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    Effect of earplug/eye mask on sleep and delirium in intensive care patients
    (Wiley, 2022) Akpinar, Reva Balci; Aksoy, Meyreme; Kant, Elif
    Background: Environmental factors such as loud sounds and bright lights in intensive care units can cause sleep disorders and delirium. Aim: The present study aims to investigate the effects of the overnight use of earplugs and eye masks by intensive care patients on their sleep quality and the degree of delirium. Study Design: This randomized controlled experimental study was conducted on the patients admitted to a coronary intensive care unit. Methods: The patients in the experimental group used earplugs and eye masks during the night, while those in the control group received only routine care. Data were collected using an information form, the Richards-Campbell sleep questionnaire (RCSQ), and the intensive care delirium screening checklist (ICDSC). Results: The study included a total of 84 patients, 42 in the experimental group and 42 in the control group. The baseline average score of the patients in the experiment group on the RCSQ was 40.11 +/- 16.55, with a Time 1 average score of 64.09 +/- 14.07 and a Time 2 average score of 72.07 +/- 11.75; their baseline average score on the ICDSC was 0.47 +/- 0.50, with a Time 1 average score of 0.33 +/- 065 and a Time 2 average score of 0.19 +/- 039. The baseline average score of the patients in the control group on the RCSQ was 44.07 +/- 7.30, with a Time 1 average score of 46.97 +/- 9.22 and a Time 2 average score of 47.04 +/- 11.53; the baseline average score of the control group on the ICDSC was 0.42 +/- 0.50, with a Time 1 average score of 0.50 +/- 0.70 and a Time 2 average score of 0.57 +/- 0.66. A statistically significant difference was found between the Time 1 and Time 2 average scores of the experimental and control groups on the RCSQ and between the Time 2 average scores of the experimental and control groups on the ICDSC (U = 198.00, P <.001; U = 70.000, P <.001; U = 614.000, P = .004 respectively). Conclusions: The earplugs and eye masks used by the intensive care patients overnight were associated with an increase in sleep quality and a decrease in the degree of delirium. Relevance to Clinical Practice: The use of earplugs and eye masks is recommended for intensive care units in supporting sleep quality and preventing delirium.
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    Investigation of Hope and Spiritual Well-Being Levels among Relatives of Intensive Care Patients in Turkey
    (Springer, 2024) Kant, Elif; Aksoy, Meyreme; Akpinar, Reva Balci
    This study was conducted to determine the levels of hope and spiritual well-being among relatives of intensive care patients. The data were collected using the Patient Descriptive Information Form, Trait Hope Scale, and Spiritual Well-Being Scale. The mean total scores on the Trait Hope Scale and the Spiritual Well-Being Scale were 48.24 +/- 8.37 and 104.99 +/- 8.06, respectively. The mean scores on the Trait Hope Scale differed significantly according to the employment status, income status, and the reaction of the patient's relatives during the visit (p < 0.05). A significant difference was found between the mean scores of patient relatives on the Spiritual Well-Being Scale according to the level of education, income, and the intensive care unit where the patient was hospitalized (p < 0.05). A significant positive correlation was found between the Trait Hope Scale and the Spiritual Well-Being Scale (p < 0.05). This study found that patient relatives had good hope and spiritual well-being levels, and spiritual well-being increased the level of hope among patient relatives.
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    The Effect of Care Prescription on Nursing Image
    (2023) Akpınar, Reva Balcı; Kant, Elif; Aksoy, Meyreme
    Objective: The aim of this study is to evaluate the effect of care prescription on the nursing image. Methods: Eighty volunteer patients treated in the cardiology clinic of a hospital were included in this quasi-experimental study. Data were collected using the Patient Characteristics Information Form, Patient Evaluation Form, Nursing Image Scale, and Care Prescription. The researcher nurse gave her suggestions for the care she determined as a written prescription to the patients in the experimental group. Results: Nursing Image Scale pre-test score average of the patients in the experimental group was determined as 62.65 ± 6.30 and post-test score average was 72.80 ± 2.69. The difference between the pre-test and post-test mean scores of the experimental group was found to be statistically significant (p < .05). There was no statistically significant difference between the Nursing Image Scale pre-test and post-test mean scores of the patients in the control group. Conclusion: In this study, it has been concluded that the care prescription given by the nurse to the patients positively affects the perceived nursing image of the patients.