EDITORIAL | |
1. | Editorial Nuray Enç Page I |
REVIEW | |
2. | Nursing Care and Education of Pulmonary Arterial Hypertension Patients Receiving Continuous Intravenous Prostacyclin Treatment Dilek Sezgin, Hatice Mert doi: 10.5543/khd.2019.74745 Pages 89 - 95 Pulmonary hypertension is a disease characterized by elevated pulmonary artery pressure, resulting in right heart failure and death. The symptoms experienced by the patients can significantly effect their daily life activities and quality of life. Treatment options that have increased in recent years have positive effects on patient outcomes. Continuous intravenous prostacyclin is the treatment of choice for advanced pulmonary arterial hypertension (PAH) and provides long-term clinical benefit and improves survival. Continuous intravenous prostacyclin treatment is complex. Management of the treatment process is critical, the sudden increase in dose and interruptions can be fatal. For this reason, nurses should educate and monitor the patients and caregivers. When PAH patients are hospitalized due to a different disease at hospitals and outside PAH centers, nurses working in these units may face prostacyclin treatments and have difficulty in managing the treatment. The aim of this article is to guide to the nurses who have a very important role in the management of patients receiving continuous intravenous prostacyclin treatment (epoprostenol) to provide care, follow-up, training and counseling services to the patients during the treatment process. |
3. | Nurses Role and Responsibilities on Management of Antiembolism Stockings: Antiembolism Stocking Care Protocol Elif Akyüz, Zahide Tunçbilek doi: 10.5543/khd.2019.68077 Pages 96 - 104 One of the most frequently used, easy-to-use and cost-effective methods of mechanical protection for deep vein thrombosis prevention is antiembolism stockings. In order for stockings to be effective, it is important for the individual to select the appropriate size of socks, to wear it with the correct method, to care, to evaluate and to inform the patient. However, many application errors are made in the clinical environment for the use of stockings. Studies conducted in the last decade have specifically addressed the misuse of stockings, wrong body selection and negative patient outcomes. Nurses are the key health professionals in the care of the patients suffering from stockings. When a physician is asked to wear a antiembolism stocking, the nurses are responsible for assessing whether the patient is suitable for wearing the stockings, determining the body size, putting on the stockings, and ensuring proper use. In the literature, nurses don’t have any special training in the use and care of antiembolism stockings, so they have problems with body selection, lack sufficient knowledge about their roles and responsibilities, they are doing wrong, and the results of negative patients are mentioned. In this review, protocol steps will be introduced for nurses, including initiatives for correct and effective use of antiembolism stockings. |
RESEARCH ARTICLE | |
4. | Self Care Agency and Fatigue in Patients with Chronic Heart Failure Nuray Ermiş, Kadriye Sayın Kasar, Emine Karaman, Yasemin Yildirim doi: 10.5543/khd.2019.30164 Pages 105 - 112 Objective: To investigate the effect of fatigue on self-care agency in chronic heart failure patients. Methods: The sample of this study, which is composed of descriptive type; between February and June 2017 this university hospital was admitted to cardiology and was hospitalized, 18 years and over, at least 6 months before she had been diagnosed with chronic heart failure, physical and cognitive health levels are appropriate for responding to the forms to be applied in the research and 130 patients with heart failure who agreed to participate in the study. The data of the study were collected by the researchers using face-to-face interview technique, "Individual Identification Form", "Self-care Agency Scale" and "Fatigue Severity Scale". In order for the work to be carried out, written consent was obtained from the ethics committee and the institution to which the work was made, and verbal consent was obtained from the patients. Data were analyzed using frequency, percentage, mean, Mann-Whitney U and Kruskal-Wallis tests. Results: The average age of the 130 individuals participating in the survey is 58.74 ± 17.46, 60% are male and 89.2% are married. Approximately half of the individuals (47.7%) are in the slightly limitation class of (classII) and 64.6% are overweight and obese. Individuals with chronic heart failure self-care agency of scale total scores averaged 106.03 ± 16.51 fatigue severity scale total score was 5.6 ± 1.38. Individuals' there is a significant difference between total score of self-care and treatment, NYHA classification, left and right ventricular ejection fraction (p<0.05). In addition, with the total score of fatigue severity scale age, left and right ventricular ejection fraction were statistically significant (p <0.05). There was no statistically significant relationship between total score of self-care agency and total fatigue severity score of individuals with chronic heart failure (p>0.05). Conclusion: It is seen that the fatigue severity of individuals with chronic heart failure is not affected by self-care agency. |
5. | Determining the Experiences of the Patients who were being Treated in Intensive Care Unit Işılay Dinlegör Sekmen, Serap Ünsar doi: 10.5543/khd.2019.20982 Pages 113 - 119 Objective: The current study was planned to examine the factors affecting intensive care experience of patients who were being treated in intensive care unit. Methods: The study was run with total 107 patients who was choosen in the way of random sampling and got inpatient treatment in the city of Edirne's university hospital Cardiology Intensive Care Unit. Data of the study were obtained by intensive care experience scale. On the analyses of data were used in the program SPSS 19.0, percentage, average, Mann Whitney U test, the technique of Kruskall-Wallis H test. Results: It was found that the average age of the intensive care patients 62.07±11.4. It was determined that intensive care experience scale total point average of patients were 67.0±8.56 (min-max: 38.0-80.0). It was determined that intensive care experiences of male patients more positive to females, intensive care experiences of patients who 61 years and older more positive to 60 years and lower age, intensive care experiences of single patients more positive to married patients (p<0.05). It was found that intensive care experience scale point average of the patients who stayed in intensive care between 1–5 days were more positive to the ones who stayed 6 days and more. It was determined that patients in the diagnosis of interventional cardiology group intensive care experiences point averages more positive to another disease diagnosis group (p<0.05). Conclusion: In the direction of this results negative experiences of during the admission to intensive care to decrease, considering the features which related to disease (diagnose, duration of stayed in intensivecareetc.) and personal (age, genderetc.), it was thought that planning and performing nursing care will contribute the level of recovery of intensive care patients. |
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