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Öğe Are soluble IL-2 receptor and IL-12p40 levels useful markers for diagnosis of tuberculous pleurisy?(Taylor & Francis, 2015) Önür, Seda Tural; Sökücü, Sinem Nedime; Dalar, Levent; Seyhan, Ekrem Cengiz; Akbaş, Ayşegül; Altın, SedatBackground: The differential diagnostic utilities of the levels of soluble interleukin (IL)-12p40 and the IL-2 receptor in sera and pleural effusions were evaluated in patients with exudative pleural effusions. Methods: We enrolled a total of 120 patients with exudative pleural effusions. The clinical, radiological, and histopathological diagnoses were tuberculous pleurisy in 52, malignant pleurisy in 39, and parapneumonic effusions in 29 patients. Results: We measured serum IL-12p40 and adenosine deaminase (ADA) levels in patients with tuberculous pleurisy and in a control group treated for pleural effusion to determine if such levels were useful in the diagnosis of pleural effusion (p < 0.005). Definite microbiological or histopathological diagnoses of tuberculous pleurisy or pleural effusion were recorded, and we found that ADA and serum soluble IL-2 receptor levels aided in diagnosis (p < 0.001). The levels of ADA and soluble IL-2 in pleural effusions afforded sensitivities and specificities of 84.62% and 82.69% and of 70.59% and 80.88%, respectively. The soluble IL-2 receptor level afforded a sensitivity and specificity of 82.69% and 52.9%. IL-12p40 levels in pleural effusions and sera afforded sensitivities and specifi cities of 80.77% and 80.77% and of 60.29% and 39.71%, respectively. Conclusion: Soluble IL-2 receptor levels in patients with tuberculous pleurisy serve as markers of disease in non-endemic countries, similarly to ADA levels.Öğe Bir eğitim araştırma hastanesinde çalışan hemşirelerin farklılıklara ve farklılık iklimine yönelik algılarının belirlenmesi(Hemşirelikte Araştırma Geliştirme Derneği, 2016) Tarhan, Merve; Dalar, Levent; Hançer, ÖzcanAmaç: Farklı özellikleri olan bireylere kaliteli hemşirelik bakımı verilebilmesi için hemşirelik yönetiminin iş gücü farklılıklarını bünyesinde barındırması, değer vermesi ve etkin bir şekilde yönetmesi gerekmektedir. Bu noktadan hareketle çalışma, bir eğitim araştırma hastanesinde çalışan hemşirelerin farklılıklara ve farklılık iklimine yönelik algılarının belirlenmesi amacıyla gerçekleştirilmiştir. Yöntem: Tanımlayıcı nitelikteki bu çalışma, İstanbul'da bir eğitim araştırma hastanesinde çalışan 157 hemşire ile gerçekleştirilmiştir. Çalışmada veri toplama aracı olarak 13 soruluk Tanıtıcı Bilgi Formu, altı açık uçlu sorudan oluşan Farklılıklara Yönelik Tutum Soruları ve Farklılık İklimi Ölçme Ölçeği Anketi kullanılmıştır. Veriler yüzdelik dağılım, bağımsız gruplarda t-testi, tek yönlü varyans analizi ve Kruskall Wallis testi ile değerlendirilmiştir. Bulgular: Kurumda çalışan hemşirelerin farklılık algılarının kişilik, kültür, cinsel yönelim/kimlik, din ve etnik köken unsurlarında ağırlık kazandığı görülmüştür. Hemşirelerin farklılık iklimi algılarının puan ortalaması 51,26±9,90 bulunmuştur. Acilde çalışan ve Marmara Bölgesi'nde yetişen hemşirelerin farklılık iklimi algılarının istatistiksel olarak anlamlı derecede daha yüksek olduğu saptanmıştır (p<0,05). Sonuç: Çalışmanın bulguları hemşirelerin farklılıklara yönelik algılarının derin farklılıklara yönelik olduğunu ve farklılık iklimine yönelik algılarının ise orta derecede olumlu olduğunu göstermektedir. Kurumda hemşirelik yönetiminin farklılıkların yönetimi konusunda açık ve şeffaf bir yaklaşım göstererek kurumun politika ve prosedürlerini tüm çalışanlar ile paylaşması hemşirelerin farklılık iklimi algılarını arttırabilir.Öğe Nurses' knowledge levels of chest drain management: A descriptive study(AVES, 2016) Tarhan, Merve; Akbaş Gökduman, Songül; Ayan, Abdulkadir; Dalar, LeventObjective: The physician is responsible for inserting one or more chest tubes into the pleural space or the mediastinal space and connecting them to an appropriate drainage system. When the general principles about care of patients with chest drains were implemented correctly and effectively by nurses, nurse will contribute to accelerate the healing process of patients. In this context, the aim of this study was to determine the nurses' level of knowledge regarding the care of patients with chest drains. Methods: The study was conducted with 153 nurses who worked in a chest diseases and thoracic surgery hospital in July 2014. Questionnaire form of 35 questions prepared by investigators was used to collect data. For the analysis of results, frequency tests, independent sample t-test and oneway ANOVA test were used. Results: 69.3% of nurses stated that they had obtained information from colleguages. 35.3% considered their knowledge about chest drain management to be inadequate. 55.6% scored 13 points and above from knowledge questionnaire about chest drain management. There were statistically significant difference between knowledge level and educational background, clinic work type, working unit, years of professional experience and institutional experience, frequency of contact patients with chest drain and perception of knowledge level (p<0.05). Conclusion: Results of this study indicate that lack of evidence-based nursing care and insufficient training has resulted in uncertainty and knowledge deficit in important aspects of chest drain care. It can be concluded that nurses receive training needs and training protocols are about chest drain management.Öğe The sleep quality of nurses and its influencing factors(Turkish Respiratory Society, 2018) Tarhan, Merve; Aydın, Aylin; Ersoy, Ersin; Dalar, LeventBACKGROUND: It is a known fact that nurses who are obliged to maintain the continuity of quality and safety patient care have a serious risk of sleeping problems. From this point of view, the study was conducted to determine the sleep quality of nurses and its influencing factors. MATERIALS AND METHODS: This descriptive-cross-sectional study was carried out on 152 nurses working at a training and research hospital in Istanbul. A questionnaire form including Individual Characteristics Form, Pittsburgh Sleep Quality Index (PSQI), Hospital Anxiety and Depression Scale (HAD), Epworth Sleepiness Scale (ESS), and Fatigue Severity Scale (FSS) was used to collect data. Descriptive tests, Chi-square test, Spearman's correlation analysis, and binary logistic regression analysis were used for statistical analysis. RESULTS: It was determined that 61.9% of nurses had poor sleep quality. While a weak positive correlation was found between PSQI, ESS, and HAD-D, a moderate correlation was determined between PSQI, FSS, and HAD-A. Age, working shifts, anxiety, and fatigue levels were found to be factors influencing sleep quality. CONCLUSIONS: The results of the study show that sleep quality of nurses is low in approximately two-thirds of them, and factors such as older age, night shift work, and high anxiety and fatigue levels have a negative effect on sleep quality. It is thought that the regulation of working life considering age, professional experience, and mental health status may be effective in order to increase the sleep quality of nurses.
