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

Öz

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.

Anahtar Kelimeler

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

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

Öz

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

Kaynakça

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