| RESEARCH ARTICLE | |
| 1. | The Spirituality and Anxiety Levels of Patients in the Cardiology Intensive Care Unit: How Important is This? Ayşe Soylu, Dilek Soylu, Medet Korkmaz, İbrahim Caner Dikici, Ekrem Aksu doi: 10.5543/khd.2024.59489 Pages 57 - 63 Objective: Anxiety, as a cause of sudden cardiac death, is one of the significant concerns in cardiology. Anxiety can be managed through mental well-being. Therefore, this study aims to determine the effect of mental well-being on anxiety. Method: A total of 211 patients in the cardiology intensive care unit were included in this descriptive study. For data collection, the Functional Assessment of Chronic Illness Therapy–Spiritual Well-Being 12-item scale and the State Anxiety Scale were used. Data were collected face-to-face using a questionnaire. SPSS 25 was used for analysis. Descriptive statistics, along with parametric and non-parametric tests, were employed to compare individual characteristics and scale scores. Pearson correlation analysis was used to assess the relationship between the scales. Results: Patients in the cardiology intensive care unit had moderate spiritual well-being (30.27±5.80) and moderate anxiety (40.32±4.49). A weak positive correlation was found between spiritual well-being and anxiety (r=0.143, p<0.05). Conclusion: It is recommended that the spiritual care needs of patients be addressed in order to reduce their anxiety. |
| 2. | Early Mobilization and Affecting Factors After Open Heart Surgery: A Cross-Sectional Descriptive Study Sultan Özkan, Ezgi Arslan, Zehra Balcık doi: 10.5543/khd.2025.82687 Pages 64 - 71 Objective: This cross-sectional study was conducted to examine the mobilization process of patients undergoing open heart surgery following admission to the intensive care unit, as well as the factors influencing this process. Method: The study included 75 patients. Data were collected using a form consisting of three sections: the first with 24 questions on the patients’ sociodemographic and clinical characteristics; the second covering hemodynamic parameters before and after mobilization; and the third utilizing the Intensive Care Unit Mobilization Scale. The study was reported in accordance with the STROBE checklist. Results: Patients were found to stand for the first time during the postoperative period on the second to third day. Mobilization was initiated on the second postoperative day, typically as bedside stepping, with 61.3% of patients participating in this activity. There was a statistically significant difference between the type of mobilization and the presence of a drain. A relationship was observed between the mobilization process and variables such as body mass index, hemoglobin level, fatigue, and readiness for mobilization. Conclusion: The study determined that mobilization after open heart surgery occurred at a moderate level and was associated with variables specific to the patients’ clinical conditions. |
| 3. | The Relationship Between Postoperative Recover, Pain Level and Gratitude of Patients with Open Heart Operation Zehra Balcık, Sultan Özkan doi: 10.5543/khd.2025.81894 Pages 72 - 78 Objective: The aim of this study is to determine the relationship between preoperative gratitude and postoperative recovery and pain levels of patients who underwent open heart surgery. Method: This cross-sectional-analytical study was conducted with 86 patients in the cardiovascular surgery intensive care unit of a university hospital. In this study; data were collected with a survey form consisting of Descriptive Information Form, Gratitude Scale, Postoperative Recovery Index, McGill Pain Scale Short Form, and Postoperative Evaluation sections. Results: It was found that the Gratitude Scale and 0-2. days Postoperative Recovery Index sub-dimensions psychological symptoms, physical activities, general symptoms, desire and desire symptoms sub-dimensions and the total score were significantly and negatively correlated (<0.05). It was found that the Gratitude Scale and the Postoperative Recovery Index sub-dimensions between days 15-30, psychological symptoms, physical activities, desire and desire symptoms, and the total score were significantly and negatively correlated (p<0.05). It was found that the Gratitude Scale and the Mcgill Pain Scale Short Form at both the 24th and 48th hours were significantly and negatively correlated (p<0.05). Conclusion: As a result of the study, it was determined that as the feeling of gratitude increased, postoperative recovery increased and postoperative pain decreased. |
| 4. | The Relationship Between Heart Health Behaviors and Body Mass Index in School-Age Children Selverhan Yurttutan, Tuğba Çetiner, Saniye Nur Kurt, Emine Geçkil doi: 10.5543/khd.2025.16362 Pages 79 - 85 Objective: This study aimed to investigate the relationship between cardiac health behaviors and body mass index (BMI) in school-age children. Method: This descriptive study was conducted in six middle schools in Konya Province between April and June 2023. Data were collected using a Sociodemographic Data Collection Form, the Cardiovascular Health Behavior Scale for Children, and BMI calculations. Data analysis included frequencies, percentages, independent t-tests, one-way ANOVA, chi-square tests, and Pearson correlation. Results: The study sample consisted of 252 students, with an equal distribution of girls (n=126, 50%) and boys (n=126, 50%). Each school contributed 42 students, and 42.5% of the participants were in the sixth grade. BMI measurements showed that the highest proportion of students (44.4%) were underweight, while the lowest proportion (3.6%) were classified as obese. Additionally, 94% of the children demonstrated moderate cardiovascular health behaviors. Conclusion: It is essential for nurses to develop training programs and conduct scientific research aimed at promoting cardiovascular health behaviors in school-age children and maintaining their BMI within normal limits. |
| 5. | The Effect of Disease Perception on Diet and Medication Adherence in Individuals with Heart Failure Nurcan Taner, Özlem Bulantekin Düzalan doi: 10.5543/khd.2025.80388 Pages 86 - 96 Objective: This study was planned to determine the effect of illness perception on diet and medication adherence in individuals with heart failure. Method: This research was conducted with 202 patients undergoing treatment for hearth failure at a hospital in Çankırı, Türkiye. Data were collected between 01.04.2022-30.08.2022 with the Sociodemographic Data Form, Brief Illness Perception Scale and Beliefs about Compliance with Medication and Diet Scale. Results: The findings indicated a negative correlation between Beliefs about Medication Compliance Scale benefit scores and cognitive illness representation as well as illness perception scores. Conversely, a positive correlation was identified between Beliefs about Medication Compliance Scale barrier subscale scores and total illness perception scores. Notably, a significant negative correlation emerged between Beliefs about Dietary Compliance Scale benefit subscale scores and illness perception scores (p<0.05). Cronbach's alpha values for the scales were found to be 0.81 for the Brief Illness Perception Scale, 0.77-0.65 for the Beliefs about Compliance with Medication, and 0.80-0.69 for the Beliefs about Compliance with Dietary Scale. Conclusion: In our study, it was found that as the illness perception increased in patients with heart failure, the perception of benefit of drug compliance and the perception of benefit of dietary compliance decreased. By increasing the perception of illness, which is negatively affected by the burden of heart failure, in a positive way with good nursing care and experience, diet and drug compliance can be utilised more effectively. |
| 6. | Evaluation of Patient Safety Culture in Cardiology Catheter Laboratories Uğur Uğrak doi: 10.5543/khd.2025.29053 Pages 97 - 105 Objective: This study aims to assess the culture of patient safety among healthcare professionals working in cardiology catheterization laboratories. Additionally, it seeks to adapt the "Patient Safety Culture Scale in Ambulatory Surgery Centers" by Rockville et al.10 in 2015 into Turkish. Method: This descriptive study was conducted with 288 healthcare professionals from cardiology catheterization laboratories in Türkiye’s two largest cities. The sample was selected using equal probability sampling. The scale developed by Rockville et al.10 (2015) was used as the data collection tool. Data analysis was performed using SPSS version 29. Results: The mean score for the staffing, work pressure, and pace dimension among catheterization laboratory healthcare workers was 34.56 (±37.22), while the communication about patient information dimension scored 45.09 (±31.56). Physicians scored significantly higher on organizational learning–continuous improvement, with a mean score of 76.77 (±37.72), compared to other healthcare professionals (p<0.001). Technicians scored significantly lower on staffing, work pressure, and pace, with a mean score of 16.73 (±87.09), compared to other healthcare workers (p<0.001). All dimensions of the scale had Cronbach’s alpha values greater than 0.70. Conclusion: The patient safety culture among healthcare workers in catheterization laboratories was below the desired level, with a perceived high workload pressure. Physicians exhibited higher levels of continuous learning and development compared to other staff. The Turkish adaptation of the patient safety culture scale for ambulatory surgery centers demonstrated internal consistency and is suitable for evaluating patient safety culture in ambulatory surgical services. |
| 7. | Cardiovascular Intensive Care Nurses' Job Satisfaction and Attitudes Toward Teamwork Ayla Demirtaş, Tülay Başak, Burcu Okyay doi: 10.5543/khd.2025.82473 Pages 106 - 111 Objective: This research was conducted to determine the job satisfaction and attitudes toward teamwork among cardiovascular intensive care nurses. Method: A descriptive design was used in this study. The research was conducted with the participation of 138 nurses working in the cardiac intensive care unit of a public hospital. Data were collected using the “Demographic Data Form,” “The Job Satisfaction Scale,” and the “TeamSTEPPS® Teamwork Attitudes Questionnaire.” The SPSS 21.0 program was used for data analysis. The suitability of the data for normal distribution was assessed using the Kolmogorov-Smirnov test. The Mann-Whitney U test, Kruskal-Wallis test, Bonferroni-corrected Mann-Whitney U test, and Spearman's rank correlation coefficient (rho) analysis were applied. Results: The average total score on the Job Satisfaction Scale was 3.25±0.53, while the average total score on the Teamwork Attitudes Scale was 108.81±9.96. A statistically significant low correlation was found between the Job Satisfaction Scale and the scores on the Teamwork Attitudes Scale (r=0.269, p=0.01). Conclusion: Cardiovascular nurses were found to have high levels of job satisfaction and positive attitudes toward teamwork. Job satisfaction increased as positive attitudes toward teamwork improved. |
| 8. | “The Heart in the Shadow of Death”: A Qualitative Study on Death Anxiety in Individuals with Tachycardia Gamze Muz, Gülhan Küçük Öztürk, Fatma Buruntekin doi: 10.5543/khd.2025.52714 Pages 112 - 118 Objective: This phenomenological study aimed to explore the experiences of individuals with tachycardia regarding death anxiety. Method: A purposeful sampling method was employed, and 18 individuals who met the study criteria and agreed to participate were interviewed. Data were collected by the researchers through face-to-face interviews using a semi-structured interview form. This phenomenological study adhered to the Consolidated Criteria for Reporting Qualitative Research (COREQ) guidelines. Results: Two main themes—In the Shadow of Death and Truth of Death—and seven subthemes—Holistic Health, Body Signals, Shake, Vicious Cycle of Emotions, Social Isolation, Half-Human, and Dilemma—emerged from the analysis. Conclusion: The results highlight the need to support individuals with tachycardia in coping with death anxiety. Nurses should identify the psychological and social challenges faced by patients diagnosed with tachycardia and empower them to maintain their independence in daily activities. |
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