Koroner Arter Hastalarının Sağlık Davranışlarının Geliştirilmesinde Hemşirenin Rolü

Kronik hastalıklar içerisinde önemli bir yere sahip olan kardiyovasküler hastalıklar, tüm dünyada ve ülkemizde en önemli morbidite ve mortalite nedenidir. Kardiyovasküler hastalıkların önlenmesi için birincil korunma ile risk faktörlerinin bulunduğu, fakat hastalık belirtilerinin tam olarak ortaya çıkmadığı bireylerde hastalığın oluşumunun önlenmesi amaçlanmaktadır. İkincil korumada ise amaç; koroner ve diğer aterosklerotik vasküler hastalık tanısı olan bireylerde hastalığın ilerlemesinin önlenmesidir. İkincil korunma alanında hemşire olgu yönetimi modelleri ile gerçekleştirilen randomize araştırmalarda; rutin bakıma kıyasla risk faktörlerinde, egzersiz toleransında, kan şekerinin kontrolünde, ilaçların uygun kullanımında belirgin iyileşme, kardiyak olaylarda ve mortalite oranlarında düşme, koroner ateroskleroz gelişme oranında azalma ve hastanın sağlık algısında düzelme saptanmıştır. Bu doğrultuda bu derlemede, koroner arter hastalarının sağ- lık davranışlarının geliştirilmesinde hemşire liderliğinde uygulanan etkin ikincil korunma programı önerilerine yer verilmiştir

Effectiveness of music therapy and emotional freedom technique on test anxiety in Turkish nursing students: A randomised controlled trial

Introduction: Test anxiety, one of the forms of situational anxiety, is a crucial biopsychological factor negatively affecting the wellbeing and academic performance of students throughout their education. The study aimed to determine the effects of music therapy and EFT (Emotional Freedom Technique) on situational anxiety and vital signs in nursing students before they took an OSCE (Objective Structured Clinical Exam). Methods: This study was conducted with 90 volunteer students. A computer-based random number generator was used to randomly assign the students into three groups (Music, EFT, and control), each group consisted of 30 students. Data was collected using a Student Identification Form, the Situational Anxiety Scale, and the Vital Signs Form. Results: Before the interventions, the mean anxiety scores of the students were similar. After the interventions, however, the mean anxiety scores of those in both experimental groups were significantly lower (p < .05). The difference between the mean vital signs of the groups was not statistically significant, except the pulse rate in the EFT and peripheral capillary oxygen saturation (SpO2) in the music group. Conclusions: According to the results of the study, both music therapy and EFT led to a decrease in the nursing students’ average scores before the OSCE, as measured by the Situational Anxiety Scale

Efficacy of Cartoon Viewing Devices During Phlebotomy in Children: A Randomized Controlled Trial

Purpose: The purpose of this study was to examine the efficacy of different cartoon viewing devices during phlebotomy in children

Emotional freedom techniques (EFT) to reduce exam anxiety in Turkish nursing students

Introduction: Nursing education involves among other things tracking the learning process. Many students experience anxiety prior to exams, and they try to cope with it. The purpose of this study was to determine the effects of Emotional Freedom Techniques (EFT) on the reduction of exam anxiety in nursing students in the Women's Health and Diseases Nursing course in Turkey. Methods: In this outcomes study, 80 s-year nursing students participated in three EFT sessions, each consisting of six two-minute parts. The study took an average of 46 min. Pre- and post-treatment measurements included: the socio-demographics of participants, the Beck Anxiety Inventory (BAI), the State-Trait Anxiety Inventory (STAI Tx-1, Tx-2), and the Subjective Units of Distress (SUD) scale. The SUD scale was used before and after sessions. Prior to and following the three sessions, the BAI and the STAI Tx 1 and 2 were administered. Results: EFT significantly reduced exam anxiety. Almost half of the students were using some method of coping with anxiety and the most common methods were listening to music and breathing exercises. However, the initial anxiety level was quite high. State and trait anxiety levels, as well as exam anxiety, decreased, statistically significant, after the EFT sessions. At the end of three sessions of EFT, more than half success was determined in the subjective exam anxiety level. Conclusions: This study showed that three EFT sessions administered in a group setting, reduced and helped them better cope with exam anxiety as well as other anxiety indicators in nursing students

The family life satisfaction and hopelessness in the relatives of the patients

Amaç: Bu çalışma hasta yakınlarının aile yaşam doyumu ve umutsuzluk düzeylerini incelemek amacı ile gerçekleştirilmiştir.Materyal ve Metot: Tanımlayıcı tipte olan çalışmaya; Kasım 2018- Mart 2019 tarihleri arasında İstanbul’da özel bir hastanede hastasına bakım veren 345 hasta yakını katılmıştır Veri toplamak amacıyla yapılandırılmış tanıtıcı özellikler veri formu, Aile Yaşam Doyumu Ölçeği (AYDÖ) ve Beck Umutsuzluk Ölçeği (BUÖ) kullanılmıştır.Bulgular: Hasta yakınlarının AYDÖ toplam puan ortalaması 138,52±22,49, BUÖ toplam puan ortalaması ise 7,10±4,40 olarak bulunmuştur. Refakat edilen hastanın tanılanma süresinin bir yıl ve üzeri olması (p&lt;0,001) ve yatış süresinin 51 günden uzun olması (p=0,007) hasta yakınlarının AYDÖ puan ortalamalarında istatistiksel olarak anlamlı azalma oluşturduğu belirlenmiştir. Ebeveyn olan hasta yakınlarının BUÖ puan ortalamaları, hastaların eşleri, kızları, oğulları ve diğer yakınlarına göre daha yüksek bulunmuştur (p&lt;0,001). Refakat edilen hastanın 0-17 ve yaş grubunda olması (p&lt;0,001) ve cerrahi hastalıklardan tedavi almasının (p=0,006) BUÖ puan ortalamasını istatistiksel olarak yüksek olduğu saptanmıştır. Hasta yakınlarının AYDÖ ve BUÖ puan ortalamaları arasında negatif yönde zayıf bir ilişki saptanmıştır (r=-0,387; p&lt;0,001).Sonuç: Hasta yakınlarının ailesi ile birlikte olduğunda ortalamanın üstünde bir aile yaşam doyumuna sahip olduğu ve umutsuzluk düzeylerinin ortalamanın altında olduğu görülmüştür. Hasta yakınlarının aile yaşam doyumları arttıkça umutsuzluk düzeylerinin azaldığı görülmektedir. Çalışma bulgularına göre öğrenim düzeyi ve gelir düzeyi düşük, tanılanma ve yatış süresi uzun, cerrahi hastalıklar nedeniyle tedavi alan ve özellikle 0-17 yaş grubundaki hastaların ebeveynlerine sosyal destek konusunda daha özen gösterilmesi gerektiği düşünülmektedir.Objective: This study was carried out to examine the level of family life satisfaction and hopelessness in the relatives of the patients.Materials and Methods: 344 relatives of the patients in one private hospital in Istanbul participated in this descriptive study between November 2018 and March 2019. Descriptive features data form, Family Life Satisfaction Scale (FLSS) and Beck Hopelessness Scale (BHS) were used to collect data. It was held between November 2018 and February 2019.Results: The FLLS average score of the relatives was found to be 138.52±22.49, and the total BHS average score was 7.10±4.40. It was determined that the length of the diagnosing period of a year or more (p&lt;0.001) as well as hospitalization longer than 51 days (p=0.007) result in a statistically significant difference in average scores in FLSS. The average score in the BHS of parents was found to be higher than that of spouses, daughters, sons, and other relatives (p&lt;0.001). A negative yet weak relationship between average scores in FLSS and BHS were determined in patient’s relatives (r=-0.387; p&lt;0.001).Conclusion: According to results, it can be said that the relatives had an above-average family life satisfaction when they were with their family and their level of hopelessness was below the average. It was determined that the levels of hopelessness decreased as the family life the satisfaction of the relatives of the patients increased. According to the findings of this study, it is thought that more care should be shown for social support for patients’ parents with low income and education levels whose children experience a long diagnosing and hospitalization period and are treated due to surgical conditions, especially if they are from the 0-17 age group