Browsing by Author "Pakyüz, SC"

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    The effectiveness of planned discharge education on health knowledge and beliefs in patients with acute myocardial infarction: a randomized controlled trial
    Tuna, S; Pakyüz, SC
    Background To the best of our knowledge, no other studies investigated acute myocardial infarction patients' beliefs and knowledge level after the discharge education. Aims The aim of the study was to investigate the effectiveness of planned discharge education on the beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up in patients with acute myocardial infarction (AMI). Methods A double-blind randomized controlled study was carried out with 100 AMI patients. All participants were randomly assigned to the intervention (n = 50) and control groups (n = 50). The first evaluation of all participants in both groups was on the day of discharge. Both groups were re-evaluated after 4 weeks. Patients' beliefs on medication, diet, and individual monitoring were assessed by the Beliefs about Medication Compliance Scale (BMCS), the Beliefs about Dietary Compliance Scale (BDCS), and the Beliefs about Individual Follow-up Scale (BIFS), respectively. The knowledge of CVD risk factors was questioned with the Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) Scale. Results The mean age of the patients was 59.10 +/- 9.38 years in the intervention group and 58.86 +/- 9.19 in the control group. After the planned discharge education, beliefs and knowledge levels of CVD risk factors, medication compliance, dietary compliance, and individual follow-up were significantly increased compared with the control group. Conclusion Planned discharge education had a positive effect on the knowledge level of cardiovascular diseases risk factors, drug compliance, nutritional compliance, and individual follow-up in patients with acute myocardial infarction.
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    Educational interventions for improved diet and fluid management in haemodialysis patients: An interventional study
    Düzalan, ÖB; Pakyüz, SC
    Objective: To evaluate the effect of education provided by the nurse on the knowledge and behaviours of haemodialysis patients about dietary and fluid restrictions. Methods: This quasi-experimental study was conducted at five publicly funded dialysis centres located in Istanbul Province, Turkey, in 2014, and comprised dialysis patients and controls. Data was collected using the Scale for Dietary Knowledge in Haemodialysis Patients and the Scale for Dietary Behaviours in Haemodialysis Patients. The dietary education was given to the intervention group. SPSS 20 was used for data analysis. Results: Of the 80 patients, there were 40(50%) in each group. The overall mean age was 64.12 +/- 55.50 years, and 42(52.5%) of the participants were male. After the education provided to the intervention group, the dietary knowledge and behaviours' post-test scores significantly increased compared to the pre-test scores, and the serum sodium level, pre-dialysis weight gain and diastolic blood pressure significantly decreased (p<0.05 each). Between the intervention and control groups, a significant difference was found between the pre-test and post-test in serum sodium levels (p<0.05). Conclusion: The education provided by the nurse had a positive effect on the knowledge and behaviour of haemodialysis patients about dietary and fluid restrictions.
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    The effect of case management with haemodialysis patients on the health perception and the symptoms: The case of Turkey
    Inkaya, BV; Pakyüz, SC
    Objectives: To establish whether case management had an effect on health perceptions and symptom relief in haemodialysis patients. Methods: The quasi-experimental study was conducted from March to December 2013 in Ankara, Turkey, at three private dialysis centres providing haemodialysis therapy. It comprised chronic haemodialysis patients who were divided into experimental and control groups. In the first interview, the experimental group was provided with extensive training about haemodialysis and a three-month follow-up was conducted through case management. The control group was provided training only in the final interview. Data was collected using the scale for perception of health in haemodialysis patients and the scale for complaints/symptoms in haemodialysis patients. SPSS 20 was used for analysis. Results: Of the 80 patients, 40(50%) were in each group. There was no significant difference in scale for perception of health in haemodialysis patients scores between first and final interviews (p>0.05), whereas the scale for complaints/symptoms in haemodialysis patients scores were lower in the final interview compared to the first p<0.05). In the control group, the scale for perception of health in haemodialysis patients scores were higher in the final interview compared to first (p<0.05). Conclusion: Case management was found to be an effective method for minimising negative health perceptions and complaints and symptoms in haemodialysis patients.