data mining, AI training, and similar technologies.Öğe The effect of mobile game training designed for asthmatic children on asthma management and quality of life(Elsevier Science Inc, 2024) Karakul, Atiye; Duzkaya, Duygu Sonmez; Bozkul, Gamze; Capanoglu, MuratPurpose: This study aimed to examine the effect of mobile game training designed for children with asthma on inhaler use skills, asthma symptoms and treatment needs, and quality of life. Design and methods: This randomized controlled study was conducted between April and October 2023 at Pediatric Asthma and Allergy Clinic in Turkey. The sample of the study consists of a total of 74 children diagnosed with asthma, including the Mobile game (n: 37) and the Control group (n: 37). In the study, a mobile game was developed for children with asthma between the ages of 8 -12. In collecting research data; Child and Parent Information Form, Inhaler Use Skill Evaluation Form, Asthma Symptom and Treatment Need Scoring (Asthma Symptom Score [ASS], Rhinitis Symptom Score [RSS] and Total Symptom Score [TSS]), DISABKIDS Asthma Scale were used Results: There was no significant difference between the groups in terms of the demographic status of the children ( p > 0.05). It was determined that the average inhaler use skill score and DISABKIDS asthma scale Child/Parent score average of the children in the mobile game group were higher than the control group ( p < 0.05). When the children's final follow-up ASS, RSS and TSS total scores were examined; It was determined that there was a statistically significant difference between the children in the mobile game and control groups (p < 0.05). Conclusions: As a result of this study, it was determined that mobile game training designed for children is an effective method in increasing children's ability to use inhaler medications, reducing asthma symptoms and treatment needs, and improving quality of life. Practice implication: Nurses can improve children's quality of life by using mobile game training programs that attract children's attention. (c) 2024 Published by Elsevier Inc.Öğe The effect of virtual reality-based interventions on pain in burn wound care in burn patients: A systematic review and meta-analysis(Elsevier Sci Ltd, 2024) Celik, Sevilay Senol; Celik, Yusuf; Arslan, Hande Nur; Bozkul, GamzeObjective: The aim of this systematic review and meta-analysis was to evaluate the effect of virtual reality on pain in adult burn patients. Method: A comprehensive systematic search was conducted on international electronic databases such as PUBMED, Web of Science, Science Direct, CINAHL, Scopus, T & Uuml;BI(center dot)TAK-ULAKBI(center dot)M, Dergipark and TR Dizin with keywords. This systematic review and meta-anaysis was developed using the PRISMA checklist. The risk of bias was assessed independently for each included study by using the Cochrane risk of bias tools. Results: Based on the results of systematic review it was decided to include 15 studies in meta analyses. Based on fifteen pooled studies, the estimated SMD was minus 0.62 with a 95% CI of minus1.15 and minus 0.09 according to the results of the random effects model as recommended by heterogeneity tests. Of pooled 15 studies, 11 studies found less pain score among VR patients, while the remaining four reported higher pain score among VR patients. Conclusions: The results show that virtual reality can be used effectively in pain management during burn care in adult patients. Since the number of studies in adult burn patients is very limited, it is recommended to conduct large-sample studies with high level of evidence including nursing interventions on this issue.Öğe The Relationship Between Digital Game Addiction and the Bullying Tendencies of Secondary School Students from a District in Southern Turkey(2024) Karakul, Atiye; Bozkul, GamzeObjective: The aim of this study is to examine the relationship between secondary school students' digital game addiction and bullying tendencies. Methods: This research is a descriptive cross-sectional study. The sample of the research consists of 381 secondary school students studying in a district in Southern Turkey. Information Form, Children's Digital Game Addiction Scale and Bullying Tendency Scale were used to collect the data. Descriptive statistics, Kruskall Wallis test, Mann-Whitney-U test and Spearman Correlation analysis were used. Results: The average age of the secondary school students participating in the study was 12.53±1.13. Children's Digital Game Addiction Scale mean score was 18.77±6.53 (min.9; max. 42); The mean total score of the Bullying Tendency Scale is 79.70±10.92 (min.26; max. 83). It has been determined that there is a positive and weak correlation between the total scores obtained from the Children's Digital Game Addiction Scale and the Bullying Tendency Scale. Conclusions: As a result of this study, it was seen that the bullying tendencies of the students with high digital game addiction were high. In order to minimize the negative effects of digital games, it is recommended that children are kept away from violent games as much as possible. It is recommended that students and parents, regardless of their educational background, be given training on digital game addiction and bullying.Öğe Unplanned Perioperative Hypothermia and Evidence-Based Nursing Care(Necmettin Erbakan University, 2024) Bozkul, Gamze; Uğraş, Gülay AltunUnplanned perioperative hypothermia is a decrease in body temperature below 36 0C during the period from the preoperative period to the postoperative period. Various risk factors related to the patient and the surgical process pave the way for this situation. Unplanned perioperative hypothermia occurs in approximately 70% of patients. Unplanned perioperative hypothermia leads to various complications such as surgical site infections, blood loss, increased transfusion requirements, prolonged wound healing, chills, and cardiac problems for patients. It is associated with adverse patient outcomes, prolonged hospital stay and increased costs. Active or passive heating methods are used to prevent this situation. During the surgical process, nurses play a key role in the care and follow-up of patients. Nurses' awareness of unplanned perioperative hypothermia should be increased, their education should be maintained, and the guidelines developed should be integrated into clinical practice skills. The National Institute for Health and Care Excellence, the Association of periOperative Registered Nurses and the American Society of PeriAnesthesia Nurses have prepared guidelines for health professionals with evidence-based practices for this topic. It is necessary to make plans in order to disseminate interventions for the prevention of hypothermia in surgical nurses and to reflect evidence-based guide recommendations into practice.
