HEMŞİRE TARAFINDAN VERİLEN EĞİTİM AKUT KORONER SENDROMLU HASTALARDA SEMPTOM KONTROLÜ VE SAĞLIK DAVRANIŞLARINI ETKİLER Mİ?

Bu çalışma, hemşirelerin akut koroner sendromlu hastalara verdiği eğitimin semptom kontrolü ve sağlık davranışlarına etkisini değerlendirmek amacıyla yarı deneysel olarak tasarlanmıştır. Çalışma, Ocak-Ağustos 2017 tarihleri arasında 40 girişim ve 40 kontrol olmak üzere toplam 80 akut koroner sendromlu hasta ile yürütüldü. Veriler Hasta Bilgi Formu, Kardiyovasküler Kısıtlılık ve Semptomlar Profili (CLASP), Sağlıklı Yaşam Tarzı Davranışları Ölçeği-II (HLSBS-II) ölçeği aracılığıyla toplandı. Girişim grubundaki hastalara akut koroner sendrom, risk faktörleri, kalp sağlığını koruma ve sağlıklı yaşam davranışları konularında eğitim verildi. Kontrol grubundaki hastalara herhangi bir uygulama yapılmadı. Semptomlardaki değişiklikleri gözlemlemek için sekiz hafta beklendi ve daha sonra semptom ve yaşam tarzı davranışlarındaki değişiklikleri değerlendirmek için aynı ölçekler tekrar uygulandı. Girişim ve kontrol grubundaki hastaların CLASP ve HLSBS-II puanları girişim öncesi ve sonrası karşılaştırıldığında; girişim grubunun CLASP puanlarının anlamlı düzeyde düştüğü (p <0.05) ve HLSBS-II puanlarının anlamlı düzeyde arttığı (p <0.05) görüldü. Sonuç olarak, hemşire tarafından verilen eğitim akut koroner sendromlu hastalarda semptomları azalttı ve sağlık davranışlarını iyileştirdi. Bu nedenle akut koroner sendromlu hastalara kardiyoloji hemşireleri tarafından eğitim verilmesini öneriyoruz.

Anahtar Kelimeler:

Akut koroner sendrom, sağlıklı yaşam biçimi davranışları, kısıtlılık ve semptomlar

DOES THE TRAINING PROVIDED BY THE NURSE AFFECT SYMPTOM CONTROL AND HEALTH BEHAVIOR IN PATIENTS WITH ACUTE CORONARY SYNDROME?

This study was designed as quasi-experimental to evaluate the effect of nurses' education on patients with acute coronary syndrome on symptom control and health behaviors. The study was conducted with a total of 80 patients with acute coronary syndrome which were 40 interventions and 40 controls, between January and August 2017. Data were collected through the Patient Information Form, Cardiovascular Limitation and Symptoms Profile (CLASP) and Healthy Lifestyle Behaviors Scale-II (HLSBS-II). Patients in the intervention group were given training on acute coronary syndrome, risk factors, protecting heart health and healthy lifestyle behaviors. No application was made to the patients in the control group. Eight weeks were waited to observe changes in symptoms, and then the same scales were applied again to assess changes in symptoms and lifestyle behaviors. When the CLASP and HLSBS-II scores of the patients in the intervention and control groups were compared before and after the intervention; It was observed that the CLASP scores of the intervention group decreased significantly (p <0.05) and the HLSBS-II scores increased significantly (p <0.05). In conclusion, nurse-delivered training reduced symptoms and improved health behaviors in patients with acute coronary syndrome. Therefore, we recommend that patients with acute coronary syndrome be trained by cardiology nurses.

Keywords:

Acute coronary syndrome, healthy lifestyle behaviors, limitations and symptoms,

PDF

___

Afik, A., Nursalam, N., Sufyanti, A. Y., Fikriana, R. (2022). Effect of Nurse-Led Program in Coronary Heart Diseases Patients: A Systematic Review. Open Access Macedonian Journal of Medical Sciences, 9(T5), 109–114. https://doi.org/10.3889/oamjms.2021.7861
Akman, M., Civek, S. (2022). Dünyada ve Türkiye’de kardiyovasküler hastalıkların sıklığı ve riskin değerlendirilmesi. The Journal of Turkish Family Physician, 13(1), 21-28. https://doi.org/10.15511/tjtfp.22.00121 Bahar, Z., Beser, A., Gördes, N., Kıssal, A. (2008). Validity and reliability study of healthy lifestyle behavior scale II. Cumhuriyet University Hemsirelik School Journal, 12(1), 1-13.
Candelaria, D., Randall, S., Ladak, L., Gallagher, R. (2020). Health-related quality of life and exercise-based cardiac rehabilitation in contemporary acute coronary syndrome patients: a systematic review and meta-analysis. Quality Of Life Research : An İnternational Journal Of Quality Of Life Aspects Of Treatment, Care And Rehabilitation, 29(3), 579–592. https://doi.org/10.1007/s11136-019-02338-y
Eshah, N. F. (2013). Predischarge education improves adherence to a healthy lifestyle among Jordanian patients with acutecoronary syndrome. Nursing and Health Sciences, 15(3), 273–79. https://doi.org/10.1111/nhs.12018
Fertelli-Kars, T., Tel, H. (2007). The effect of planned education given to individuals after myocardial infarction on self-care agency. Journal of Intensive Care Nursing, 11(2), 57-61.
Go, A. S., Mozaffarian, D., Roger, V. L., Benjamin, E. J., Berry, J. D., Borden, W. B., Bravata, D. M., Dai, S., Ford, E. S., Fox, C. S., Franco, S., Fullerton, H. J., Gillespie, C., Hailpern, S. M., Heit, J. A., Howard, V. J., Huffman, M. D., Kissela, B. M., Kittner, S. J., Lackland, D. T., Turner M. B. (2013). American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2013). Heart disease and stroke statistics--2013 update: a report from the American Heart Association. Circulation, 127(1), 6–245. https://doi.org/10.1161/CIR.0b013e31828124ad
Inangil, D., Sendir, M. (2014). Nurse's role in developing health behaviors of coronary artery patients. Acıbadem University Journal of Health Sciences, 5(2), 96-101.
Jeihooni, A. K., Fereidouni, Z., Harsini, P. A., Kavi, E., Haghshenas, H., Akbari, L. (2018). Effect of Educational Program on Lifestyle of Myocardial Infarction Patients in Iranian Population. Journal of Clinical & Diagnostic Research, 12(9), LC06-10. https://doi.org/10.7860/JCDR/2018/36113.11990
Jorstad, H. T., Von Birgelen, C., Alings, A. M., Liem, A., van Dantzig, J. M., Jaarsma, W., Lok, D. J., Kragten, H. J., de Vries, K., de Milliano, P. A., Withagen, A. J., Scholte Op Reimer, W. J., Tijssen, J. G., Peters, R. J. (2013). Effect of a nurse-coordinated prevention programme on cardiovascular risk after an acute coronary syndrome: main results of the RESPONSE randomised trial. Heart, 99(19), 1421-30. https://doi.org/10.1136/heartjnl-2013-303989 Kachur, S., Chongthammakun, V., Lavie, C. J., De Schutter, A., Arena, R., Milani, R. V., Franklin, B. A. (2017). Impact of cardiac rehabilitation and exercise training programs in coronary heart disease. Progress in cardiovascular diseases, 60(1), 103-114. https://doi.org/10.1016/j.pcad.2017.07.002
Koh, K. W., Wang, W., Richards, A. M., Chan, M. Y., Cheng, K. K. (2016). Effectiveness of advanced practice nurse-led telehealth on readmissions and health-related outcomes among patients with post-acute myocardial infarction: ALTRA Study Protocol. Journal of advanced nursing, 72(6), 1357–1367. https://doi.org/10.1111/jan.12933
Liblik, K., Théberge, E., Gomes, Z., Burbidge, E., Menon, N., Gobran, J., Johri, A. M. (2022). Improving Wellbeing After Acute Coronary Syndrome. Current Problems in Cardiology, 48, 101201. https://doi.org/10.1016/j.cpcardiol.2022.101201
Mohammadpour, A., Rahmati Sharghi, N., Khosravan, S., Alami, A., Akhond, M. (2015). The effect of a supportive educational intervention developed based on the Orem's self-care theory on the self-care ability of patients with myocardial infarction: a randomised controlled trial. Journal of clinical nursing, 24(11-12), 1686–1692. https://doi.org/10.1111/jocn.12775
Mozaffarian, D., Benjamin, E. J., Go, A. S., Arnett, D. K., Blaha, M. J., Cushman, M., Das, S. R., de Ferranti, S., Després, J. P., Fullerton, H. J., Howard, V. J., Huffman, M. D., Isasi, C. R., Jiménez, M. C., Judd, S. E., Kissela, B. M., Lichtman, J. H., Lisabeth, L. D., Liu, S., Turner M. B. Stroke Statistics Subcommittee (2016). Heart Disease and Stroke Statistics-2016 Update: A Report From the American Heart Association. Circulation, 133(4), e38–e360. https://doi.org/10.1161/CIR.0000000000000350
O’Brien, F., McKee, G., Mooney, M., O’Donnell, S., Moser, D. (2014). Improving knowledge, attitudes and beliefs about acute coronary syndrome through an individualized educational intervention: A randomized controlled trial. Patient Education and Counseling, 96(2), 79–187. https://doi.org/10.1016/j.pec.2014.05.022
Ozcanli, D., Cinar, S.A. (2015). Psychometric evalution of the turkish version of the cardiovascular limitations and symptoms profile. Journal of Contemporary Medicine, 5(2), 71-82. https://doi.org/10.16899/ctd.30638
Rajan, S., McKee, M., Rangarajan, S., Bangdiwala, S., Rosengren, A., Gupta, R., et. al. (2020). Association of symptoms of depression with cardiovascular disease and mortality in low-, middle-, and high-income countries. JAMA psychiatry, 77(10), 1052-1063. https://doi.org/10.1001/jamapsychiatry.2020.1351
Roger, V.L., Go, A.S., Lloyd-Jones, D.M., Benjamin, E.J., Berry, J.D., Borden, W.B., Bravata, D.M., Dai, S., Ford, E.S., Fox, C.S., Fullerton, H.J., Gillespie, C., Hailpern, S.M., Heit, J.A., Howard, V.J., Kissela, B.M., Kittner, SJ., Lackland, D.T., Lichtman, J.H., Lisabeth, L.D., Turner, M. B. American Heart Association Statistics Committee and Stroke Statistics Subcommittee (2012). Heart disease and stroke statistics--2012 update: a report from the American Heart Association. Circulation, 125(1), e2–e220. https://doi.org/10.1161/CIR.0b013e31823ac046
Turkish Statistical Institute. Death and Cause of Death Statistics 2021. [Cited: 2023 Jun 20] Avaliable from: https://data.tuik.gov.tr/Bulten/Index?p=%C3%96l%C3%BCm-ve-%C3%96l%C3%BCm-Nedeni-%C4%B0statistikleri-2021-45715&dil=1
Visseren, F. L. J., Mach, F., Smulders, Y. M., Carballo, D., Koskinas, K. C., Bäck, M., Benetos, A., Biffi, A., Boavida, J. M., Capodanno, D., Cosyns, B., Crawford, C., Davos, C. H., Desormais, I., Di Angelantonio, E., Franco, O. H., Halvorsen, S., Hobbs, F. D. R., Hollander, M., Jankowska, E. A., … William, B. ESC Scientific Document Group (2021). 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice. European heart journal, 42(34), 3227–3337. https://doi.org/10.1093/eurheartj/ehab484
World Health Organization. 2021 [Cited: 2023 Jun 20] Avaliable from: https://www.who.int/news-room/fact-sheets/detail/cardiovascular-diseases-(cvds)/
Xavier, D., Gupta, R., Kamath, D., Sigamani, A., Devereaux, P.J., George, N., Joshi, R., Pogue, J., Pais, P., Yusuf, S. (2016). Community health worker-based intervention for adherence to drugs and lifestyle change after acute coronary syndrome: a multicentre, open, randomised controlled trial. The lancet. Diabetes & endocrinology, 4(3), 244–253. https://doi.org/10.1016/S2213-8587(15)00480-5
Zaben, K., Khalil, A. (2019). Health literacy, self-care behavior and quality of life in acute coronary syndrome patients: An integrative review. Open Journal of Nursing, 9(4), 383-395. https://doi.org/10.4236/ojn.2019.94035