EDITORIAL | |
1. | Editorial Page 66 Abstract | |
REVIEW | |
2. | Right-Sided and Posterior Electrocardiograms: Why? How? Sibel Sevinç doi: 10.5543/khd.2016.26349 Pages 67 - 74 The ECG (Electrocardiograpy) is considered the single most important initial clinical test for diagnosing myo cardialis chemia and infarction. Its correct interpretation, particularly in the emergency department, is usually the basis for immediate therapeutic interventions and/or subsequent diagnostic tests. The ECG changes that occur in association with acute ischemia and infarction include peaking of the T waves, referred to as hyper acute T-wave changes, ST-segment eleva-tion and/or depression, changes in the QRS complex, and inverted T waves. Morover, Right-Sided and posterior ECGs may be useful in identifying STEMI of the right ventricle and/or posterior wall. The health workers should be informed on these issues. The purpose of this article is to provide information on the subject. |
3. | Importance of Exercise in Controlling Symptoms in Patients With Heart Failure Gül Kaya, Seyhan Çıtlık Sarıtaş doi: 10.5543/khd.2016.41736 Pages 75 - 87 Heart failure is a major health problem with increasing incidence that leads to poor prognosis. It is characterised by dyspnea, fatigue and exercise intolerance. Symptom control is important for effective management of the disease. Special exercise program for patients is known to have positive impacts on the symptom control. Exercise program improves symptoms. This paper aims to emphasize the importance of exercise in controlling symptoms in patients with heart failure. |
RESEARCH ARTICLE | |
4. | Evaluation of The Correlation Between Quality of Life and Psychosocial Adaptation in Elderly Patients with Heart Failure Birgül Vural Doğru, Ayfer Karadakovan doi: 10.5543/khd.2016.02886 Pages 88 - 104 INTRODUCTION: The objective of this study was to evaluate the correlation between quality of life and psychosocial adaptation in elderly patients with heart failure. METHODS: The subject group of the study consisted of 97 elderly patients, who applied to the cardiology clinic and outpatient clinic of a university hospital in Izmir due to heart failure between February 2012 and May 2012. “Introductory information form”, “Psychosocial Adjustment to Illness Scale-Self-Report (PAIS-SR)” and “Left Ventricular Dysfunction Questionnaire–LVD-36” were used as data collection tools. Data were analyzed with correlation, Mann-Whitney U test and Kruskal-Wallis Analysis of Variance. RESULTS: In evaluated elderly patients, the average total scores were 68.79±12.79 for PAIS-VR and 65.27±17.51 for LVD-36 questionnaire. A significant correlation between the psychosocial adaptation and quality of life was observed (p<0.05). Regarding the psychosocial adaptation, negative adaptation was encountered mostly in the family circle, extended patients; adaptation to family relations and psychological field. It was found out that the sexual field in male patients; adaptation to healthcare, family circle and extended family relation in patients with poor income were negatively affected (p<0.05). Additionally, it was also determined that business circle, family circle, social circle, psychological field and total psychosocial adaptation of patients with heart failure class III were poorer compared to patients with heart failure class II (p<0.05). Another finding was that the sexual and social fields were adversely affected in patients with 65-74 years of age (p<0.05). Furthermore, a relative impairment of quality of life in patients regarding the income status, heart failure class and daily administered amount of medication was also observed (p<0.05). DISCUSSION AND CONCLUSION: As several factors affect the psychosocial adaptation in patients with heart failure, we recommend the evaluation of the psychosocial adjustment of patients by the nurses and regarding the obtained results, the planning of appropriate approaches to improve quality of life and to increase the psychosocial adaptation care. |
5. | The Compliance Level of Treatment of Hypertensive Patients Adile Tümer, Media Subaşı Baybuğa, Feyza Dereli, Derya Demir Uysal doi: 10.5543/khd.2016.58077 Pages 105 - 113 INTRODUCTION: This descriptive study was carried out determination of medication adherence self-efficacy scale (MASES) in hypertensive patients and to assess affecting factors to patients. METHODS: This study was conducted with 287 hyper-tansive patients between from July 11 to August 17, 2012, at primary health center in Muğla. The data was collected using socio-demographic questions form and medication adherence self-efficacy scale (MASES) in hypertensive patients. RESULTS: The mean age of participants was 59.45±11.50, 54.4% female, 81.2% married, 54.7 Primary school, 25.5% have used cigarette, and the mean of duration of treatment 8.49±6.12, In addition 48.1% of sam-ple have chronic diseases. The mean score of participants related to medication adherence self-efficacy scale (MASES) were 64.67± 9,59. It was found that difference statistically significant not using cigarette with the mean score of medication adherence self-efficacy scale (MASES) of participants (p<0.05). DISCUSSION AND CONCLUSION: According to the finding of the study mean score of medication adherence self-efficacy scale (MASES) of participants was high level. |
6. | The relationship between healthy life style behaviors and hopelessness in patients with heart failure Gülsen Kılınç, Erman Yıldız, Funda Kavak doi: 10.5543/khd.2016.96158 Pages 114 - 126 INTRODUCTION: Healthy life style behaviors which is seen less frequently in physical illness cause hopelessness in patients. This study was conducted to determine the relationship between healthy life style behaviors and hopelessness in patient with heart failure. METHODS: The patient with heart failure at the Turgut Ozal Medicine Center was the population of the research. 251 patients were formed the sample which determined by the sampling formula from universe and volunteer. Data of the study obtained between October 2015- February 2016. The patients were evaluated with Information Form, Beck’s Hopelessness Scale and Healthy Living Style Behaviors Scale II. Percentage, average, variance analysis and independent samples t-test were used in evaluation of data. RESULTS: Total BHS score average of patients was 9.57±2.46 and total HLSB score was 130.43±24.73. It was determined negative side relationship between total BHS and HLSB scores. It was determined statistically significant difference between limitation of physical activity and BHS and HLSB total scores (p<0.05). DISCUSSION AND CONCLUSION: At the end of the study, it was determined negative relationship between BHS and HLSBS. The lack of healthy life style behavior of patients effects hopelessness negatively. The reduction of the level of hopelessness leads to deterioration in physical activity, spiritual development, inter relationship and stress management. |
CASE REPORT | |
7. | Nursing Care in Transcatheter Aortic Valve Implantation (TAVI) Patients: Case Report Sevda Türen, Rahime Atakoğlu doi: 10.5543/khd.2016.03521 Pages 127 - 135 Transcatheter Aortic Valve Implantation (TAVI) is a bioprosthetic aortic valve insertion procedure using catheter method in patients with symptomatic severe aortic stenosis without open heart surgery. Careful patient monitoring and a holistic approach increases the procedural success after TAVI. This could be possible with a systematic nursing care. In this case report, nursing care of a patient who underwent TAVI procedure was assessed in accordance with the Marjory Gordon's functional health patterns. |
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