EISSN 2149-4975
Turkish Journal of Cardiovascular Nursing - Turk J Card Nur: 11 (24)
Volume: 11  Issue: 24 - Nisan 2020
RESEARCH ARTICLE
1. Does Mindfulness Affect Hospital Anxiety-Depression Level of Patients with Heart Failure?
Seyhan Çıtlık Sarıtaş, Seher Çevik Aktura
doi: 10.5543/khd.2020.63835  Pages 1 - 6
Objective: The aim of this study was to investigate whether mindfulness affects the level of hospital anxiety and depression in patients with HF.
Methods: The research was conducted as descriptive study. The study of a university hospital located in the east of Turkey was held in cardiology and intensive care services. The population of the study consisted of patients with HF who were followed up in the cardiology service and intensive care unit of the hospital. The sample of the study consisted of 110 patients with 0.05 error, 0.95 confidence interval and 0.95 representation power of the universe. Personal Information Form, Conscious Awareness Scale and Hospital Anxiety-Depression Scale developed by the researchers were used to collect the data. Data were analyzed using descriptive statistics, independent samples t test, Oneway ANOVA, Mann Whitney U, Correlation and Cronbach Alpha reliability analysis. The results were evaluated with 95% confidence interval and p<0.05 significance level.
Results: The mean Mindful Attention Awareness Scale score of the patients was 42.9±7.7 and the patients' conscious awareness was moderate. Anxiety and depression were observed in 52.7% and 98.2% of patients with heart failure. In the study, it was found that there was a significant difference between the conscious awareness levels of heart failure patients in terms of the presence of anxiety and depression.
Conclusion: As a result of the study, it was found that conscious awareness of heart failure patients was moderate, anxiety and depression rates were high in heart failure patients, and anxiety and depression status were important exhaustors for mindfulness.

2. Quality of Life and Anxiety Levels of Patients with Coronary Angiography
Pınar Yel, Serap Ünsar
doi: 10.5543/khd.2020.65477  Pages 7 - 15
Objective: This cross sectional study was planned to investigate the relationship between quality of life and level of anxiety in the patients coronary angiography and to determine the personal and disease factors that affects this relationship.
Methods: This study were included 202 patients who applied to University Faculty Cardiology Clinic between October 2007 and February 2008 in Edirne. Data were collected by Patient Information Form, Short Form Health Survey-36 (SF-36) and Spielberger Stait-Trait Anxiety Inventory. The data were analysed by percentage, average, student- t test, Mann Whitney U test, the technique of Kruskall-Wallis H test.
Results: The %58.9 of the patients were male, %85.6 of them were married, %37.6 of them were under 55 years of age, %52 of them were primary school graduates. According to the findings of the study, women have less quality of life than man and anxiety levels were higher. The personal properties as age, marital status, level of education and amount of income, profession, and the conditions related to the disease as the clinical diagnosis, conditio the usage of drug affect quality of life and anxiety. The patient's quality of life decreases as the state trait anxiety scores increase (p<0.05).
Conclusion: Nurses should give care and education considering the characteristics of the individual (age, educational status, etc.) and disease (clinical diagnosis, drug use, etc.) in order to improve the quality of life and reduce anxiety levels of patients with coronary artery disease who will undergo invasive procedures.

3. The Effect of Health Anxiety on Sleep Quality in the Patients who Had Myocardial Infarction
Seher Çevik, Seyhan Çıtlık Sarıtaş
doi: 10.5543/khd.2020.38257  Pages 16 - 22
Objective: The aim of this study was to determine the effect of health anxiety on sleep quality in patients with myocardial infarction.
Methods: The research was conducted as descriptive and relationship seeker. Research cardiology service of a university hospital in the east of Turkey and was held in intensive care. The population of the study consisted of myocardial infarction patients who were followed up in the cardiology department and intensive care unit of the hospital. The sample of the study consisted of 108 patients with a power of 0.05 error, 0.95 confidence interval and 0.95 representation power of the universe. Data were collected using the Personal Identification Form, Health Anxiety Scale, and Richards Campbell Sleep Scale. Data were analyzed using descriptive statistics, independent samples t test, Oneway ANOVA, Man Witney U, Colonation and Cronbach Alpha reliability analysis.
Results: The mean scores of Health Anxiety Scale and Richards Campbell Sleep Scale were 22±7.2 and 226.2±80.4, respectively. The patients' health anxiety was low and their sleep quality was below the moderate level. In the study, it was found that sleep quality of the patients changed according to their occupation and the severity of chest pain. There was a significant difference between the health anxiety levels of the patients according to their anxiety about their health. In the study, it was found that the relationship between the Health Anxiety Scale and the sub-dimensions of Richards Campbell Sleep Scale was not statistically significant.
Conclusion: At the end of the study, it was seen that there was no significant relationship between health anxiety and sleep quality in patients with myocardial infarction.

4. Predictors of Health Status of Patients with Advanced Heart Failure
Şeyma Demir, Zeynep Özer
doi: 10.5543/khd.2020.24483  Pages 23 - 30
Objective: The aim of this study was to determine the predictors of health status in patients with advanced heart failure.
Methods: The descriptive, cross-sectional, single-center study was conducted with 296 patients between May 2013 and May 2014. Patients’ health status was determined using the Kansas City Cardiomyopathy Questionnaire. Sociodemographic and clinical characteristics as well as symptoms were potential predictors. Other predictors were measured with the Mishel’s Uncertainty in Illness Scale–Community Form, Coping Style Scale and Multidimensional Scale of Perceived Social Support. The predictors of health status were examined via multiple linear regression analyses which was performed with enter method. Independent variables related to health status were compared using the Student’s t test and one way ANOVA.
Results: Three health status scores were obtained in the study. The overall health, functional status and clinical total scores were 59.26±21.66, 35.30±15.01 and 52.70±19.80, respectively. Variables included in Models 1, 2 and 3 according to regression analysis accounted for 66.9%, 72.1% and 66.6% of the variance in health status, respectively. In three different regression models, common predictor variables were symptom burden, perceived health status, social support and informants being doctors. Furthermore, illness uncertainty was a predictor variable for functional status.
Conclusion: The health status of patients with advanced heart failure was assessed multivariate and includes originality. Through the findings of the study, it can be emphasized that the quality of patient education should be improved and biopsychosocial approach should be featured in health care services in order to achieve better health outcomes.

REVIEW
5. Obtaining of Healthy Life Behaviors in Patients with Acute Coronary Syndrome
Aynur Kaynar Şimşek, Şule Ecevit Alpar
doi: 10.5543/khd.2020.80299  Pages 31 - 36
Cardiovascular diseases take the first place among the reasons of death both in the developed and developing countries. Acute coronary syndrome (ACS) has the highest mortality among these diseases. Mortality and morbidity of ACS can be decreased when the known risk factors of it are controlled, however the risk control and treatment of it are not at the desired level yet. This review was written both to control the risk factors of patients with acute coronary syndrome and to generate information about the interventions performed in order to maintain healthy life habbits to the patient.

CASE REPORT
6. A Case of Atrial Fibrillation According to Kolcaba's Comfort Theory
Halise Taşkın Duman, Yasemin Yıldırım, Çiçek Fadıloğlu, Fisun Şenuzun Aykar
doi: 10.5543/khd.2020.98598  Pages 37 - 42
The use of conceptual models in nursing creates a critical point of view of nursing care, scientific basic concepts and principles and provides effective care for the sick individual. One of the conceptual models used in nursing care is ‘Theory of Comfort’ developed by Katharine Kolcaba. In theory he describes the concept of comfort with holistic view as the current experience of relieving, resting and meeting basic human needs to overcome problems. In this case, the nursing care process was performed according to the comfort theory of a patient who underwent cardioversion and ablation for atrial fibrillation.

7. Nursing Approach to Patient with Acute Coronary Syndrome Diagnosis According to the Model of Systems
Pınar Yel, Yasemin Yıldırım, Fisun Şenuzun Aykar, Çiçek Fadiloğlu
doi: 10.5543/khd.2020.59244  Pages 43 - 49
Coronary artery disease is the leading cause of mortality and morbidity in the world. Individuals with coronary artery disease mostly apply to the hospital with acute coronary syndrome. Patients with acute coronary syndrome are affected in many ways of physically, socially, psychologically. When planning appropriate nursing management for nurses, nurses should evaluate individuals in multiple dimensions and offer appropriate interventions based on nursing models. One of these models is Betty Neuman Systems model. In this case report, the stressors perceived by a patient diagnosed with unstable angina pectoris (USAP) and the state of the individual's exposure to these stressors are handled according to the Neuman Systems Model and nursing management is planned.

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