Objective: In this study it was aimed to determine the dynamics of postoperative coronary artery bypass graft surgery patients’ coping strategies and detect the effects of self-efficacy levels in these dynamics.
Methods: This analytical cross-sectional study done between 01 October 2015-30 January 2016 in an Education and Research Hospital in Bursa, Turkey. 384 patients included to study and all of them were over 18 years old, had coronary artery bypass graft operation, at least on 4th day after surgery, conscious, no loss of hearing or visual function and volunteer for study. “Patient Information Form”, “The Coping Strategy Indicator” and “Barnason Efficacy Expectation Scale Cardiac Surgical Version” are used for data collection. SPSS 21.0 statically analyse programme was used for evaluation of data with one and multivariate analyses.
Results: Age means of patients was 60.8±10.23. 51.6% of patients were literate or primary school graduated and many of them (82%) were married. 21.9% patients had serious disease history. Score mean of patients' The Coping Strategy Indicator was 70.69±8.32. Problem Solving Subscale had the highest score and Avoidance Subscale had the lowest score. Barnason Efficacy Expectation Scale Cardiac Surgical Version total score mean was 51.94±6.15 and it was positively mild related to The Coping Strategy Indicator (r=.519, p<.005). Multivariate analyses showed that Coping score increases if after coronary artery bypass graft surgery performed patients self-efficacy score is high, had serious disease history before and decreased age (p<.05, R²=.299).
Conclusion: In conclusion, the study showed that coping levels of after coronary artery bypass graft surgery related to self-efficacy level, age and disease history of patients.

Objective: The study was planned and performed as a descriptive study in order to determine obstructive sleep apnea and sleep quality in patients with atrial fibrillation.
Methods: The study was conducted between December 2017 and March 2018 with 108 patients admitted to the cardiology services of two university hospitals in Istanbul, who had no communication problems, diagnosed as AF by the physician and accepted to participate in the study. The data obtained from the study were analyzed using SPSS 22 software program (IBM Corp., Armonk, NY, USA). Descriptive statistical methods, t test, One way Anova test were used to evaluate the data.
Results: The study was conducted between December 2017 and March 2018 with 108 patients admitted to the cardiology services of two university hospitals in Istanbul, who had no communication problems, diagnosed as AF by the physician and accepted to participate in the study. The data obtained from the study were analyzed using SPSS 22 software program (IBM Corp., Armonk, NY, USA). Descriptive statistical methods, t test, One way Anova test were used to evaluate the data.
Results: It was determined that 47.2% of the participants were male, 52.8% were female, the majority were 60 years and older, the mean age was 68.99±14.02, and the mean BMI was 27.09±5.12 kg/m2. 73.1% of the individuals were sufficiently sleepy, woke tired in the morning and were extremely sleepy during the day, 82.4% had forgetfulness, irritability and lack of attention, 38% snored at night, 39% snored if tired, and the majority (68.5%) had mornings 69.4% had dry mouth and sore throat in the morning. Mean sleep quality score of the individuals was found to be 11.315±3.370. It was determined that sleep quality decreased as age variable increased and oxygen saturation decreased (p=0.000). The sleep quality of the sedatives or sleeping pills was deteriorated (p=0.000).
Conclusion: Considering the decrease in the sleep quality of patients with AF, it may be suggested to train nurses and other health personnel and to organize training programs to improve sleep quality, to examine the sleep quality of the patients during care and treatment, and to arrange the night treatment plan in a way that does not impair sleep quality.

Objective: The purpose of the study was to assess caregiver burden and associated factors in family caregivers providing care for heart failure (HF) patients.
Methods: This descriptive, cross-sectional study was conducted with HF patients (n=100) followed in a university hospital located in Ankara and their family caregivers (n=100) between December 2018 and May 2019. Data were measured using “The Patient Information Form”, “The Family Caregiver Information Form”, and “Zarit Burden Interview”. Descriptive statistics, Chi-Square test and Pearson correlation test were utilized for data analysis.
Results: The patients with HF were male (55%), had graduated from primary school (85%), were married (71%) and 38% of those had stage II HF. The mean age of HF patients was 66.76±12.43 years. The family caregivers included in this study were female (70%), had graduated from primary school (77%), and were married (99%). The mean age of family caregivers was 50.74±12.68 years. The mean score of Zarit Burden Interview was 13.71±6.89 in family caregivers. Family caregivers with less education, lower income level, were unemployed and were providing care longer than 8 years, and more than 5 hours per day experienced significantly higher caregiver burden (p<.05). Besides, since time diagnosis for HF, HF stage and comorbid conditions were significantly associated with perceived caregiver burden (p<0.05).
Conclusion: The caregiver burden among family caregivers providing care for HF patients was found low in our study. Future studies targeting family caregivers of HF patients should focus on the needs of individuals with less educated, lower income level, unemployed and providing care for longer time.

Objective: The study was planned and carried out to determine the effects of cardiovascular health status, well-being and well-being on cardiovascular health status of individuals aged 20 years and older.
Methods: The study was conducted with 248 individuals over 20 years of age who were living in the Marmara region between April-May 2019 at a university in Istanbul, who were informed about the purpose and expectations of the study and were willing to participate in the study. Data were collected by using a questionnaire for measuring the sociodemographic characteristics of individuals, American Heart Association Life’s Simple 7 cardiovascular health questionnaire, Daily Food Consumption Record Form and Goodness Scale.
Results: It was found that 80.2% of the participants were female, mean age was 20.935±1.845, and the majority had normal body mass index. The cardiovascular health status of the participants was found to be high (8.479±1.944) and females had higher ideal cardiovascular health status than men. In the study, blood pressure (p=0.005), body mass index (p=0.046) and smoking (p=0.000) were higher in women than men in terms of ideal cardiovascular health status. The well-being status of individuals was found to be high (40.413±10.397), and the majority of women had higher levels of well-being than men (p<0.05). It was found that the well-being of individuals was not significant to explain the effect of cardiovascular health.
Conclusion: As a result, it was found that half of the individuals participating in the study had an ideal cardiovascular health level and the mean scores of the cardiovascular health status of the individuals were high. It was found that the well-being of the individuals had no effect on cardiovascular health.

Cardiovascular diseases are an important group of diseases that have a high incidence, mortality and morbidity, which can result in death and are among the leading causes of death worldwide. According to World Health Organization data, 17.6 million people died in 2016 due to cardiovascular diseases and it was reported that this value could reach 23 million in a decade. This is an indication of the importance of prevention of cardiovascular diseases and the continuation of effective and continuous treatment. As in every disease, the diagnosis and treatment methods applied in cardiovascular diseases affect individuals psychosocially. Implantable cardioverter defibrillators, which are frequently used in the treatment of fatal arrhythmias and advanced heart failure, are devices that require life style changes by affecting the lives of individuals and can protect individuals if they are faced with death by shocking feature. Increasing thoughts about death, especially after shock, can affect individuals psychosocially and cause concerns such as distrust, helplessness, loss of control over life, and fear of being burden to their relatives. Increased anxiety decreases the quality of life of individuals and affects their daily lives, treatment and prognosis in a negative way. For these reasons, health care professionals, should be aware of the meaning of the heart about of life for heart disease individuals, individuals should plan initiatives to deal with anxiety by evaluating their anxiety levels. Thus, by controlling the anxiety levels of individuals, problems that may be encountered will be prevented, It is foreseen that, the treatment will be sustaining more effective for individuals and the quality of life and the service will be increased accordingly.

Aortic dissection is an acute disease caused by the separation of the layers of the aorta, requiring urgent surgical intervention, and may require long intensive care procedures, and is highly mortal. Nowadays, due to the high in-hospital mortality rate after surgery, the intensive care process takes a long time and therefore the need for care is high, complex and versatile. The aim of this case report is to evaluate the care given according to nursing model based on preoperative and postoperative daily life activities of the patient who underwent aortic valve replacement, ascending aortic replacement, and left carotid artery bypass grafting with the diagnosis of Type-A aortic dissection including left carotid artery in a university hospital in Istanbul. The model for nursing based on a model of daily living is thought to be an effective and usable model for the nursing diagnosis of the dissected patient and will guide the nurses working in intensive care units.