Azize Aydemir, Derya Esenkaya,
Volume 20, Issue 2 (10-2023)
Abstract
Background: Urinary incontinence (UI) is a prevalent health issue that has a psychological impact on those affected. Urinary incontinence, which affects approximately 1 in every 3 women, is a distressing condition that significantly impairs their quality of life (QOL). This study aimed to investigate the frequency of UI in women, identify risk factors, and assess its impact on the QOL.
Methods: This analytical, cross-sectional study involved 300 women aged 20 and above who were admitted to the Obstetrics Clinic of a university hospital between June 21, 2022, and August 15, 2022. Data were collected through a questionnaire that included the Descriptive Characteristics Form, International Consultation on Incontinence Questionnaire-Short Form (ICIQ-SF), and Wagner QOL Scale. Data analysis was performed using SPSS version 25, and results were evaluated with a 95% CI. P values less than 0.05 were considered statistically significant.
Results: The frequency of UI among the participants was 48% according to the ICIQ-SF and 62% according to the Wagner QOL Scale. Participants reported experiencing mild UI and psychological distress. The psychosocial well-being of women with UI was found to be moderately and negatively affected (48%). It was determined that 52.2% of the variation in the UI variable could be explained by factors such as body mass index (BMI), history of miscarriage, education level, and age. Miscarriage (Odds ratio [OR], 3.102; 95% CI, 1.502-6.408), lower education level (OR, 3.211; 95% CI, 1.282-8.408), and age (OR, 1.061; 95% CI, 1.024-1.100) were identified as risk factors for UI (P < 0.05). A significant correlation (r = 0.89; P < 0.001) was observed between the QOL and ICIQ-SF measurement tools.
Conclusion: Nearly half of the women experience UI, which has a detrimental impact on their QOL. Higher education levels, healthy lifestyle, and post-miscarriage risk assessment can help protect women from UI.
Azize Aydemir, Mustafa Ayyildiz,
Volume 21, Issue 1 (4-2024)
Abstract
Background: Defining the emergency nursing approach to trauma patients and identifying deficiencies is crucial for providing effective, fast, safe, and high-quality emergency nursing care in the future. This study aimed to describe the nursing activities of emergency nurses working in a tertiary university hospital in the province of Samsun, located in the Eastern Black Sea Region of Türkiye, regarding the emergency nursing approach to trauma cases over a 1-year period.
Methods: The research was conducted with a mixed method using data from 2018. Both qualitative and quantitative methods were employed to define the emergency nursing approach to trauma cases in the emergency department (ED). Data were collected through a retrospective review of medical records of trauma patients (N=2540) in the ED and focus group discussions with 10 emergency nurses. The data extracted from the medical records of ED trauma patients were compared in terms of compliance with the emergency nursing job descriptions specified in the Nursing Regulation (NR) and the Emergency Nurses Association (ENA) emergency nursing guide. Quantitative data were reported using frequency and percentage, while content analysis was performed for qualitative data. Content analysis involved coding, identifying themes, and organizing data according to the codes and themes that were determined.
Results: The study revealed that ED nurses primarily assessed vital signs (81.5%) and consciousness (34.8%) and focused on activities related to the circulatory system (56%) in their nursing interventions. The research also indicated that the nurses' knowledge regarding the primary and secondary evaluation of emergency patients was insufficient. Although not currently a requirement in Türkiye, nurses expressed that obtaining emergency nursing education should be a prerequisite for working in the ED.
Conclusion: The study found that ED nurses in Türkiye lacked a systematic guideline for approaching trauma patients, and there was inadequate adherence to ENA guidelines in practice. Additionally, independent nursing interventions that enhance the influence, visibility, and autonomy of the nursing profession were not being implemented in the ED.
