EISSN 2149-4975
Turkish Journal of Cardiovascular Nursing - Turk J Card Nur: 15 (37)
Volume: 15  Issue: 37 - August 2024
RESEARCH ARTICLE
1. Investigation of the Effects of Self-Efficacy Levels on Recovery Status of Patients Who Undergoing Coronary Artery Bypass Graft Surgery
Fatma Çakır, Kevser Karacabay, Selda Karaveli Çakır
doi: 10.5543/khd.2024.46338  Pages 65 - 72
Objective: The aim of the study is to examine the effects of self-efficacy levels on recovery status of patients who underwent coronary artery bypass graft (CABG) surgery.

Methods: This descriptive and cross-sectional study was conducted with 150 patients between 01 December 2021 and 30 June 2022 in the cardiovascular surgery service of a training and research hospital in western Turkiye. The data of the study were collected using the Patient Information Form, the Barnason Effectiveness Expectation Scale (BEES), and the Postoperative Recovery Index (PORI).

Results: The mean age of the patients participating in the study was 62.01±9.16 years, and the length of hospital stay was 15.6±5.74 days. The mean Barnason Efficacy Expectation Scale total score of the patients was 42.09±6.18, and the mean Postoperative Recovery Index score was 68.00±10.46. It was determined that the patients’ self-efficacy levels were moderate, and there was a negative significant correlation between the Barnason efficacy expectation scale and the postoperative recovery index (r= -0.246; P=0.002).

Conclusion: As a result of this study, it was determined that patients with high self-efficacy levels had less difficulty in post-operative recovery. In this direction, it is recommended to evaluate the self-efficacy levels of patients in the preoperative period and to apply appropriate nursing interventions to increase their self-efficacy levels.

2. Development and Psychometric Analysis of Basic Life Support and Defibrillation Self-Efficacy Scale
Duygu Kes, Durdane Yılmaz Güven
doi: 10.5543/khd.2024.47135  Pages 73 - 78
Objective: It was aimed to examine the validity and reliability of the Basic Life Support and Defibrillation Self-Efficacy Scale.

Method: This methodological study was conducted with 251 nursing students. Exploratory and confirmatory factor analysis were used for construct validity; Cronbach’s alpha coefficient and item-total correlation were used for reliability analyses.

Results: Cronbach’s alpha coefficient of the scale was 0.880. Item total score correlations ranged between 0.409 and 0.718. In exploratory factor analysis, factor loadings ranged between 0.469 and 0.842. In confirmatory factor analysis, the was Goodness of Fit Index 0.931, the Comperative Fit Index was 0.946 and the Non-normed Fit Index was 0.914.

Conclusion: The Basic Life Support and Defibrillation Self-Efficacy Scale is a valid and reliable measurement tool.

3. Evaluation of Self Effectiveness and Health Literacy in Patients with Hypertension: A Case of Southeastern Anatolia
Gülsen Karataş, Ayla Yava, Nuran Tosun, Aynur Koyuncu
doi: 10.5543/khd.2024.98752  Pages 79 - 86
Objective: To evaluate self-efficacy and health literacy in hypertensive patients and to determine the relationship between them.

Methods: The descriptive, quantitative and cross-sectional study was conducted between December 2022 and May 2023. The population of the study consisted of patients diagnosed with hypertension who were followed and treated in Internal Medicine and Cardiology outpatient clinics in a State Hospital in a city in Southeastern Anatolia within one year. Data were collected using the Patient Descriptive Characteristics Form, Hypertension Self-Efficacy Scale and the Turkish Health Literacy Scale-32. Independent samples t-test, one-way analysis of variance (ANOVA) and Pearson correlation analysis were used in the analysis. For this study, the Cronbach’s alpha coefficient of the Hypertension Self-Efficacy Scale was 0.894 and the Cronbach’s alpha coefficient of the TSOY-32 scale was 0.837.

Results: The mean total score of the Hypertension Self-Efficacy Scale (X̄  =57.85 SD=4.14) and the mean total score of the Turkish Health Literacy Scale (X̄  =30.20 SD=6.16) were determined. A significant difference was found in the mean TSOY-32 scores of patients with university degrees, those living in the province, those with a diagnosis of 1-5 years and those with 1-2 daily medications (P < 0.05). A significant difference was found in the mean scores of Hypertension Self-efficacy in those with university education level and those with 6 or more daily medications (P < 0.05). There was a significant, positive and weak relationship between hypertension self-efficacy levels of hypertension patients and their health literacy levels (r: 0.244, P < 0.05).

Conclusion: The study showed that there was a relationship between self-efficacy and health literacy in hypertensive patients. It is thought that the study will contribute to the literature.

4. Investigation of the Relationship Between Learning Needs and Self-Care Levels in Individuals with Heart Failure
Sefa Karagöz, Kadriye Sayın Kasar
doi: 10.5543/khd.2024.64497  Pages 87 - 96
Objective: This study was conducted to investigate the relationship between learning needs and self-care levels in individuals with heart failure.

Methods: This descriptive and cross-sectional study was conducted with 180 individuals diagnosed with heart failure who were treated at the cardiology clinic of Kayseri City Hospital between January 20, 2023 and April 30, 2023. Research data were collected using the “Individual Identification Form”, “Nine Item European Heart Failure Self-Care Behaviour Scale (EHFScB Scale-9)” and “Heart Failure Patients’ Learning Needs Inventory (HFPLNI)”.

Results: It was found that 50.6% of the individuals participating in the study were between the ages of 42-65, more than half (53.3%) were male and the majority (70%) were married. It was found that the total mean score of the HFPLNI scale of the participants was 184.50±11.94, and the total mean score of the EHFScB Scale-9 was 18.78±4.58. Accordingly, it was determined that HFPLNI showed a statistically significant difference according to the variables of gender, dieting status, salt-free diet, avoiding salt and going to recommended health checks (P < 0.05). It was found that the total score of the participants’ EHFScB Scale-9 differed statistically according to the variables of dieting status, salt-free diet, avoiding salt, presence of a family member with a diagnosis of heart failure, living in the same house with a relative with heart failure, and going to recommended health check-ups. determined (P < 0.05). In the correlation analysis, it was determined that there was a moderate negative correlation between the total EHFScB Scale-9 and the total HFPLNI scale scores (r= -.450; P< 0.01).

Conclusion: Some sociodemographic and disease variables affect the learning needs and self-care levels of individuals with heart failure. In addition, it was concluded that as individuals’ learning needs increase, their self-care behaviors decrease. It is recommended that healthcare professionals determine the learning needs of individuals at risk and provide the necessary training.

5. Does Social Support Affect Self-Care Behavior in Patients with Heart Failure? A Descriptive Research
Esra Nur Güzel, Ayşegül Koç
doi: 10.5543/khd.2024.72473  Pages 97 - 103
Objective: This study was conducted to examine the effect of perceived social support on self-care behavior of patients with heart failure.

Methods: This descriptive study; It was conducted with 200 patients with heart failure hospitalized in the cardiology service of a university hospital between March and October 2022.The data of the study were collected using the “Demographic Data Form”, The European Heart Failure Self-Care Behavior Scale (EHFScBs) and the “Multidimensional Scale of Perceived Social Support (MSPSS). SPSS (Statistical Package for Social Science for Windows) 22.0 package program was used to evaluate the data.

Results: The mean age of the patients with heart failure who participated in the study was 64.97±11.56 years. 54% of the patients were over 65 years old, 53.5% were male, 65.5% were married, and 63% were primary/secondary school graduates. It was determined that the income of 62.5% of the patients was equal to the expenditure, 92% of them were not working and 84.5% of them lived in the urban area. The mean score of the perceived social support scale was found to be 49.53±11.75. The mean score of self-care behaviors was found to be 30.32±5.67.

Conclusions: In our study, it was concluded that as the perceived social support of patients with HF increased, their self-care behaviors also increased.

6. The Relationship Between Health Literacy, Disease Perception and Medication Adherence in Patients with Heart Failure
Gizem Ekenler, Büşra Altınel
doi: 10.5543/khd.2024.05668  Pages 104 - 109
Objective: This study investigated the relationship between health literacy levels, disease perception, and medication adherence in patients with heart failure.

Methods: This study adopted a descr iptiv e-corr elat ional research design. It was conducted between August 1, 2021, and March 30, 2022. The sample consisted of 165 patients treated at a university hospital for heart failure. Data were collected by the researcher using a Personal Information Form, the Health Literacy Scale (HLS), the Brief Illness Perception Scale (BIPS), the Medication Compliance Reporting Scale (MCRS), and a face-to-face survey method. Mann-Whitney U, Kruskal-Wallis, and Pearson Correlation analysis were used to analyze the data.

Results: Participants had a mean age of 61.40 ± 2.07 years. Most participants were married (90.3%). Over half of the participants were women (59.4%). Participants had a mean HLS score of 87.67 ± 18.59, a mean BIPS score of 43.76 ± 9.03, and a mean MCRS score of 22.84 ± 3.03. There was a moderate negative correlation between HLS and BIPS scores. There was a moderate positive correlation between HLS and MCRS scores (P < 0.01).

Conclusion: Participants had low health literacy levels, medication compliance, and disease perception. However, they had positive attitudes toward medication compliance and disease perception. It is recommended to plan experimental studies to increase the health literacy levels and awareness of patients with heart failure.

REVIEW
7. Discharge Training and Telephone Counseling Applied by Nurses to Coronary Artery Bypass Graft Patients: What Is It, Why Is It Important, What Are the Benefits?
Ufuk Kaya, Ümran Dal Yılmaz
doi: 10.5543/khd.2023.39206  Pages 110 - 114
Coronary artery bypass surgery is a complex and widely performed operation. After the operation, there are many problems that the patient may experience in the hospital and at home. In order to solve these problems, take precautions, and intervene quickly, discharge training and telephone counseling are of great importance. Thanks to discharge training and telephone counseling, the patient’s self-care power will increase, coping and adaptation will be easier, and he or she will experience a faster and more comfortable recovery period. The primary purpose of this review is to provide information about the discharge training and telephone counseling given to patients after coronary artery bypass graft surgery and to convey its

CASE REPORT
8. Care of a Patient with Planned Left Ventricular Assist Device According to Michel’s Theory of Uncertainty in Dısease: Case Report
Gamze Ataman Yıldız, Fatma Eti Aslan
doi: 10.5543/khd.2024.84429  Pages 115 - 120
Heart failure (HF) is a significant chronic disease that impacts patients in multiple ways. Although heart transplantation is known as the only treatment for HF, due to the limited number of donors, many patients cannot receive transplants in sufficient numbers, leading to the application of alternative treatments. As a result, the use of left ventricular assist devices (LVADs), which represent the most current treatment approach, is increasing. Poorly understood treatments can cause patients to experience uncertainty. How healthcare professionals approach the patient during the care process is crucial. Nurses’ use of theories and models during patient care enables them to deliver quality care. According to Merle Mishel’s Uncertainty in Illness theory, the goal is to define the uncertainties perceived by patients, facilitate coping, and ensure compliance with the disease. This is the first case report addressing this treatment using the Uncertainty in Illness theory. It is believed that this approach will be valuable in evaluating patients’ perceptions of uncertainty about the left ventricular assist device according to this theory.

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