Elife Kettaş - Academia.edu (original) (raw)

Papers by Elife Kettaş

International journal of urological nursing, Jun 27, 2024

Neurourology and urodynamics, May 15, 2024

Archives of Gynecology and Obstetrics, Jun 29, 2023

European Archives of Oto-Rhino-Laryngology, 2020

Purpose To investigate effect of total or partial laryngectomies with or without adjuvant treatme... more Purpose To investigate effect of total or partial laryngectomies with or without adjuvant treatments on couples' sexual functions. Methods The study included 39 male patients with laryngeal cancer and their female partners who were sexually active. Twenty-six patients underwent total laryngectomy, and 13 had partial laryngectomy. Sexual functions were assessed with the International Index of Erectile Function (IIEF-5) questionnaire for erectile functions, the Male Sexual Health Questionnaire (MSHQ-4) for ejaculatory functions and the Female Sexual Function Index (FSFI) for female partners' sexual functions. Results The mean IIEF score significantly decreased from 21.51 ± 8.78 to 16.13 ± 9.6 after the surgery (p = 0.000). The mean MSHQ score significantly decreased from 12.95 ± 3.14 to 10.32 ± 4.59 after the surgery (p = 0.000). To investigate risk factors that might predict decreasing in post-operative erectile and ejaculatory function of the male patients, presence of pre-operative erectile dysfunction (p = 0.04) and additional treatment with chemo-radiation therapy were the predictors for decreases in erectile (p = 0.006) and ejaculatory functions (p = 0.036). The mean FSFI total score significantly decreased from 25.83 ± 7.42 to 13.45 ± 10.09 after the surgery (p = 0.000). Conclusion Laryngectomies have negative impact on male erectile and ejaculatory functions, and also have negative effect on female partners' sexual functions. Presence of pre-operative erectile dysfunction and additional chemo-radiation therapy were the predictors to decrease in erectile and ejaculatory functions after surgery. Therefore, male patients and their female partners should be informed in light of these findings before laryngeal surgery and adjuvant therapy.

KSÜ Tıp Fakültesi dergisi, Mar 16, 2023

Cerrahi travma, oluşturduğu nörohormonal stres yanıtla homeostazı tehdit eden katabolik bir süreç... more Cerrahi travma, oluşturduğu nörohormonal stres yanıtla homeostazı tehdit eden katabolik bir süreç başlatır. Cerrahi travma sonrası derlenme, yalnızca teknik cerrahi becerilere değil, aynı zamanda hastanın metabolik durumunun ve uygun beslenme desteğinin sağlanmasına da bağlıdır. Beslenme, ameliyat sonrası derlenme açısından önemli olmasına rağmen cerrahi hastalarda sıklıkla göz ardı edilmektedir. Açlık ve cerrahi stres, katabolik reaksiyonu başlatarak organ disfonksiyonuna, yara iyileşmesinde gecikmeye, ameliyat sonrası enfeksiyonlara morbidite ve mortalite artışına, hastane yatışında uzamaya ve maliyet artışına neden olmaktadır. Perioperatif süreçte beslenme ile ilişkili komplikasyonların önlenmesinde kanıt temelli doğru beslenme uygulamaları olumlu hasta sonuçlarını desteklemektedir. Ameliyat sürecinde güncel yaklaşımlar ve kanıta dayalı uygulamalar ile hastanın doğru beslenmesi sağlanarak, katabolizmanın azaltılması ve anabolizmanın desteklenmesi ile ameliyat sonrası daha hızlı bir iyileşme sağlanabilir. Cerrahi hastasının beslenmesi multidisipliner bir ekip yaklaşımını gerektirir. Cerrahi stres sürecinin azaltılmasında multidisipliner ekipte anahtar rolü olan hemşireler, güncel beslenme önerileri çerçevesinde hastanın beslenmesini optimal düzeyde desteklemelidirler. Bu derlemenin amacı, cerrahi girişim geçiren hastada beslenme yönetiminin önemini vurgulamak, perioperatif süreçte doğru beslenmeyi güncel uygulamalarla ortaya koymaktır.

Kahramanmaraş Sütçü İmam Üniversitesi Tıp Fakültesi Dergisi

Samsun Sağlık Bilimleri Dergisi

Ürodinami, mesanenin dolumu ve boşaltımı esnasında alt üriner sistemin işlevi hakkında fizyolojik... more Ürodinami, mesanenin dolumu ve boşaltımı esnasında alt üriner sistemin işlevi hakkında fizyolojik veriler elde etmek için çoklu testlerden oluşan tanısal bir değerlendirme yöntemidir. Ürodinami, idrarda yanma, kanama, ağrı gibi sorunlara neden olabilmektedir. Bu sorunlar dışında hastanın mesanesine, rektum veya vajinasına kateter yerleştirilmesi, işlemin invaziv ve travmatize edici bir yöntem olması, işlem esnasında idrarını yabancı bir kişinin yanında yapma, test boyunca idrar yapma durumunun gözlenmesi gibi nedenlerden dolayı hastalar utanma, rahatsızlık, gerginlik, anksiyete ve stres yaşayabilmektedir. Ürodinami sırasında hastanın stres düzeyindeki artış, sempatik sinir sistemini uyararak mesane kapasitesini düşürebilmekte ve hastanın ürodinami sonuçlarını etkileyebilmektedir. Ürodinami işlemi sırasında hastanın ağrı ve anksiyetesini azaltmaya yönelik birçok farmakolojik ve farmakolojik olmayan girişimler uygulanmaktadır. Aromaterapi, invaziv girişim öncesi anksiyetesi olan hasta...

Bariatric Surgical Practice and Patient Care, 2017

The aim of this study was to identify the willingness of nurses working in surgical units to prov... more The aim of this study was to identify the willingness of nurses working in surgical units to provide care to obese surgical patients and related factors. Methods: This descriptive study was conducted with 250 nurses from surgical units of the 3 hospitals. Data analysis was performed by using frequency, percentage, mean, standard deviation, and chi-square test. Results: It was found that 85.6% of nurses were unwilling to provide care to obese surgical patients. The reasons of nurses' unwillingness to provide care included back/low-back pain, fears of dropping the patient, and inability to meet patients' care needs. It was determined that the intensive care nurses, who provided care to one to three patients a month, who were untrained in obese patient care, who worked with inadequate staff during nursing care procedures, and those who experienced emotional problems during care delivery were unwilling to provide caring. It was also found that most of the equipment required for obese patient care was unsuitable for caring. Conclusion: The findings of this study demonstrated that nurses were unwilling to provide care to obese surgical patients. The unwillingness was mostly caused by certain clinical features, nurses' emotional problems during care delivery, lack of necessary equipment, and inadequate staffing.

The Journal of Sexual Medicine, 2010

Introduction. Studies have suggested that women with end-stage renal disease (ESRD) had higher ri... more Introduction. Studies have suggested that women with end-stage renal disease (ESRD) had higher risk of sexual dysfunction than healthy women. Aims. To prospectively determine the effect of renal transplantation for ESRD on female sexual function and depression. Methods. During a 5-year period, the study included 21 sexually active women who underwent renal transplantation for ESRD at a single university hospital. After obtaining demographic characteristics, female sexual function was evaluated with a detailed 19-item questionnaire (The Female Sexual Function Index, FSFI), and depression was assessed using Beck Depression Inventory (BDI) scale. Main Outcome Measures. In all women, FSFI and BDI scores were compared before and after the renal transplantation surgery. Results. The mean age of the women was 35.04 Ϯ 9.6 years, and mean follow-up duration after renal transplantation was 27.5 Ϯ 20.4 months. Mean total sexual function score increased from 17.57 Ϯ 7.07 to 25.3 Ϯ 3.28, revealing significant difference (P = 0.001). Compared with preoperative period, sexual function domains including sexual desire (P = 0.001), arousal (P = 0.001), lubrication (P = 0.003), orgasm (P = 0.001), satisfaction (P = 0.001), and pain (P = 0.02) significantly improved after renal transplantation. Mean BDI score significantly decreased from 17.91 Ϯ 8.56 to 3 Ϯ 4.17 after renal transplantation (P = 0.001). Conclusions. Successful renal transplantation may improve female sexual functions and depression. Therefore, life quality increases as sexual functions and depression improve after the renal transplantation surgery. Kettaş E, Çayan F, Efesoy O, Akbay E, and Çayan S. The effect of renal transplantation for end-stage renal disease on female sexual function and depression.

International Journal of …, 2006

Purpose: The purpose of the research was to determine the interventions after home accidents by w... more Purpose: The purpose of the research was to determine the interventions after home accidents by women with a child between 1-6 years old. Instrument And Methods: The research was conducted as a descriptive study in the neighborhoods served by Çukurova Health Clinic affiliated with Mersin province center municipality. Using a simple random sampling method 100 women were taken into the sample by numbering the 1-6 year old child monitoring records. Data were collected on a questionnaire. Percentage distribution and Chi square test were used in the analysis of data obtained in the research. Fındıngs: The children of 66.0% of the women had had at least one home accident and the most frequent of the accidents was falling (66.7%) followed by burns (43.9%). The majority of women, following their child's fall (61.4%) applied a wound ointment and took the child to a health care facility and following a burn to their child 44.8% of the women used a cold application and took the child to a health care facility. The overwhelming majority of the women learned about first aid for childhood accidents from the people close to them, such as a relative or neighbor. There was no statistically significant difference between the women's sociodemographic characteristics and frequency of home accidents and the kind of first aid used for home accidents (P>0.05).

The Journal of Sexual Medicine, 2008

Introduction. End-stage renal disease (ESRD) is a serious illness which has severe negative effec... more Introduction. End-stage renal disease (ESRD) is a serious illness which has severe negative effects on patients' lives and quality of life. Aims. To prospectively compare sexual functions between the women with ESRD and healthy women, and also to investigate risk factors that may cause sexual dysfunction in women with ESRD. Methods. The study included 249 women, and the women were divided into two groups: 131 women with ESRD and 118 healthy women as a control group. After obtaining demographic characteristics, sexual function was evaluated with a detailed 19-item questionnaire (The Female Sexual Function Index [FSFI]) assessing sexual desire, arousal, lubrication, orgasm, satisfaction, and pain during sexual intercourse. Main Outcome Measures. The FSFI scores were compared between the two groups, and risk factors that might cause sexual dysfunction were also investigated in the women with ESRD. Results. The mean FSFI total score was significantly lower in the ESRD group (15.9 Ϯ 10.4) than in the control group (22.2 Ϯ 6.8) (P = 0.001). The women with ESRD had also significantly lower mean score of sexual desire (P = 0.006), arousal (P = 0.001), lubrication (P = 0.001), orgasm (P = 0.001), satisfaction (P = 0.001), and pain (P = 0.024) than in the control group. To investigate risk factors for sexual dysfunction in the ESRD group, the women having hemodialysis, compared to the women having peritoneal dialysis, had a 5.23 times greater risk of developing sexual dysfunction (P = 0.001). Conclusions. This study shows that women with ESRD have higher risk of sexual dysfunction than healthy women. Thus, women with ESRD should be consulted for sexual dysfunction to improve the quality of life. Kettaş E, Çayan F, Akbay E, Kıykım A, and Çayan S. Sexual dysfunction and associated risk factors in women with end-stage renal disease.