Adiyaman Merkez

This research aims to evaluate the effect of blocking the maxillary nerve on pain levels and recovery quality in patients undergoing septoplasty surgery. The goal is to find an alternative method for managing pain after surgery that can reduce discomfort and improve patient comfort during recovery. Patients scheduled for septoplasty at Adıyaman University Training and Research Hospital who agreed to participate were divided into two groups. One group received a bilateral maxillary nerve block using 10 cc of 0.25% bupivacaine through a suprazigomatic approach after ensuring airway safety under general anesthesia; the other group received general anesthesia without the nerve block. Researchers monitored blood pressure, heart rate, oxygen saturation, postoperative pain scores, and quality of recovery index (QoR-15) 24 hours after surgery. Participants' pain levels were assessed using a visual analog pain score three months after surgery. The study also recorded hemodynamic values and recovery quality measures to compare the effects of the nerve block versus standard care. The total duration of participant involvement includes pre- and postoperative assessments to evaluate pain and recovery outcomes.

Researchers are evaluating how well Gram staining of the first urine sample taken during kidney puncture can predict systemic inflammatory responses after percutaneous nephrolithotomy (PCNL), a procedure to remove kidney stones. The study compares patients who receive an expanded antibiotic treatment based on this Gram stain prediction to those whose antibiotic treatment is adjusted later according to symptoms and culture results. The goal is to test whether this diagnostic approach can help predict and prevent complications after PCNL. The main intervention involves performing Gram staining on the first urine collected during the renal puncture in surgery to guide antibiotic treatment. Patients are divided into groups: one where antibiotics are given based on the Gram stain result immediately after surgery, and another where antibiotics are given based on later clinical symptoms and culture findings. This approach aims to personalize antibiotic use to reduce inflammatory complications after the procedure. Participants will be monitored immediately after surgery to assess the effectiveness of Gram staining in predicting systemic inflammatory response. Researchers will track inflammation signs and compare outcomes between the two groups. Data from urine tests and patient clinical status will be collected to measure the diagnostic value of the Gram stain method. The total duration of participation corresponds to the immediate postoperative period when complications typically arise.

Researchers are evaluating how effective home-based instructions are for helping patients pass kidney stones after retrograde intrarenal surgery (RIRS). The study focuses on whether percussion (tapping) and changes in body position done at home can improve the rate of stone clearance one month after the surgery. The goal is to assist spontaneous passage of stone fragments through behavioral guidance given to patients outside the hospital setting. Participants will be instructed in the home environment to perform percussion and position changes following their RIRS procedure. This behavioral intervention aims to support natural stone dissolution and clearance. There is no mention of additional treatment groups or drugs; the study centers on this non-invasive approach as a supportive therapy. During the study, researchers will monitor stone clearance rates one month after the surgery to assess the intervention's effectiveness. Participants' medical eligibility and clinical outcomes will be reviewed, focusing on the presence or absence of residual stones. Safety and adherence to the behavioral instructions will also be evaluated as part of the follow-up.

Coronary artery disease (CAD) is a major cause of death worldwide and requires patients to follow long-term treatments and lifestyle changes. This research aims to explore how a person's confidence in managing their chronic disease, known as self-efficacy, relates to how well they stick to their medication routine. The study is descriptive and will take place at Ad
31yaman University Training and Research Hospital from March to October 2025, focusing on individuals diagnosed with CAD for at least one year. Participants will not receive any experimental treatments, as this study is observational. Instead, data will be gathered through self-administered questionnaires, including a Descriptive Information Form to collect demographic and clinical details, a 6-Item Self-Efficacy for Managing Chronic Disease Scale, and the Medication Adherence Report Scale (MARS). These tools help assess patients' confidence and medication-taking behaviors without influencing their usual care. During the study, researchers will collect data between March and October 2025 and measure participants' self-efficacy and medication adherence. The main outcome is the self-efficacy score for managing chronic disease, recorded during this period. The findings aim to support healthcare providers, especially nurses, in developing better educational and counseling services to improve medication adherence and self-efficacy in people with CAD.

This research aims to study the effect of using technological devices on pain and anxiety levels in boys undergoing circumcision with local anesthesia. It focuses on children between 6 and 18 years old who are having circumcision for medical or religious reasons. Previous studies showed that explaining the procedure with videos and games before circumcision helped reduce anxiety and pain, and this study builds on that idea during the procedure itself. The intervention involves boys watching a video or playing a game during their circumcision procedure to see if this can help lessen their pain and anxiety. The circumcision is performed under local anesthesia, and the use of these technological devices is the main focus of evaluation. Participants will be hospitalized for the procedure and monitored through to a follow-up check-up after discharge. Researchers will assess changes in the child's anxiety and worry immediately after the procedure. The study tracks the child's response to the intervention during the circumcision and observes any changes in pain and anxiety levels associated with the use of the video or game.

Researchers are evaluating how natural landscape pictures accompanied by music during breastfeeding affect breastfeeding, breastfeeding satisfaction, and maternal attachment in first-time mothers. This randomized controlled study will take place at Adıyaman University Training and Research Hospital Gynecology clinics between January 2024 and August 2024, including 90 participants divided into an intervention group and a control group. Both groups will receive breastfeeding education. Mothers in the intervention group will watch nature scene videos with music during breastfeeding: once in the hospital, once during a home visit after discharge, and then continue watching the video eight more times at home, totaling ten sessions. The control group will not receive this visual and musical intervention. Participants will complete surveys before and after the intervention, including socio-demographic data, the LATCH Breastfeeding Diagnostic and Evaluation Scale, the Visual Analog Scale for satisfaction, and the Maternal Attachment Scale. Researchers will monitor adherence by phone and collect data over ten days to assess the impact of the intervention on breastfeeding and maternal attachment.

Researchers are evaluating how a three-dimensional (3D) imaging technique affects the learning curve of specialists performing percutaneous nephrolithotomy (PCNL), a procedure to remove kidney stones. The study focuses on improving the critical first step of PCNL surgery, which involves creating a precise access route to the stone. This step usually depends heavily on the surgeon's experience and their understanding of kidney anatomy using standard CT scans. The study uses the 3D imaging technique during PCNL to help surgeons better visualize the kidney and surrounding structures. This could potentially make it easier to choose the ideal route, position, and direction for stone removal. The study compares outcomes such as the number of participants experiencing bleeding during or immediately after surgery, how many are stone-free one month after the procedure, and the length of hospital stay immediately after surgery. Participants will be monitored for perioperative bleeding, stone clearance after one month, and hospital stay length. The study includes patients who have kidney stones larger than 2 cm and are suitable candidates for PCNL. Those without complete CT images or clinical information, or whose data is inaccessible, are excluded. The trial does not specify an upper age limit and invites adults aged 18 and older to participate.