Browsing by Author "Azizoglu, Hatice"

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The Effect of an Improved Environment According To Watson's Theory of Human Care on Sleep, Anxiety, and Depression in Patients Undergoing Open Heart Surgery: a Randomized Controlled Trial
(Mdpi, 2025) Azizoglu, Hatice; Gurkan, Zeynep; Bozkurt, Yasemin; Demir, Canan; Akaltun, Hatice
Background/Objectives: According to Watson's Human Care Theory, an improved environment influences patients' care processes. The purpose of this study was to examine the effect of an improved environment, according to Watson's Human Care Theory, on sleep quality, anxiety, and depression in patients undergoing open heart surgery. Methods: Upon admission to the ward from the postoperative intensive care unit, the experimental group underwent environmental remediation for three days. The environmental arrangements ensured that the patient's room maintained an appropriate temperature range of 18-26 degrees C and humidity values of 30-50%. Monitoring took place at 21:00, 22:00, and 23:00 on Days 1, 2, and 3, at which times, the brightness of the patient rooms gradually decreased. On the morning of the fourth day, the patients were interviewed face to face, and research questionnaires were filled out (ClinicalTrials.gov identifier of the manuscript: NCT06744023). Results: After the implementation of an improved environment in accordance with Watson's Human Care Theory, the sleep duration of the patients in the experimental group (5.91 h) was higher than that of the control group (4.1 h). At the same time, the mean sleep quality score was measured as 300 +/- 15.33 in the experimental group and 116.33 +/- 14.94 in the control group. In addition, anxiety and depression levels were lower in the experimental group (5.63 +/- 0.59; 4.53 +/- 0.42) compared with the control group (12.03 +/- 0.85; 10.03 +/- 0.82). Conclusions: We recommend implementing improved environmental arrangements in accordance with Watson's Human Care Theory to improve sleep quality and reduce anxiety and depression levels in patients undergoing open heart surgery.
The Effect of Local Anaesthetic Agents on Opioid Use and Recovery in Patients Undergoing Open Heart Surgery: a Randomized Controlled Study
(Bmc, 2025) Azizoglu, Hatice; Asam, Mehmet; Gurkan, Zeynep; Bozkurt, Yasemin; Demir, Canan
BackgroundAfter open heart surgery, patients experience high levels of pain at the sternotomy incision site and around the chest tube(s), affecting their recovery. This study was conducted to determine the effects of local anesthetic application around the sternotomy incision site and chest tube(s) on the amount of opioids used and recovery after surgery in patients undergoing open heart surgery.MethodsThis randomized controlled experimental study was conducted with a total of 60 patients, with 30 patients in the experimental group and 30 patients in the control group. In the experimental group, LIDOFAST 40 mg/2 ml + 0.025 mg/2 ml, a local anesthetic agent, was applied to the postoperative sternotomy incision site and around the chest tube(s) in addition to routine treatment. Patients in the control group received only routine treatment. Data were collected using the "Descriptive Characteristics Form" and the "Postoperative Recovery Index".ResultsIt was observed that postoperative pain started later, opioid consumption decreased, and postoperative recovery was faster in the experimental group. As the number of chest tubes increased, recovery was delayed in all groups, and as the number of opioids used increased, postoperative recovery was negatively affected in the control group.ConclusionsIn this study, local anesthetic application to the sternotomy incision site and around the chest tubes after open heart surgery was found to reduce postoperative opioid consumption and positively affect recovery.Trial registrationCurrent Controlled Trials NCT06642077 (Retrospectively registered).
Evaluation of the Effectiveness of "cable Fixing Tool" in Ensuring and Maintaining Patient and Employee Safety in the Operating Room
(Elsevier, 2023) Azizoglu, Hatice; Aslan, Fatma Eti
Aim: This study was designed to improve the "Cable Fixing Tool", which is effective in providing and maintaining patient and employee safety in the operating room, and to evaluate its effectiveness. Material and method: The production stages of the "Cable Fixing Tool" were carried out first in this mixed-methods experimental study. The study was performed with 120 patients who underwent laparoscopic cholecystectomy in the operating room of Van Regional Training and Research Hospital between June 2021 and November 2021, and with 60 healthcare professionals constituting the surgical team, of which 8 were physicians, 41 nurses and 11 caregivers. Results: The total injury rate due to cables and connections was 23.4% in the pre-test conducted with the control group to evaluate the effectiveness of the "Cable Fixing Tool", and 3.3% in the experimental group using the "Cable Fixing Tool". The obtained data indicate that the "Cable Fixing Tool" is effective and provides safety. Conclusion: It is believed that in units with a high number of technical equipment like operating rooms, the widespread use of auxiliary products such as "Cable Fixing Tool", which can ensure cable safety, is necessary in reducing and preventing unwanted incidents caused by cables and connections such as tripping, falling and injuries.
Experiences of Cardiovascular Surgery Intensive Care Nurses in the Care of Patients With Postoperative Cognitive Dysfunction: a Qualitative Study
(Sage Publications inc, 2025) Azizoglu, Hatice
Postoperative cognitive dysfunction (POCD) is the development of cognitive decline following anesthesia and surgery. The incidence of POCD is more pronounced in patients undergoing cardiac surgery than in patients undergoing non-cardiac surgery. This study aims to evaluate the experiences, knowledge status, and clinical practice interventions of nurses caring for patients diagnosed with POCD. Ten nurses working in the intensive care unit of cardiovascular surgery participated in this study, which used a phenomenological design, one of the qualitative research types. We collected the data face-to-face between January and March 2023 using the individual in-depth interview method. The data were analyzed by the researcher using thematic analysis. The study identified 13 main themes: cognitive, behavioral, emotional problems, occupational difficulties, increasing duration, age, premorbid period, psychological resilience, effective coping skills, interaction, restraint, external support systems, and cognitive structuring. After cardiovascular surgery, patients should be evaluated not only for cardiac but also for cognitive, emotional, and behavioral factors. In addition, the risk factors that cause POCD, the difficulties faced by nurses, and their coping skills are the effects that shape the patient care process of POCD.
Technology Use in Surgical Nursing; Systematic Review
(Ataturk Univ, 2025) Akaltun, Hatice; Azizoglu, Hatice; Guner, Sukriye Ilkay
Objective: This review, regarding "Technology and Surgical Nursing" between 2012-2022 the aim of this study was to systematically evaluate published studies. Methods: Nine databases were searched in Turkish and English using the keywords "surgical nursing", "technology", "technology and nursing care", "innovation". A total of 14,672 studies published on the subject between January 2012 and September 2022 were examined and 21 publications were included in the study. Results: When the studies included in the research are examined, it is seen that using technology in the field of surgical nursing increases the success in the field of perioperative nursing, more time is spent with the patients while using electronic patient assessment programs, electronic patient transfers facilitate the patient and data transfer process, increase the quality of patient care, create a common care area, contributes to patient safety and improves nursing practices. Conclusion: It is thought that it will be important to conduct more evidence-based research on the use of technology in surgical nursing.
Validity and Reliability Study of the Turkish Form of Post-Discharge Surgical Recovery Scale
(Aves, 2021) Aslan, Fatma Eti; Cinar, Fadime; Korkmaz, Evin; Azizoglu, Hatice
AIM: This study was carried out to adapt the "Post-Discharge Surgical Recovery Scale " developed by Kleinbeck into Turkish and analyze the scale's validity and reliability. METHODS: The study sample consisted of 343 patients who underwent surgery in a state hospital operating in the province of Diyarbakir, in the province of Istanbul. The sample consisted of 271 people due to voluntary participation and reasons for not being able to reach. This research, which is of methodological type, was carried out between April and July 2019. The Individual Information Form and the Post-Discharge Surgical Recovery Scale, which the researchers developed by scanning the literature, were used to collect the data. In the validity and reliability study of the scale; Linguistic equivalence, content validity for expert assessment, the correlation between items for internal consistency/reliability, and calculating Cronbach alpha values and confirmatory and exploratory factor analyzes were performed for construct validity. IBM SPSS Statistics 25 and IBM SPSS Amos 21 programs were used for statistical evaluation of the data. RESULTS: It was determined that the content validity index of the scale was 0.96, the correlation values between the items were r=0.47-0.97, the explained variance was 75.238%, and it was gathered under a single factor. The general reliability of the scale is very high as alpha=0.975. In the confirmatory factor analysis for the scale, the fit indices of the scale were CFI = 0.76; NNFI = 0.93; It was determined that RMR = 0.11 and RMSEA = 0.13, AGFI = 0.69, GFI = 0.77. CONCLUSION: The research results suggest that the Turkish version of the "Post-Discharge Surgical Scale" is a valid and reliable measurement tool and can be used in scientific research and health care institutions to measure recovery post discharge.