EDITORIAL | |
1. | Editorial Nuray Enç Page 1 Abstract | |
REVIEW | |
2. | Myocardial Infarction and Sexual Dysfunction Nurten Vicdan, Zeynep Canlı Özer doi: 10.5543/khd.2011.001 Pages 2 - 6 Sexual activity is a crucial part of life quality and a troublesome situation for cardiac patients. Cardiac patients keep away from sexual activity because of the prejudice that sexual activity leads undesirable incidents like myocardial infarction. This misconception reduces the life quality of a cardiac patient. In United States annual myocardial infarction risk of a 50-year-old person 1%, sexual activity increases this percentage at the rate of %0.01. The incidence of myocardial infarction is %10 for a person who is a cardiac patient and has a high risk of myocardial infarction and sexual activity increases this percentage at the rate of %0.01. Training and consulting services provided prior to discharge have a great role in experiencing a satisfactory sexual relationship after myocardial infarction in a recommended period and a proposed way. However, with many studies, it has been proven that health personnels don’t provide sex education and counseling services because of embarrassment, social tabu, ignorance, and the belief that they don’t have enough information for counseling. It has been also proven that patients avoid asking questions about this subject because of embarrassment, hesitation and social tabu. The first thing to do must be removing the patients concerns by talking to them. Then the patient and his wife should be taken into an extensive cardiac and sex rehabilitation program including exercise, diet, quitting smoking, losing weight and counseling subjects concerning sexual life. Sexual rehabilitation programs involves elements like re-initiation of sexual activity, observation of the side effects of drugs used in the treatment, informing the couples, removing the concerns, observation of complaints of patients. |
3. | An Important Feature Intensive Care Nurses: Critical Thinking Nurten Vicdan, Zeynep Özer doi: 10.5543/khd.2011.002 Pages 7 - 11 Critical thinking is an active and organized mental process which aims to be able to understand both ourselves and the events that occur around of us by being conscious of our own thinking processes, considering others’ thinking processes and applying what we have learned. Critical thinking also shows that there is a basis for what that person knows, he has the ability to analyze the evidences and evaluate them. People use their thinking processes consciously to reach their aims, make sense of information and events and know the people they meet much better. Intensive care nurses, as a member of that profession who determines the changes emerging in the patient’s status first and needs to make a decision quickly within the team in the case of emergency, is reported to meet complicated and unexpected problems more often. The complexity of the services provided in different fields, the increase in the evidence-based applications, multidimensional care including technological knowledge and application force the nurses to be flexible and think critically. Critical thinking makes intensive care nurses become skilful at meeting the needs of the patients under all circumstances, finding alternative ways leading to much higher-grade results, applying by evaluating the task given, understanding, examining, thinking consciously. For this reason, critical thinking is known to be crucial for intensive care nurses who have to think most of the time more than one option together and make decisions quickly. This literature research is prepared to emphasize the reason why critical thinking is necessary for intensive care nurses. |
RESEARCH ARTICLE | |
4. | Educational Needs of Patients with Warfarin Sevda Mercan, Nuray Enç doi: 10.5543/khd.2011.003 Pages 12 - 17 OBJECTIVE: This study has been conducted to establish the educational needs of patients with cardiovascular diseases who were on warfarin treatment. METHODS: One hundred and fourteen patients (82 female, 32 male) with cardiovascular disease, treated in cardiology inpatient and outpatient clinics, were enrolled in this study. Patients were asked to complete a questionnaire with face-to-face interview method. RESULTS: 38,6% of the patients were 60 years-old or above. The mean age was 56.17. 41,2% of the patients had been on warfarin for more than 11 years. 77,2% of the patients had never received educational information on the use of warfarin and 76,9% of those who have received education, were educated by their physicians. 62,3% of the patients stated that they would use warfarin lifelong. 51,8% of the patients had other medical problems besides the cardiac disease which necessitated the use of warfarin. 73,7% of the patients were using at least one or more medicine regularly. CONCLUSION: It was seen that patients needed education regarding warfarin dosing, drug-drug and food-drug interactions, warfarin adverse effects, important issues to be careful about in everyday life activities while on warfarin treatment and emergent medical condition that might be caused by warfarin use. |
5. | Coronary Heart Disease Risk Factors in the Determination of Nursing Students Sıdıka Oğuz, Kerime Cesur, Sema Koç doi: 10.5543/khd.2011.004 Pages 18 - 21 OBJECTIVE: This study was designed to determine risk factors for coronary heart disease in nursing students. METHODS: This descriptive research, the university's nursing school in Istanbul in the 2009-2010 academic year nursing and health sciences faculty, convened in February. With CHD risk factors were collected with a questionnaire consisting of 26 questions. With SPSS 10.0 program, identifying features points, average and percentage, non-parametric values were evaluated with chi-square test. RESULTS: The mean age and bady max index of the participants was 20.91±2.09 and 21.57±3.33. Of them, 81% were girl and 19% were men.53.6% of the participants families of them hypertension, 30.1% were coronary heart disease (CHD). More of the girls knew the value of cholesterol (p=.005), more fish (p=.03) and fruit and vegetable consumption (p=.002), while male students consumed more red meat (p=.02) were determined. Girl students' stress levels were higher (p=.008). CONCLUSION: Nursing students were examined risk factors for CHD, the vast majority of hypertension in the family, female students than male students were more stressful and more nutrition. |
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