Turkish Journal of Medical and Surgical Intensive Care最新文献

{"title":"Depression and Burnout Frequency in Nurses Working in Tertiary Intensive Care Units","authors":"M. Tokur, B. Ergan, K. Aydın, Taner Çalışkan, Y. Savran, E. Yaka, U. Koca, B. Comert, N. Gokmen","doi":"10.5152/DCBYBD.2018.1840","DOIUrl":"https://doi.org/10.5152/DCBYBD.2018.1840","url":null,"abstract":"Objective: Emotional and physical burden is heavy in the intensive care unit (ICU) employees, and the risk of burnout has significantly increased. The purpose of this study is to determine the frequency of burnout and depression in nurses serving in tertiary ICUs in a university hospital by questionnaire. Material and Methods: The questionnaire study was conducted on nurses studying actively in Dokuz Eylül University School of Medicine Anesthesia and Internal Medicine ICU between 22-26 August 2016. Burnout was assessed by Maslach Burnout Scale (MBS) and depression with Beck Depression Scale (BDS). Results: According to the BDS score, 29 nurses (58%) noted various degrees of depression from mild mood to severe depression. According to MBS, 6 of the nurses (12%) had a moderate risk of emotional exhaustion (DT) while 43 (86%) had a high risk. In terms of depersonalization (D), it was found that nurses had a moderate risk of 15 (30%) and a high risk of 22 (44%). There was a positive but weak correlation between duration of study and D in ICU (r=0.349, p=0.014). Nurses with no depression were found to have a a statistically significantly lower risk for DT (p=0.006) and personal failure (PF) (p=0.022). Conclusion: In this study, it was seen that the questionnaire evaluation of nurses working in the tertiary ICU showed a great deal of risk of depression and burnout. We believe that taking environmental, managerial and institutional measures and regular monitoring to reduce occupational risks and improve working conditions will reduce both depression and burnout frequency in this profession group.","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2019-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"129993079","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Anxiety and Depression and Needs of Patient Families in Cardiovascular Surgery Intensive Care Unit","authors":"Halil İbrahimÖlçüm, Kelime Ozşen, A. Diken, E. Yazla, M. Karadere, Kalp ve Damar Cerrahi Anabilim Dali Corum Turkiye Hitit Universitesi, Ruh Sagligi ve Hastalikları Anabilim Dali Corum Turkiy Hitit Universitesi","doi":"10.5152/DCBYBD.2018.1906","DOIUrl":"https://doi.org/10.5152/DCBYBD.2018.1906","url":null,"abstract":"Objective: In this study, we primarily aimed to determine “needs” and “anxiety and depression symptom levels” among families of patients who were followed up in cardiovascular surgery intensive care unit (ICU). Furthermore, we sought to investigate the association of anxiety and depression with these needs. Material and Methods: This descriptive study was conducted with relatives of 99 patients who were hospitalized for minimum 24 and maximum 72 hours in cardiovascular surgery ICU. Hospital Anxiety and Depression Scale and Critical Care Family Need Inventory were applied. Percentages and averages were used in descriptive statistics. Moreover, t-test and One Way ANOVA tests were used for comparisons between the gender and relationship groups. Pearson’s two-way correlation analysis was used to determine the association between scores obtained from above mentioned scales. Results: The “anxiety” and “depression” subscale scores of female relatives were higher than those of male relatives. The “information” need scores of spouses were higher than those of other family members, and depression level scores of spouses were higher than those of non-consanguineous relatives. Moreover, “proximity/assurance” and “anxiety and depression” subscale scores were related. Conclusion: Patients’ relatives show high anxiety and depression symptoms and they strongly need proximity and assurance. Meeting these requirements may reduce symptoms of anxiety and depression.","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115330161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of the Role of the Relationship Between Red Blood Cell Distribution Width (RDW) and Monocyte on Estimation of Mortality in Surgical Intensive Care Unit","authors":"Yücel Gültekin, S. Isikhan, A. Gojayev, O. Portakal, Y. Kilic, H. K. Yorgancı","doi":"10.5152/DCBYBD.2018.1784","DOIUrl":"https://doi.org/10.5152/DCBYBD.2018.1784","url":null,"abstract":"Objective: The aim of the present study was to assess the usability of the relationship between the red blood cell distribution width (RDW) and the monocyte count, complete blood count (CBC) parameters routinely checked in the intensive care units (ICUs), for mortality prediction in the surgical ICU. Material and methods: Five hundred thirty-seven patients who were followed up at the surgical ICU between October 1, 2014 and October 1, 2015 were retrospectively assessed. To ensure that the study involves patients who really needed intensive care, patients who were followed up at the ICU for postoperative monitoring were excluded from the study. Patients with a hemoglobin value <10 g/dL were also excluded from the study so that the RDW would not be affected by anemia. Results: A total of 183 patients were evaluated after the exclusion criteria. The maximum RDW value and the Acute Physiology and Chronic Health Evaluation II score of the patients who died were higher than those of the living patients. On the other hand, a significant decrease in the monocyte values of the dead patients was detected, and there was a statistical difference between dead and living patients (p<0.01). Conclusion: Checking CBC is a routine in the ICUs. Of the CBC parameters, the RDW and monocyte values have been assessed in the present study as being convenient, easily accessible, and practical method for predicting mortality for surgical intensive care patients.","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133847979","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Knowledge Levels of Critical Care Nurses on Evidence-Based Practices for the Prevention of Ventilator-Associated Pneumonia","authors":"Nurten Özen, B. Armutcu","doi":"10.5152/dcbybd.2018.1880","DOIUrl":"https://doi.org/10.5152/dcbybd.2018.1880","url":null,"abstract":"","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124871347","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Retrospective Evaluation of Non-neutropenic Candidemia Cases in Intensive Care Units","authors":"S. Sarı, H. Dal, I. Mungan, B. Tezcan, D. Kazancı, S. Turan","doi":"10.5152/dcbybd.2018.1799","DOIUrl":"https://doi.org/10.5152/dcbybd.2018.1799","url":null,"abstract":"Objective: Candida species, also found in the normal microbial flora, cause infection by passing natural barriers with chronic diseases and invasive procedures. Although the high risk of candidemia in neutropenic patients is known, it is also common in intensive care units (ICU), and the mortality rate is quite high. In this study, we aimed to retrospectively investigate epidemiological data, risk factors, mortality, distribution of Candida species, and accompanying bacterial infections for candidemia in non-neutropenic patients in ICU. Material and Methods: In this study, patients who were non-neutropenic and developed candidemia in the ICU of Turkey Advanced Specialty Training and Research Hospital between May 2016 and May 2017 were retrospectively evaluated. Patients who stayed (±7 days) in the same ICU, with an APACHE-II score of ±1, during the same period were included as the control group. Results: Candidemia was detected in 29 adults within 1 year. In total, 11 of the candidemia cases were females (37.9%) and 18 were males (62.1%); mean patient age was 62.0 years. The most common causative agent was Candida albicans (58.6%). In both groups, the three most common accompanying bacterial infections were Acinetobacter baumannii, Escherichia coli, and Klebsiella pneumoniae. Moreover, 30-day mortality was 51.7%. The mean central venous catheter day, the mean mechanical ventilator day, and the length of hospital stay were longer in the candidemia group (p<0.05). The use of meropenem and teicoplanin was statistically significantly more common in the candidemia group (p<0.05). Conclusion: In this study, we found that the most common Candida species in non-neutropenic patients was C. Albicans, and the most common risk factor for candidemia was the use of meropenem and teicoplanin. TheCite this article as: Sarı S, Cankar Dal H, Mungan İ, Tezcan B, Kazancı D, Turan S. Yoğun bakım ünitelerinde gelişen, non-nötropenik kandidemi olgularının retrospektif olarak değerlendirilmesi. Yoğun Bakım Derg 2018; 74-7. Özgün Araştırma / Original Investigation Retrospective Evaluation of Non-neutropenic Candidemia Cases in Intensive Care Units 74 Yoğun Bakım Derg 2018; 9 (3): 74-7 DOI: 10.5152/dcbybd.2018.1799 Sema Sarı , Hayriye Cankar Dal , İbrahim Mungan , Büşra Tezcan , Dilek Kazancı , Sema Turan Yazar Katkıları: Fikir S.S., H.C.D., S.T.; Tasarım S.S., H.C.D., İ.M., S.T.; Denetleme S.S., H.C.D., İ.M., S.T.; Kaynaklar S.S., H.C.D., İ.M., B.T., D.K.; Malzemeler S.S., H.C.D., S.T.; Veri Toplanması ve/veya İşlemesi S.S., H.C.D., İ.M.; Analiz ve/veya Yorum S.S., İ.M.; Literatür Taraması S.S., H.C.D.; Yazıyı Yazan S.S., H.C.D., S.T.; Eleştirel İnceleme S.S., H.C.D., D.K., S.T.","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128933199","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Experience with a Patient with HELLP Syndrome, Acute Renal Failure, Preeclampsia, and Subarachnoid Hemorrhage","authors":"K. Gonderen, I. Kaya, Hasan Emre Aydın","doi":"10.5152/dcbybd.2018.1683","DOIUrl":"https://doi.org/10.5152/dcbybd.2018.1683","url":null,"abstract":"Pregnancy-induced hypertensive complications (preeclampsia, eclampsia, and HELLP syndrome) contribute to a significant public health threat worldwide. HELLP syndrome is a life-threatening condition, usually seen in the last trimester in pregnant women. Elevation of liver enzymes, anemia due to hemolysis, and decrease in platelet count are the diagnostic triad. HELLP syndrome is especially associated with intracranial hemorrhage, which may increase mortality. This report presents successful treatment of a complicated patient with HELLP syndrome and intracranial hemorrhage.","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124797699","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intensive Care Unit Outcomes of the Cases with Cannabinoid Intoxication","authors":"T. Kuzucuoğlu, S. Uçkun, F. Temizel, G. Arslan, B. Çevik","doi":"10.5152/DCBYBD.2018.1596","DOIUrl":"https://doi.org/10.5152/DCBYBD.2018.1596","url":null,"abstract":"","PeriodicalId":197594,"journal":{"name":"Turkish Journal of Medical and Surgical Intensive Care","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116572375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}