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Öğe Comparison of Routine and Computer-Guided Glucose Management for Glycemic Control in Critically Ill Patients(Amer Assoc Critical Care Nurses, 2019) Canbolat, Ozlem; Kapucu, Sevgisun; Kilickaya, OguzBackground Glycemic control is crucial for reducing morbidity and mortality in critically ill patients. A standardized approach to glycemic control using a computer-guided protocol may help maintain blood glucose level within a target range and prevent human-induced medical errors. Objective To determine the effectiveness of a computer-guided glucose management protocol for glycemic control in intensive care patients. Methods This controlled, open-label implementation study involved 66 intensive care patients: 33 in the intervention group and 33 in the control group. The blood glucose level target range was established as 120 to 180 mg/dL. The control group received the clinic's routine glycemic monitoring approach, and the intervention group received monitoring using newly developed glycemic control software. At the end of the study, nurse perceptions and satisfaction were determined using a questionnaire. Results The rates of hyperglycemia and hypoglycemia were lower and the blood glucose level was more successfully maintained in the target range in the intervention group than in the control group (P<.001). The time to achieve the target range was shorter and less insulin was used in the intervention group than in the control group (P<.05). Nurses reported higher levels of satisfaction with the computerized protocol, which they found to be more effective and reliable than routine clinical practice. Conclusions The computerized protocol was more effective than routine clinical practice in achieving glycemic control. It was also associated with higher nurse satisfaction levels.Öğe Relationship Between Frailty and Fatigue in Older Cancer Patients(Elsevier Science Inc, 2021) Uslu, Arzu; Canbolat, OzlemObjectives: Older patients with cancer present many symptoms during treatment. One of those symptoms is fatigue, which may be caused by factors unrelated to cancer. One of those factors is frailty increased with age. Frailty and fatigue affect older patients with cancer physically, psychosocially, emotionally, and spiritually. This study investigated the relationship between frailty and fatigue in older patients with cancer. Data Sources: This descriptive study was conducted between July 15, 2019, and February 15, 2020, in the medical oncology polyclinic and the medical oncology outpatient treatment unit of a university hospital. The sample consisted of voluntary 288 patients who met inclusion criteria. Data were collected using a demographic questionnaire and the Edmonton Frail Scale (EFS), and the Cancer Fatigue Scale (CFS). Conclusion: The mean age of participants was 71.71 +/- 5.29 years. Participants had a mean EFS score of 6 +/- 3.21. Of participants, 36.1% were not frail, while 20.1% were vulnerable, 19.1% moderately frail, 17.7% mildly frail, and 6.9% severely frail. Participants had a mean CFS score of 21.41 +/- 12.25. There was a positive correlation between EFS and CFS scores (P = .000, r = 0.734). Of participants, 63.8% were frail with physical and cognitive fatigue. The higher the frailty, the higher the fatigue. Implications for Nursing Practice: Elderly patients with cancer appear to be fragile, with frailty causing fatigue and many other conditions. It is important to determine the frailty and fatigue of elderly patients with cancer. It is essential understand the relationship between the frailty and fatigue for effective and correct management of nursing care. (c) 2021 Elsevier Inc. All rights reserved.