Hemşirelik Bölümü Koleksiyonu
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- ItemDirect Neck Skin Excision for Correction of Aging Signs Confined to Skin Laxity and Sagging Skin in the Neck: A Local Anesthesia-Based Day Surgery Optimal for Younger Women(LIPPINCOTT WILLIAMS & WILKINS, 2025-06) Okumuş, Ayhan; 293876BACKGROUNDThe removal of excessive neck skin is considered the key parameter in the best postoperative outcome after a neck rejuvenation surgery.OBJECTIVETo evaluate the utility of a local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck in terms of postoperative aesthetic outcome and patient satisfaction within a 12-month follow-up period.MATERIALS AND METHODSA total of 47 female patients who underwent local anesthesia-based direct neck skin excision surgery for the rejuvenation of skin laxity and sagging skin in the cervical neck were included. Data on complications and patient-reported outcomes were recorded at the 12th month postoperatively.RESULTSPostoperatively, none of the patients developed suture breakage or loosening, infection, or bleeding, while ecchymosis (21.3%) and hypertrophic scar (17.0%) were manageable. At the 12th postoperative month, 93.6% of patients reported improved appearance and high satisfaction with the postoperative outcome in terms of a sustained tighter appearance in the neck.CONCLUSIONThe local anesthesia-based direct neck skin excision surgery in patients with skin laxity and sagging skin in the neck enables achievement and maintenance of a tighter appearance in the neck, with minor and manageable complications and high patient satisfaction.
- ItemPatients' Expectations and Satisfaction Regarding to the Protection of Their Individual Dignity After Surgery: A Cross-Sectional Study(Wiley, 2025-05) Güneş, Ayşegül; Eren, Esra; Tekin, Yasemin Eda; 292320This study aimed to determine patients' expectations and satisfaction regarding protecting their dignity after surgery. This descriptive, cross-sectional study was conducted with 385 patients between December 2024 and February 2025. Research data was collected using the "Inpatient Dignity Scale" and socio-demographic information form. It was determined that the patient's dignity scale expectation and satisfaction total scores were 72.85 +/- 4.509 and 85.03 +/- 8.011. Accordingly, the expectation scores of the young, those with higher education levels, those whose income is lower than their expenses, those who have had surgery before, those who can perform activities of daily living those who can do it with assistance, those who can connect the head and neck are significantly stronger (p < 0.05). The satisfaction scores of the married, those with the highest and lowest education levels, those whose income is lower than their expenses, those who have had a longer hospital stay after surgery, and those who have had head and neck surgery are higher (p < 0.05). New studies should be conducted in surgical units where nursing activities to protect patient dignity are planned, and their results are evaluated.
- ItemThe effects of two different cold application times on edema, ecchymosis, and pain after rhinoplasty: a randomized clinical trial(Elsevier, 2024-01) Tekin, Yasemin Eda; İyigün, Emine; Karakoç, Ömer; 292320Purpose: This study was performed to determine the effects of different cold application times to the periorbital area after rhinoplasty on edema, ecchymosis, and pain. Design: A randomized clinical study. Methods: Patients were divided into two groups, and cold application was applied to one group for 4 hours and to the other for 48 hours. The cold application was applied with ice packs for 20 minutes every hour to the periorbital region in both groups. Data were collected with the Patient Information Form, Scoring Diagram for Edema, the Scoring Diagram for Ecchymosis, and the Visual Analogue Scale for Pain. Findings: Periorbital edema, eyelid ecchymosis, and pain were not significantly different between the two groups. The mean edema score of the 48-hour group was 0.87 ± 0.93, while the mean edema score of the 4-hour group was 0.70 ± 0.87 (P = .48) on the 2nd day. The mean ecchymosis score was found as 2.03 ± 1.12 in the 48-hour group and 2.10 ± 1.09 in the 4-hour group (P = .817). The mean pain score was 12.50 ± 17.40 in the 48-hour group and 13.00 ± 16.00 in the 4-hour group (P = .98). Conclusions: The effects of 48-hour and 4-hour cold applications are similar. Cold application for 4 hours may be recommended to patients who undergo rhinoplasty, as it is more practical and easier to apply than the 48-hour practice.











