REVIEW | |
1. | Cardiopulmonary Resuscitation in the Prone Position and the Role of the Nurse Berna Cafer Karalar, Serap Özer doi: 10.5543/khd.2023.48568 Pages 62 - 67 The importance of rapid and immediate cardiopulmonary resuscitation in saving the patient in cardiac arrest is an undeniable fact. Standard cardiopulmonary resuscitation is performed in the supine position. However, if the patient cannot be placed in the supine position, in cases such as acute respiratory failure syndrome, spinal surgery and spine surgery, cardiopulmonary resuscitation can be performed by placing in the prone position. In addition, the beneficial effects of prone position are shown in Covid-19 disease today, and when cardiac arrest is encountered in these patients, prone cardiopulmonary resuscitation may be preferred. Nurses are health professionals who are always active in patient care and generally diagnose and intervene in case of arrest. Nurses start cardiopulmonary resuscitation practices by taking all precautions for patients and implement interventions to prevent complications. In this review, it is aimed to explain the practices of cardiopulmonary resuscitation in |
RESEARCH ARTICLE | |
2. | Clinical Reflections of the Basic Electrocardiography Course in Nursing Education: A Qualitative Study Selin Keskin Kızıltepe, Aslı Kurtgöz, Hülya Keskin doi: 10.5543/khd.2022.81994 Pages 68 - 75 Objective: This study was conducted to examine how the basic electrocardiography course given in nursing education is reflected in clinical practice. Methods: This study was carried out with 21 senior nursing students who took electrocardiography course and then went into clinical practice. The clinical experiences of the students regarding electrocardiography recording, interpretation, and monitored patient follow-up were examined using the individual in-depth interview. Data analysis was done using the thematic analysis method. Results: Six of the students participating in the study were male and 15 were female, and their ages ranged from 22 to 27. As a result of the interviews, 3 themes and 9 sub-themes were obtained: “First electrocardiography shooting experience,” “Contribution of the experience of taking electrocardiography course,” and “Suggestions about electrocardiography course.” Conclusions: In this study, it was concluded that the electrocardiography course given to the senior nursing students affected the personal and professional development of the students positively and contributed to their better preparation for their future professional roles. |
3. | The Death Anxiety in Patients with Myocardial Infarction Mustafa Şafak, Mehtap Kızılkaya doi: 10.5543/khd.2023.50490 Pages 76 - 81 Objective: This study was conducted to determine the death anxiety levels of patients with myocardial infarction and the factors affecting it. Methods: In the study, 295 patients were included in the sample group. Data were collected with the “Socio-demographic Information Form” and “Death Anxiety Scale”. In the analysis of the data, number, percentage, mean, standard deviation, Mann–Whitney U, Kruskall–Wallis, Tukey, and t test were used. Results: The mean age of the patients participating in the study was 59.99 ± 13.49 years, 69.2% were male, 89.5% were married, and 36.3% had more than 4 children. The mean score on the Death Anxiety Scale of the patients was 6.25 ± 2.54. It was found that there was a statistically negative correlation between the scale mean scores and the variables of age, female gender, illiteracy and not working in any job. Conclusion: It was determined that the death anxiety scale mean scores of the patients were moderate. It is recommended to give information about all the procedures to be done and to approach the patient with death anxiety. |
4. | Knowledge and Attitudes About Acute Coronary Syndrome Among Older Patients: A Cross-Sectional Study Arzu Akbaba, Imatullah Akyar doi: 10.5543/khd.2023.03274 Pages 82 - 88 Objective: Prehospital delay in seeking emergency care contributes to mortality associated with older patients with acute coronary syndrome. It is often linked with patients’ knowledge and awareness of acute coronary syndrome symptoms. The study aims to assess knowledge and attitude about acute coronary syndrome symptoms among older acute coronary syndrome survivors. Methods: A descriptive, cross-sectional survey design was used. The study sample consisted of 117 older adults admitted to the cardiology inpatient and coronary intensive care unit for acute coronary syndrome. Data were collected with the Acute Coronary Syndrome Response Index. According to the Acute Coronary Syndrome Response Index subscales, the Mann– Whitney and Kruskal–Wallis tests were used to analyze the data. Results: Participants’ knowledge score was 14.7 ± 2.10, and the attitude score was 12.0 ± 3.28. More than half of the participants (61%) were over 70% true of the cut-off for knowledge score. Most participants (>85%) recognized typical symptoms of acute myocardial infarction (nausea/vomiting and neck pain), and more than half (<65%) recognized atypical symptoms (heartburn and dizziness). Participants were not at all or a little sure about “recognition of the signs and symptoms of a heart attack in themselves (52.2%) & in others and distinguish them from other diseases (≥65%).” Conclusion: Older patients presented moderate knowledge about symptoms, inadequate knowledge of atypical symptoms, and negative attitudes toward signs. Insufficient knowledge and negative attitudes toward acute coronary syndrome may cause prehospital delays for older patients. To minimize delays in seeking emergency treatment, education programs should target specific demographic groups in older populations with insufficient knowledge of acute coronary syndrome symptoms, which are more likely to experience atypical symptoms. |
5. | The Relationship Between Sleep Quality, Coronavirus Anxiety, and Stress in Individuals with Heart Failure Emine İlaslan, Zeynep Özer doi: 10.5543/khd.2023.00377 Pages 89 - 94 Objective: Sleep quality and stress are among the factors affecting daily life in patients with heart failure. This research was carried out to determine the relationship between sleep quality, stress, and coronovirus anxiety in patients with heart failure. Methods: This study was carried out with 272 patients who were treated with the diagnosis of heart failure and participated in the study voluntarily in the Cardiology Clinic of a university hospital. Data were collected with an evaluation form consisting of “Patient Descriptive Information Form,” “Pittsburgh Sleep Quality Index,” and “Coronavirus Anxiety Scale Short Form.” Results: According to the results of the analysis of the participants, Pittsburgh Sleep Quality Index total score average was 7.38 ± 3.22, Perceived Stress Scale total score average was 9.48 ± 3.20, and Coronavirus Anxiety Scale total score average was 2.38 ± 3.02. It was determined that there was no relationship between the mean score of the Coronavirus Anxiety Scale and the mean score of the Perceived Stress Scale total and sub-dimensions (P >.05). No significant correlation was found between the Pittsburgh Sleep Quality Index mean scores of the patients and the Coronavirus Anxiety Scale mean scores (P >.05). A moderately positive correlation was determined between the Pittsburgh Sleep Quality Index mean score and the Perceived Stress Scale mean score (P <.001). Conclusion: In our study, in which we examined the relationship between sleep quality, coronovirus anxiety, and stress in individuals with HF, it was concluded that there was no relationship between coronovirus anxiety and sleep quality, and daily perceived stress negatively affected sleep quality. |
6. | Psychometric Properties of the Turkish Version of Hypertension Self-Care Profile Öznur Adadıoğlu, Ahmet Seven, Esin Danç doi: 10.5543/khd.2023.47450 Pages 95 - 102 Objective: The aim of this study was to determine the psychometric properties of the Turkish version of the Hypertension Self-Care Profile. Methods: This methodological study was conducted with a total of 300 patients with hypertension who visited the internal medicine outpatient clinic of a hospital. The validity of the Hypertension Self-Care Profile was determined with language validity, content validity, and construct validity. The Cronbach’s alpha, item-total score correlations, and test–retest were used in the evaluation of reliability. Results: Item-total correlations ranged from 0.37 to 0.58 for Behavior, 0.64 to 0.83 for Motivation, and 0.28 to 0.61 for Self-Efficacy scales. The Cronbach’s alpha coefficient was 0.81, 0.94, and 0.80 for Behavior, Motivation, and Self-Efficacy scales, respectively. The test–retest reliability was between 0.96 and 0.99. Conclusion: The Turkish Version of Hypertension Self-Care Profile concluded that the scale is a valid and reliable tool and can be used to determine the self-care of patients with hypertension. |
CASE REPORT | |
7. | Importance of Cardiac Biomarkers and Nursing Approaches in Non-ST-Segment Elevation Miyocardial Infarction Case: Case Report Öznur Kavaklı, Nimet Sena Kaya doi: 10.5543/khd.2023.52296 Pages 103 - 107 Cardiac enzymes are enzymes that are specific to the heart and indicate myocardial damage. Blood levels are important in the diagnosis and treatment process of coronary artery diseases. Cardiac biomarkers indicate the presence of myocardial damage in patients diagnosed with acute myocardial infarction. Compared to ST-segment elevation myocardial infarction, cardiac biomarkers are more important in non-ST-segment elevation myocardial infarction cases. Nurses working in emergency and coronary intensive care units should have knowledge about cardiac enzymes and be able to interpret cardiac enzymes. It is important in terms of giving an idea about the stage of myocardial infarction and giving holistic care. A 55-year-old female patient applied to the emergency department with chest pain and was admitted to the coronary intensive care unit with the diagnosis of non-segment elevation myocardial infarction. In the case, information was given about the follow-up of cardiac enzymes, patient follow-up, and nursing approaches. |
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