Yazar "Kalyoncu, Mine" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim Yok
    Öğe
    Effect of standardized hands-on-training in caregivers of children with tracheostomy
    (European Respiratory Society Journals Ltd, 2021) Yılmaz Yeğit, Cansu; Ayzıt Kılınç, Ayşe; Guliyeva, Aynur; Atağ, Emine; Yazan, Hakan; Can Oksay, Sinem; Köstereli, Ebru; Uzuner, Selçuk; Onay, Zeynep Reyhan; Hepkaya, Evrim; Ergenekon, Almala Pınar; Kalyoncu, Mine; Ünal, Füsun; Mavi, Deniz; Ayhan, Yetkin; Çollak, Abdülhamit; Cenk, Mürüvvet; Arslan, Hüseyin; Başkan, Azer Kılıç; Bilgin, Gülay; Baş İkizoğlu, Nilay; Ay, Pınar; Öktem, Sedat; Gökdemir, Yasemin; Uyan, Zeynep Seda; Çakır, Erkan; Girit, Saniye; Çokuğraş, Haluk; Karadağ, Bülent; Karakoç, Fazilet; Eralp, Ela Erdem
    Introduction: The pediatric tracheostomy related mortality mostly occurs due to accidental decannulation and cannula obstruction. The caregivers may be discharged with inadequate knowledge. Aims and objectives: Simulation training can highlight skills regarding tracheostomy care. Our aim is to investigate if a standardized hands-on-training improves knowledge and skills among caregivers. Methods: Before the traning, we applied a pretest to caregivers in order to assess their knowledge and current practises. Skills were evaluated by two simulation scenarios in a patient model: cannula change and aspiration. After one hour theoretical and practical hands-on training, the same post-test was applied, skills were reevaluated regarding cannula change and aspiration with practical tests. Results: The multicenter study included 65 caregivers of patients with tracheostomy. The median score of the theoretical test including 23 questions improved from 12 to 18 (p<0.001). The specific knowledge questions that were considered critical for tracheostomy care including minimum number of aspiration per day, required frequency of tracheostomy cannula change, solutions recommended for tracheostomy skin care, the pressure for the aspiration, mean duration of aspiration and the depth of aspiration also improved significantly after the education (p<0.001 for all of the specific questions). There was a significant improvement in both cannula change and aspiration skills regarding median scores of correct steps in procedures (p<0.001). Conclusions: A standardized hands-on training is highly effective to increase the rate of proper practices for tracheostomy care and should be implemented for all centers.
  • Küçük Resim Yok
    Öğe
    Pulmonary function in children previously treated with empyema
    (European Respiratory Society Journals Ltd, 2021) Şentürk, Mehmet Cihan; Gökdemir, Yasemin; Ergenekon, Pınar; Yılmaz Yegit, Cansu; Cenk, Mürüvvet; Kalyoncu, Mine; Guliyeva, Aynur; Bakır, Ayten Ceren; Kıyan, Gürsu; Karakoç, Fazilet; Erdem Eralp, Ela; Girit Kanmış, Saniye; Atağ, Emine; Geylani Güleç, Seda; Karadağ, Bülent
    Introduction: Empyema is an exudative type pleural effusion secondary to lung infections. Pulmonary function tests (PFTs) are used in measuring the function and volume of the lungs, diagnosing and grading diseases, and evaluating the response to treatment. Our aim was to evaluate pulmonary function in patients previously treated with empyema and compare it with age-matched healthy controls. Materials and methods: This is a controlled cross-sectional study evaluating the PFTs in twenty-one children previously managed for empyema and 40 controls. Spirometry and lung clearence index (LCI) tests were used to compare both groups. Demographic data, history of previous lung disease, physical examination findings, diagnostic method and treatment regimens were recorded. Results: Of the 21 patients, 7 (33.3%) were female and 14 (66.6%) were male. The mean age was 9.4 ±4.5 years. The most common presentation findings were high fever (95.2%), tachypnea (85.7%) and cough (85.7%). Empyema was on bilateral lungs in 9 (42.9%) patients, on the right in 8 (38.1%) patients and on the left in 4 (19%) patients. In spirometric examination, the mean forced expiratory volume (FEV1) % predicted was 93.76 ±11.78%, the mean FEV1 z score was -0.24 ±0.79 and no significant spirometric disorder was observed. The mean LCI value of the patients was 7.50 ±0.72, which was significantly higher than the control group (6.97 ±0.75) (p: 0.003). Conclusion: In the long-term follow-up of patients with empyema, airway disease that could not be detected by spirometry developed and LCI method was found to be superior to spirometry in detecting airway diseases.