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Permanent URI for this collectionhttps://hdl.handle.net/20.500.14288/6

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    PublicationOpen Access
    Challenges faced by doctors and nurses in wound care management during the COVID-19 pandemic in Turkey and their views on telehealth
    (Elsevier, 2021) Karadağ, Ayişe; Şengül, Tuba; Faculty Member; Faculty Member; School of Nursing; 3549; 59230
    Aim: this study aimed to determine the problems faced by physicians and nurses dealing with chronic wound care during the COVID-19 pandemic and their views on telehealth. Materials and methods: a descriptive and cross-sectional design was used in this study. The sample comprised physicians (n = 74) and nurses (n = 271) interested in chronic wound care. Data were collected through a questionnaire form consisting of open- and closed-ended questions. Results: of the participants, 21.4% (n = 74) were physicians and 78.6% (n = 271) were nurses. Of the physicians, 45.9% (n = 34) were obliged to work in another unit during the COVID-19 period, while 43.2% continued their service related to chronic wound care, and only 17.0% (n = 18) in the wound care service before the pandemic. These rates are 51.3% (n = 139), 51.6% (n = 157) and 36.8% (n = 128) for nurses, respectively. 40.7% of the physicians (n = 33) and 34.9% of the nurses (n = 106) stated that their time had been reduced for chronic wound care. When the telehealth experiences were examined, 32.4% (n = 24) of the physicians utilized telehealth, 29.7% (n = 22) used e-visit, 77.0% (n = 57) stated that they thought telehealth was a good option, 47.3% (n = 35) utilized it for wound evaluation and treatment, and 31.9% (n = 59) used smart phones. These rates for nurses were 16.6% (n = 45), 14.0% (n = 38), 72.7% (n = 197), 33.9% (n = 92), and 27.0% (n = 182), respectively. Conclusions: the COVID-19 pandemic negatively affected the manner of delivery, duration, and quality of service regarding wound management. During this period, face-to-face contact times with patients were reduced, some diagnosis and treatment attempts were not performed, and wound care services were suspended temporarily or permanently. On the other hand, a positive result was achieved in that the physicians and nurses gave positive feedback for the telehealth experience.
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    PublicationOpen Access
    Healthcare workers' anxieties and coping strategies during the COVID-19 pandemic in Turkey
    (Wiley, 2021) Özçevik Subaşı, Damla; Sümengen, Aylin Akça; Şimşek, Enes; Ocakçı, Ayşe Ferda; PhD Student; Faculty Member; Graduate School of Health Sciences; School of Nursing; N/A; N/A; N/A; 1729
    Purpose: this study aimed to investigate the anxiety levels of healthcare workers and the coping strategies they used for stress during the COVID-19 pandemic. Design and methods: this descriptive cross-sectional study was carried out in April 2020 in Turkey with 444 healthcare workers via three online questionnaires: A participant information form, the State Anxiety Inventory (SAI), and the Ways of Coping Questionnaire. Findings: healthcare workers might be considered to experience more anxiety during the pandemic than shown in the studies conducted before the pandemic. Significant differences in SAI score were found in terms of age, gender, and education status. Practice implications: age, gender, and some variables related to the pandemic affected the anxiety levels and coping strategies of healthcare workers.
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    PublicationOpen Access
    The effect of online laughter therapy on depression, anxiety, stress, and loneliness among nursing students during the Covid-19 pandemic
    (Elsevier, 2022) Öztürk, F. O.; Kerman, Kader Tekkaş; School of Nursing
    Background: nursing students experienced mental symptoms when they switched to distance education due to the pandemic. Aims: This study was conducted to evaluate the effects of online laughter therapy sessions on depression, anxiety, stress, and loneliness levels in first-year nursing students. Methods: in this randomized controlled trial, 61 healthy nursing students were randomly assigned to intervention (n = 32) and control groups (n = 29). The intervention group received online laughter therapy twice weekly for four weeks. The control group received no intervention. The data were collected using a demographic questionnaire, the Depression Anxiety Stress Scale, and the De Jong Gierveld Loneliness Scale at the study initiation and week four in both groups. Results: there was no difference between the mean scores of the groups in the pre-test (p > 0.05). There was a statistically significant difference between groups in terms of depression after online laughter therapy sessions (p < 0.05), but there was no significant difference between anxiety, stress, and loneliness levels (p > 0.05). Conclusions: online laughter therapy sessions significantly reduced depression but had no effect on anxiety, stress, and loneliness. During the COVID-19 pandemic, online laughter therapy can be organized to reduce depression levels.
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    PublicationOpen Access
    Determination of the effect of prophylactic dressing on the prevention of skin injuries associated with personal protective equipments in health care workers during COVID-19 pandemic
    (Elsevier, 2021) Yıldız, Aybala; Yıldız, Alp; Karadağ, Ayişe; Çakar, Vildan; Faculty Member; School of Nursing; Graduate School of Health Sciences; 3549; N/A
    Aim: the present study was carried out as a comparative observational study in order to determine the effect of prophylactic dressing on the prevention of skin injuries due to the use of personal protective equipment (PPE) in health care workers (HCWs) working with COVID-19 patients. In addition, the effect of nasal strip on the prevention of discomfort in breathing with mask was also investigated. Materials and methods: the present study was carried out with 48 HCWs (Control Group-CG, n = 20; Experimental Group 1-EG1, n = 20; Experimental Group 2-EG2, n = 8) who use PPE on the face region and work with COVID19 patients. Data was collected with Data Collection Form developed by researchers. In participants in CG, normal procedures of the institution in using PPE were followed. In EG1, prophylactic dressing was used on risky areas on the face. In EG2, nasal strip sticky on one side was used in addition to prophylactic dressing. The evaluation of the facial skin was made once a day by a researcher with expertise in wound management. Results: groups were similar in terms of demographic characteristics of participants. Overall rate of skin injuries associated with PPE use was 47.9%. Skin injuries developed in all participants in CG (n = 20), and in two and one participants in EG1 and EG2 respectively, with significant difference between groups. The most common skin injuries were Stage 1 pressure injury (29.2%), blanchable erythema of intact skin (27.1%) and itching (18.8%). No participant in EG2 reported discomfort in breathing (n = 8). Significant difference was found between groups in favor of EG2 in terms of experiencing discomfort in breathing (p < 0.001). Conclusions: in the present study, it was established that using prophylactic dressing under PPE prevents skin injuries on the facial skin and using nasal strip prevents discomfort in breathing with mask. In view of these results, it was recommended that prophylactic dressing should be used under PPE.