INTRODUCTION: Objective: The aim of this study is to reveal the thoughts and experiences of participants with moderate CVD risk who participated in a 12-week nurse-led physical activity program (12 weeks, 5 days a week, 40 minutes of brisk group walking).


METHODS: Methods: In this study, a descriptive qualitative design based on the thematic analysis approach was used. The participants of this study consisted of 9 individuals over the age of 40 who participated in the nurse-led physical activity program of the researchers. Data were collected through individual interviews using a five-question semi-structured interview form.
RESULTS: Results: In this study, 4 themes as “experiences,” “obstacles,” “goals,” and “metaphors” and sub-themes of “physical experiences and contributions, psychological experiences, social experiences” were determined. Individuals have often compared living with the risk of heart disease to a broken engine, clock, and machine.
DISCUSSION AND CONCLUSION: Conclusion: In order to improve both the cardiovascular and psychosocial health of individuals whose CVD risk is moderate, various PA programs performed with the group can be tried. In order to protect and improve the cardiovascular health of individuals living in the community and to improve their psychosocial health, different physical activities should be encouraged in line with the recommendations of current guidelines and interventional studies covering the effects of these activities should be conducted.

INTRODUCTION: Objective: Healthy life behaviors such as regular physical activity, healthy nutrition, regular sleep, and smoking cessation play an important role in protecting against metabolic syndrome. This study was planned to investigate the relationship between metabolic syndrome risk, physical activity, sleep quality, and fatigue among university students.


METHODS: Methods: This research was conducted in Health Services Vocational School studying in Turkey. The study sample consisted of 319 students who complied with the criteria of inclusion for the study. The data were collected using the “Demographic Information Form,” “Metabolic Syndrome Research Form (MSAF),” “Pitsburg Sleep Quality Scale (PSQI),” “Fatigue Severity Scale,” and “International Physical Activity Questionnaire (Short).” Statistical analyses were performed with NCSS (Number Cruncher Statistical System) 2007 Statistical Software (Utah, USA) package program.
RESULTS: Results: In total, 319 people, including 100 men (31.35%) and 219 women (68.65%), participated in the study. The mean age of the participants was 20.80 ± 2.24. A statistically significant positive correlation was observed between MMSAF values and PSQI values (r = 0.250, P =.0001). A statistically significant negative correlation was observed between MSAF values and IPAQ values (r = −0.175, P =.002). A statistically significant positive correlation was observed between MSAF values and fatigue values (r = 0.485, P =.0001). No statistically significant correlation was observed between IPAQ values and PSQI values (r = −0.058, P =.303). A statistically significant negative correlation was observed between IPAQ values and fatigue values (r = −0.137, P =.014).
DISCUSSION AND CONCLUSION: Conclusion: It is known that metabolic syndrome has become widespread due to the current lifestyle. With the support of the literature, it is stated that physical activity, sleep quality, and fatigue to prevent metabolic syndrome are related and of great importance for public health. For this reason, we think that physical activity, sleep quality, and fatigue awareness should be brought to the whole society to prevent metabolic syndrome.

INTRODUCTION: Objective: This study aimed to determine the reliability of automated and manual blood pressure measurement devices.


METHODS: Descriptive and methodological study was determined in 110 patients admitted to the intermediate coronary intensive care unit whose blood pressures were measured via automated and manual sphygmomanometers. An invasive measurement value (arterial catheter) compared the other findings. The data were analyzed by using descriptive, Pearson’s correlation analysis, independent t-test, and one-way variance analysis.
RESULTS: Results: Of the patients included in the study, the mean age was 67.77 ± 11.66 years, the mean BMI was 27.74 ± 4.45 kg/m2
, and the mean mid-arm circumference was 27.51 ± 2.48 cm. The systolic blood pressure readings obtained by all modes of blood pressure measurements in all lying down positions of the patients were found out to be in “perfect” agreement with the
blood pressure readings obtained via an arterial catheter for the systolic blood pressure measurement. There was a “moderate” level of agreement between the diastolic blood pressure measurements obtained via an arterial catheter, and the readings were obtained by a manual device. There was a “poor” level of agreement between the diastolic blood pressure measurements obtained via an arterial catheter, and the readings were obtained by an automated device. It was observed that the differences between the blood pressure values obtained by using an arterial catheter and other blood pressure devices were significant in all lying positions of the patients (P <.05).
DISCUSSION AND CONCLUSION: Conclusion: The level of agreement is high across systolic blood pressure measurements obtained via different blood pressure devices; however, it is observed that the level of agreement across diastolic blood pressure was lower.

INTRODUCTION: The aim of this study is to determine the knowledge levels of the individuals, who applied to cardiology outpatient clinic, about the risk factors for cardiovascular diseases and the influencing factors
METHODS: This cross-sectional study was conducted in a state hospital between July 2017 and August 2017. “Cardiovascular disease risk factors knowledge level” scale was applied to the participants (n = 304). Data were analyzed with mean, standard deviation, frequency, and t-test by using SPSS 23 software.
RESULTS: There was no significant difference between the patients diagnosed with cardiovascular diseases and those without the diagnosis of cardiovascular diseases in terms of scores of the cardiovascular disease risk factors knowledge level scale (P >.05). The mean score of the patients, who had high school and higher education level, received training about cardiovascular system diseases, did regular exercises, had hypertension, and had body mass index of 25-29.9 kg/m2, was found to be the highest (P <.05). It was determined that the knowledge levels of the participants about cardiovascular diseases were above the moderate level.

DISCUSSION AND CONCLUSION: The scheduled training activities should be organized to increase the awareness levels of individuals about primary and secondary prevention measures. Individuals with increased awareness are more likely to implement healthy living behaviors.

INTRODUCTION: Objective: The aim of the study is to evaluate the quality, reliability, information and educational content, and usefulness of videos on blood pressure measurement on YouTube video platform.
METHODS: Methods: One hundred fifteen Turkish videos were analyzed using keywords “how to measure blood pressure” and “how to measure tension” in the study. Videos are analyzed simultaneously and independently by 2 experts using DISCERN (quality criteria for consumer health) scoring system for the quality of education, JAMA (Journal of American Medical Association) score for the accuracy, usefulness and reliability of video source, global quality score for the evaluation of information and educational content, USEFULNESS score, and video power index to evaluate both views and like rates. In addition, video source, upload date, views, comments, and likes and dislikes numbers were also recorded.
RESULTS: Results: In the study, 43.5% of the videos were uploaded by a physician, 55.7% of them had very low education quality, 74.8% had partially sufficient data about the video source, and 34.8% were evaluated as less useful. When video uploaders and scores were compared, there were significant differences between DISCERN (P =.024), JAMA (P =.015), global quality score (P <.001), USEFULNESS (P <.001) and it was found that the mean scores of the videos that uploaded by physicians were higher than other groups in all significant differences scores (P <.05).
DISCUSSION AND CONCLUSION: Conclusion: Videos about blood pressure measurement are generally of low quality and educational value. For this reason, it is extremely important for the videos accessed via YouTube and other social media tools to be audited by experts in the field in terms of accessing the right information from the right source.

INTRODUCTION: Objective: This study was carried out to determine the relationship between the perception of nursing care of hypertension patients and chronic disease and drug compliance.

METHODS: Methods: This study was conducted correlational, cross-sectional, and descriptive type. It was carried out with patients diagnosed with hypertension (n = 101) in an internal medicine ward between December 2019 and April 2020 in Training and Research Hospital affiliated to Provincial Health Directorate. Data were collected with personal information form, Adaptation to Chronic Illness Scale, Scale of Patient Perception of Hospital Experience with Nursing Care, and the Beliefs about Medication Compliance Scale.

RESULTS: Results: The mean age of patients was 62.40 ± 12.39 years, 69.3% were male and married, 81.2% of them were smoking and 70.3% of them were not doing exercises. There was a positive weak correlation between patients’ perception of nursing care and the physical adaptation subscale of the Adaptation to Chronic Illness Scale (r = −0.283; P =.004) and a negative weak correlation with the social adaptation subscale (r = −0.206; P =.039). In addition, there was a negative weak correlation (r = −0.320; P =.001) between the mean score of the patients’ perception of the nursing care scale and the mean score of the barriers sub-dimension of the beliefs regarding medication scale (r = −0.320; P =.001). The positive perception of the nursing care provided by the hypertension patients positively affects both their drug compliance and their adaptation to chronic disease (P >.05).
DISCUSSION AND CONCLUSION: Conclusion: It was determined that there was a relationship between the patients’ perception of nursing care and physical and social compliance. In addition, it was observed that there was a relationship between the perception of nursing care and barriers.

Objective: This article was written to describe the risk factors of delirium, the scales used in the diagnosis of delirium, and the interventions to prevent delirium in patients after open heart surgery.

Methods: The article is review.

Results: Delirium is an acute confusional state characterized by loss of orientation, impaired attention and memory. It is known that delirium occurs for many different reasons and is reversible. In a systematic review of delirium after cardiac surgery, the incidence of delirium
is between 3% and 70%. There are preoperative, intraoperative and postoperative risk factors that cause to emergence of delirium in open heart surgery. After open heart surgery, patients should be routinely diagnosed for delirium with a valid and reliable delirium assessment tool at every shift change in the intensive care unit. And in the intensive care unit, a relationship of trust should be established with patients, effective communication techniques should be used, environmental arrangements should be made for the orientation of the patients, such as the use of clock and calendar. In the early postoperative period, patients should be active with mobilization, patients should be evaluated for pain and convenient pain management should be applied when the patient has pain. It is also important that patients continue to sleep at night in that time.

Conclusion: It is recommended that these multi-component interventions should be implemented in the prevention of delirium.

Nursing theories and models provide a systematic basis for defining, planning, implementing, and evaluating care. It also creates a new framework for more holistic and individualized care. One of the models used to create the theoretical framework to base care on solid evidence is Lydia Hall's Care-Self-Treatment Model. Hall's model; Care (the patient's body) consists of three elements: core-core-center (core) and treatment (cure-disease affecting the body). In this case study, a 45-year-old patient with gastrointestinal bleeding who had a cardiac arrest during coronary angiography procedure and was followed up in the general intensive care unit after cardiopulmonary resuscitation is discussed. Nursing care was planned and applied with a holistic perspective, based on the Lydia Hall care ring. In the evaluation phase; The usability of the model in practice is shown.