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Improving the outpatient management of patients with chronic heart failure (CHF) is an important challenge. The aim of this study was to determine the effects of education on self-care behaviour and quality of life in-patients with CHF.The research team consisted of a primary cardiologist and two specialised nurses.Forty-four patients who had CHF were included in the study. Of these patients 45.7% had coronary artery disease, 31.4% had rheumatic valve disease, and 22.9% had dilate cardiomyopathy.Baseline data of the patients were recorded. The team performed the education meetings and distributed educational handbooks.Following the provision of supportive education, the Health Promotion Model including the Multidimensional Health Locus of Control, the Health Promotion Life-Style Profile and Perceived Health Status were used to evaluate the patients' abilities. The Nottingham Health Profile Scale was used to assess the patients' quality of life and the Evaluation Form for Self-Care Behaviors of CHF was used to assess self-care behaviours of patients with CHF.Two patients died and seven patients left the study, leaving 35 participants. In the final visit, the quality of life score was significantly higher than the baseline (p = 0.001). Physical activity, energy, pain, sleep, social isolation and emotional reactions were evaluated by descriptive statistics. In the second visit, all parameters were significantly higher than baseline data except sleep and energy. There were significant differences between all baseline and final parameters (p = 0.05 for physicial activity, p = 0.015 for energy, p = 0.005 for pain, p = 0.022 for sleep, p = 0.001 for social isolation and p < 0.0001 for emotional reactions). When the heart failure-related self-care behaviours were evaluated, final scores were significantly higher than baseline (91.17, SD 8.63 and 101.53, SD 7.67; p < 0.0001). Diet (p < 0.0001), medication (p = 0.025), observing fluid intake-weight gain (p = 0.001) and activity-resting behaviours (p < 0.0001) were evaluated by descriptive statistics. In the second visit, all parameters were significantly higher than baseline data.It is concluded that systematic and planned education and support by the primary cardiologist and the specialist nurse led to an increase in-patients' self-care behaviour and improved quality of life. [ABSTRACT FROM AUTHOR]

AIM: To compare prothrombin time and activated partial thromboplastin time values in concurrent blood samples obtained by direct venipuncture and from a peripheral venous catheter. METHOD: Concurrent blood samples obtained from catheters and by direct venipuncture were studied. Venipuncture samples were labelled as the reference (control) group and the peripheral venous catheter samples as the experimental group. A 21-gauge needle was used in the venipuncture method and 18G, 20G, 22G catheters were used in the peripheral venous catheters method. In each case, after the blood samples were drawn by venipuncture and peripheral venous catheter the needles were drawn out, 1.8 ml of blood was added to 0.2 ml of citrate to give a 2 ml sample. The tube was shaken gently to mix the blood and citrate well. RESULTS: No clinically significant difference between prothrombin time and activated partial thromboplastin time values were seen in the blood samples drawn by venipuncture and peripheral venous catheter methods. DISCUSSION: It is recommended that peripheral venous catheter can be used for patients with high bleeding risk if they have a long hospital stay and frequent blood samples are needed. RELEVANCE TO CLINICAL PRACTICE: In clinical applications, nurses may prefer the use of peripheral venous catheter to venipuncture both for the comfort of the patients who get anticoagulation therapy and for the prevention of the risks as a result of venipuncture. Application of peripheral venous catheter eliminates the risks of superficial bleeding, irritation, pain and anxiety caused by venipuncture. [ABSTRACT FROM AUTHOR]

Background: Nitroglycerin (NTG)-induced headache is the most common side effect of nitrate therapy and negatively affects the quality of life., Aims: To assess the preventive and severity-reducing effect of cold compresses applied to the bilateral frontotemporal and occipital regions, where pain is most frequently experienced, for headache among individuals receiving intravenous NTG treatment., Study Design: This research used an observational, two-group, pretest-posttest design and was completed from October 2020 to May 2021 in the coronary intensive care unit of a state hospital located in the north of Turkey. The first group in the research had cold compresses applied for 20 min with the aid of an applicator at the start of NTG infusion, while the second group had the same implementation when headache developed during infusion., Results: Both groups were similar in terms of the demographic and clinical features of participants. In our study, more headache was observed in the group without local cold compresses at the start of infusion (53.3%) compared with the group with local cold compresses at the start of infusion (25.8%) (χ 2  = 4.841, p = .028). In both groups, the heart rate, systolic and diastolic blood pressure values of patients significantly approached normal values after cold compresses. Patients with local cold compresses applied when headache developed had significantly different visual analog scale scores before (5.75) and after (2.00) the cold compresses application (z = 3.558, p = .000)., Conclusion: At the beginning of the infusion, local cold compresses application may prevent NTG-induced headache in patients without headache, and local cold compresses applied when headache develops may reduce the severity of NTG-induced headache., Relevance to Clinical Practice: Application of cold compresses immediately when treatment begins is recommended as a simple and effective practice with no side effects for patients receiving NTG treatment., (© 2022 British Association of Critical Care Nurses.)

Aim: Childhood obesity has become a global public health crisis. This study aims to determine the prevalence of obesity and related factors in primary school students in Istanbul., Methods: This research was conducted between May 2015 and January 2018. A school was selected from each of the districts of Istanbul and research was conducted in 39 primary schools. The study was conducted with a total of 5620 students aged 8-12. The students' descriptive characteristics, eating habits, and activity levels were questioned using the Student Information Form. Subsequently, anthropometric measurements (height-weight) were performed for body mass index assessment., Results: The prevalence of childhood obesity was found to be 15.7%. This rate was 14.1% for female students and 17.3% for male students. Body mass index of students was related to durations of time spent on watching TV (r = .064, p < .05) and computer (r = .037, p < .05). In addition, the body mass index was differentiated by gender (p = .004); male students had a higher body mass index compared to female students, and body mass index was higher in those who skipped main meals (p = .001) and those who did not eat regular breakfast (p = .001)., Conclusion: The prevalence of obesity in children was found to be quite high. It may easily be stated that obesity prevalence is rapidly increasing in Turkey; therefore, it should be done through regular screening programs, and preventive interventions should be planned.

Background: Monitoring the dietary status of patients with heart failure (HF) and preventing malnutrition are of great importance in the prognosis of the disease., Objectives: The study was conducted to develop a measurement tool that determines the dietary behaviors of patients with HF., Methods: The draft scale consisting of 124 items designed by the researcher following with the literature was reduced to a draft scale consisting 49 items after the evaluation of clinical experts' and academicians' opinions. Exploratory Factor Analysis (EFA), Confirmatory Factor Analysis (CFA) and Cronbach's Alpha were employed in the analysis of the data., Results: According to the results, SDBHF was found to consist of 4 sub-scales and 19 items. The lowest score that could be obtained from the 19-item final form of the scale was 19, and the highest score was 76. Increased scores mean that patients with HFeat according to the recommendations of the guidelines, clinical experts and academicians. The Cronbach's alpha of the scale was found to be 0.72., Conclusion: Our newly developed SDBHF was shown to be a valid and reliable tool for determining the dietary behaviors of patients with HF. The SDBHF can be used to detect and manage dietary behaviors that shapes the quality of life and prognosis of patients with HF. The SDBHF can used as a single dimension scale rather than its sub-scales., Competing Interests: Declaration of interests The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Multicomponent-Non-PharmacologicalNursingInterventions (Multi-Non-PharmaNIs) are evidence-based recommendations for the prevention of delirium. Purpose of this randomized controlled trial was to compare the effects of Multi-Non-PharmaNIs on delirium. The Multi-Non-PharmaNIs included orientation strategies (playing audio recordings of a non-family/family member), reading a daily newspaper, andwearing an eye patch at night. The absence/presence of delirium was assessed two times a day for three consecutive days. The patients in Group1 were made to listen to the orientation messages recorded in a non-family member's voice (10 min), was read newspaper, and wore an eye patch at night. Group2 received the same interventions as Group1, only the orientation messages were recorded in a family member's voice. The control group received standard nursing-care. There was a significant difference between 3 groups. When Group1 and Group2 were compared with the control group, it was found that there was a significant difference between Group2 and control group (p<0.05). Multi-Non-PharmaNIs were found to reduce delirium in critically ill patients., Competing Interests: Declaration of Competing Interest The authors report no actual or potential conflict of interest., (Copyright © 2022 Elsevier Inc. All rights reserved.)

Aim: Wrong use of an inhaler arising from a lack of knowledge can negatively affect treatment management. Therefore, this study was performed with the aim of determining the effects on treatment management of inhaler training carried out under the leadership of a nurse in individuals with medium and advanced stage chronic obstructive pulmonary disease (COPD)., Methods: This was an experimentally designed pre-test post-test study with a control group. Participants were interviewed four times in 1 year. The experimental group performed inhaler training. A Patient Description and Follow-Up Form, an Inhaler Drug Use Skill Chart, the Morisky eight-item Medication Adherence Scale, the COPD Assessment Test, and the St. George Respiration Questionnaire were used to collect data. Data analysis was performed by SPSS, using nonparametric tests., Results: Although there was no significant difference between the groups, a reduction in hospital visits and admissions because of attacks was seen in the experimental group (p = .239, p = .492). It was found there was a greater increase in the correct use of the inhaler in the experimental group than in the control group, and that correct use of the handihaler increased significantly (p = .008). Also, the increases in adherence to treatment (p = .006) and quality of life (p = .010) in the experimental group were significantly different from the control group. In the control group, the annual decline in forced expiratory volume in 1 s increased significantly (p = .016)., Conclusions: It was seen that long-term inhaler training given by nurses at regular intervals made a significant contribution to treatment management., (© 2020 Japan Academy of Nursing Science.)

Background: Heart failure (HF) is associated with poor quality of life and increased morbidity and mortality., Aim: This study aimed to investigate effect of application of Gordon's functional health pattern (FHP) model in nursing care of symptomatic HF patients on quality of life, morbidity and mortality in the post-discharge 30-day., Methods: This is a prospective randomized controlled study conducted in a single center. Experimental group received nursing care planned in accordance with Gordon's FHP model. 60 control and 60 experimental HF patients were included in the study. In the control group nursing care was given according to the standard protocol of the hospital whereas in the experimental group nursing care was given in accordance with Gordon's FHP model. Patients in both groups were followed up after discharge at 30th day., Results: Mean Minnesota Living with Heart Failure Questionnaire score improved significantly in the experimental group compared to the control group at 30th day (40.2 ± 23.5 vs 62.3 ± 22.9 respectively, p = 0.001). Seven patients (11.7%) in the experimental group and 17 patients (28.3%) in the control group were readmitted in the post discharge 30-day (p = 0.02). Kaplan-Meier survival curve analysis revealed significant difference in 30-day event free survival rates between groups (log-rank p = 0.31)., Conclusion: Application of Gordon's FHP model in the nursing care of HF patients was associated with significantly improved quality of life, and reduced hospital readmission rates at 30th day. This was the only independent predictor of 30-day event free survival., Competing Interests: Declaration of competing interest No conflict of interest exists., (Copyright © 2020 Elsevier Inc. All rights reserved.)

Background: Nutritional deficiency is a critical factor in the development and prognosis of heart failure. An optimal diet should be ensured and maintained to manage the symptoms of heart failure., Purpose: This study assessed the dietary habits of patients with chronic heart failure using diet quality indices with the goal of determining their nutritional status., Methods: Forty-four female patients and 56 male patients (mean age: 66 ± 11.38 years) who had been admitted to the cardiology clinics of a university hospital in Istanbul between March 2012 and August 2014 were included in this study., Results: In terms of body mass index, 34% of the participants were normal weight, 37% were overweight, and 21% were obese. Furthermore, this study found the mean daily total energy intake to be inadequate and the total mean score of the Healthy Eating Index to be 74.6 ± 9.32. The diet quality of most participants fell into the "needs improvement" category., Conclusions: This study used the Healthy Eating Index, a measure developed to assess diet quality, to assess the food consumption patterns of patients with chronic heart failure. The findings support using this index before providing diet recommendations to patients.

Aging is a process that has biological, physiological, psychological, sociological and chronological dimensions and can be defined from different directions. The incidence of cardiovascular diseases such as hypertension, coronary heart disease, heart failure, dysrhythmia and heart valve diseases is increasing with age. Cardiovascular diseases are the most common cause of death in people over 65 years of age. It also causes serious health problems and poses a significant burden on the health care system. Nurses have important responsibilities in the care of the elderly patients with cardiovascular system disease. Appropriate nursing care for elderly patient provides positive contributions to patient care outcomes.

The International Committee of Medical Journal Editors (ICMJE) provides recommendations to improve the editorial standards and scientific quality of biomedical journals. These recommendations range from uniform technical requirements to more complex and elusive editorial issues including ethical aspects of the scientific process. Recently, registration of clinical trials, conflicts of interest disclosure, and new criteria for authorship -emphasizing the importance of responsibility and accountability-, have been proposed. Last year, a new editorial initiative to foster sharing of clinical trial data was launched. This review discusses this novel initiative with the aim of increasing awareness among readers, investigators, authors and editors belonging to the Editors´ Network of the European Society of Cardiology.

Background: No instruments specifically evaluating the self-care agency of patients on dialysis have been developed before. This methodological study aimed to develop a Self-Care Agency Scale for patients on long-term dialysis and to test the scale's psychometric properties., Design and Measurement: This cross-sectional methodological design study comprised 175 haemodialysis and 125 peritoneal dialysis patients receiving treatment at five different medical centres in Istanbul. The Self-Care Agency Scale items were generated after reviewing the literature and considering Orem's self-care model. Content validity was tested on the basis of the views of experts, and a pilot study was conducted. The construct validity and reliability of the Self-Care Agency Scale were tested., Results: The final version of the scale was administered to 300 patients. Intraclass correlation coefficients showed stability of subscales. An exploratory factor analysis was performed. Cronbach's alpha coefficients were acceptable across all groups, as were item-total correlations., Conclusion: The Self-Care Agency Scale is a valid and reliable instrument for patients on long-term dialysis., (© 2014 European Dialysis and Transplant Nurses Association/European Renal Care Association.)

Turkey is the fifth country in Europe with regard to the number of patients receiving haemodialysis (HD). However, only a limited number of studies have comparatively investigated the factors that affect quality of life in haemodialysis and peritoneal dialysis (PD) patients in Turkey. The purpose of the study was to investigate the factors that affect quality of life in haemodialysis and peritoneal dialysis patients, as well as providing a comparison of quality of life between these groups. In this cross-sectional study, Quality of Life Scale and a data form was completed by 300 dialysis patients who received treatment at five hospital-based dialysis units in Istanbul, Turkey. The data were evaluated using arithmetic mean values, standard deviations, minimums, maximums, percentages, independent groups t-tests, Spearman correlation analyses and one-way variance analyses. The quality of life values in peritoneal dialysis patients were found to be higher than those of haemodialysis patients (P < 0.05). It was concluded that the quality of life in chronic dialysis patients was affected by various factors., (© 2013 Wiley Publishing Asia Pty Ltd.)

Objectives: We evaluated the validity and reliability of the Turkish versions of the Beliefs about Medication Compliance Scale (BMCS), Beliefs about Dietary Compliance Scale (BDCS), and Beliefs about Self-Monitoring Scale (BSMS) for patients with chronic heart failure (CHF)., Study Design: After language and content validity studies, the Turkish versions of the three scales were administered to 80 patients (47 men, 33 women; mean age 59.3±12.5 years; range 24 to 79 years) with CHF. Internal consistency of the scales was assessed using the Cronbach's alpha coefficient. Test-retest reliability was assessed using the interclass correlation coefficient measured from two consecutive interviews interspersed by 15 days., Results: There were no significant differences between the two interviews with respect to the total scores of the benefit and barrier subscales of each scale (p>0.05). Cronbach alpha coefficients of the benefit and barrier subscales at the first interview were 0.74 and 0.59 for the BMCS, 0.71 and 0.58 for the BDCS, and 0.77 and 0.68 for the BSMS, respectively. Interclass correlation coefficients for test-retest reliability for the benefit and barrier subscales were as follows: 0.90 and 0.91 for the BMCS, 0.86 and 0.86 for the BDCS, and 0.90 and 0.93 for the BSMS, respectively., Conclusion: Our findings suggest that all three scales have high validity and reliability and can be used as valid and reliable instruments in Turkish patients with CHF.

Objectives: It is well known that myocardial infarction (MI) adversely affects health-related quality of life. This study was designed to investigate the validity and reliability of the Turkish adaptation of the Myocardial Infarction Dimensional Assessment Scale (MIDAS) in patients admitted to hospital following their first MI., Study Design: The study included 81 patients (13 women, 68 men; age

Background: Patients with heart failure can live longer and achieve a better quality of life by learning about the symptoms and management of the disease and about associated changes required in the lifestyle and by controlling symptoms., Objectives: The objective of this study was to determine the symptoms experienced by patients with heart failure and to identify the strategies they use in the management of the disease., Methods: The study was carried out with 64 (53.3%) of patients diagnosed with chronic heart failure [functional class (II-III)] who had been admitted to the cardiology polyclinic. The patients had to be literate and conscious, and had to voluntarily accept to participate in the study. Data were gathered by a questionnaire. The patients were interviewed face to face with the researcher in the polyclinic. Data were evaluated by percentage values, averages and chi-square., Results: Symptoms identified in the subjects were fatigue in 67.2%, dyspnoea in 60.9% and palpitation in 59.4% of respondents. A statistically significant difference was noted between men and women in the case of fatigue (P = 0.039), with this symptom having a stronger restricting effect on the daily activities of men compared with women. A significant difference between men and women was also observed for the management of dyspnoea (P = 0.004), preferred approach for avoiding this symptom being resting for men, while using medication and oxygen for women., Conclusion: Fatigue was found to be the most common symptom experienced by the subjects, followed by dyspnoea, palpitation and oedema, respectively. A significant difference between men and women was noted in approaches for reducing symptoms.