Day 2 :
- Cardiac Nursing
Session Introduction
A Qadeer Negahban
Barnsley Hospital NHS, United Kingdom
Title: Uncommon type of Tako-Tsubo Cardiomyopahty – Case Report and current view
Biography:
A Qadeer Negahban graduated from Masaryk University in Brno Czech Republic in 2003. He completed his Postgradual training and Specialty training in Cardiology at St. Anne’s University Hospital and ICRC in Brno Czech Republic. The subject of his PhD studies is Takotsubo cardiomyopathy. He has published the first case of uncommon type of Takotsubo cardiomyopathy in peer review journal Cor et Vasa. He is the main investigator for the research‚ genetic polymorphisms in estrogenic receptors and their association with Takotsubo cardiomyopathy – final results to be published very soon.
Abstract:
Takotsubo cardiomyopathy is a heart disease that imitates acute myocardial infarction. Classical findings include apical and mid segment hypokinesia. However, it may have different appearance than originally described. In our case report we describe a case of a woman with tako-tsubo cardiomyopathy (TTC), who was admitted to hospital after a stressful event because of chest pain, with smooth coronary arteries on coronary angiography and mild elevation of troponin-I level. Electrocardiogram corresponded with non-Q myocardial infarction of inferior wall. Following left ventricle ventriculography, echocardiography and magnetic resonance, impaired contractility of the basal part of inferior wall was noticed, together with good overall ejection fraction. Full recovery was attained in five weeks after the onset. This impairment of left ventricle is not typical for TTC. In our patient, the basal part of left ventricle was involved, and not the apex as is usual in TTC. This finding corresponds to rare “inverted” form of TTC. Another atypical feature is segmental involvement that, moreover, covered the inferior wall. This morphological pattern, according to our best knowledge, has not yet been described in literature. Pathophysiology, epidemiology and clinical significance are shortly reviewed in the paper.
Wenru Wang
National University of Singapore, Singapore
Title: Effects of home-based cardiac rehabilitation programme for patients with acute myocardial infarction: A randomized controlled trail
Biography:
Wenru Wang has over twenty years of professional experiences in clinical nursing and university teaching. She is now an Assistant Professor of National University of Singapore. Her major research interests include cardiovascular nursing and cardiac rehabilitation. Over the past years, she has published over 60 peer-reviewed papers in international refereed journals. She has also presented her research at over 30 international conferences and has been recognized with several national and international awards for the achievement in her research endeavors. She is a member of the Editorial Board of four international journals, and a reviewer of 20 medical/nursing journals.
Abstract:
This study aimed to evaluate the effects of a home-based rehabilitation program for Chinese patients with myocardial infarction (MI) in terms of health related quality of life and psychological status. This was a randomized, controlled trial with data collected at 2 university-affiliated public general hospitals in Xian, Shaanxi Province, and People’s Republic of China. One hundred and sixty patients with an MI were randomly assigned to either the interventional group (a home-based cardiac rehabilitation program using a self-help manual) or the control group (usual care). Health-related quality of life (generic, Chinese Short Form 36-Item Health Survey[C:SF-36]; disease-specific, Chinese Myocardial Infarction Dimensional Assessment Scale[C:MIDAS]) and psychological status (the Chinese Hospital Anxiety and Depression Scale) were measured at baseline, program completion (6 weeks), and 3 and 6 months after hospital discharge. The results showed significant differences were evident in the main outcomes when the home-based group was compared with the usual care group at 6 weeks, 3 months, and 6 months. The home-based group had significantly higher scores on 4 of the 8 domains of the C:SF-36 and on 3 of the 7 dimensions of the C:MIDAS, with significantly lower scores on the anxiety, but not the depression, subscale of the Chinese Hospital Anxiety and Depression Scale. This study concluded that a simple, home-based cardiac rehabilitation program for patients with acute myocardial infarction, using a self-help manual, improves health related quality of life and reduces anxiety. It appears feasible and acceptable, and does not produce inferior outcomes compared with usual care in China.
Ana Domingo Rueda
Hospital Universitario Ramón y Cajal, Spain
Title: Collaborative programme in Pediatric Cardiac Surgery in Ethiopia: Nursery role
Biography:
Ana Domingo has completed his studies of nursing at the age of 23 years from San Pablo CEU University. She has worked as PICU staff nurse at Royal Brompton Hospital at London, UK. She has completed Introduction in Congenital Heart Disease at St Thomas Hospital In London. She is the currently staff nurse at A&E department at Hospital Ramón y Cajal. She has supervised the PICU and 7 cardiac missions in Ethiopia.
Abstract:
Introduction and Objectives: Cardiac disease among children remains an important and significant cause of morbidity and mortality in developing countries. Most of the children, however, could reach a normal development in adulthood after a proper on-time diagnosis and treatment. Our aim is to review our experience in the care of children undergoing congenital heart disease surgical and percutaneous procedures, and the training experience of the local staff in a center in Ethiopia. Material &Methods: In 2009, a medical centre exclusively dedicated to the care of children with heart disease and supported by several international NGOs, was opened in Addis Ababa. From January 2010 to November 2014 we have performed seven campaigns with a double aim: medical assistance and staff training. Our team was formed by: 9 doctors, 3 nurses, and 1 perfusionist. Consumable medical devices and medication were obtained as a donation from the pharmaceutical industry. Results: Each campaign lasted between 10 and 15 days. Local staff was not trained for complex surgical procedures. We developed an on-going training schedule in the fields of surgery, catheterization and intensive care, for both medical and nursery staff, trying to be equal to the training programme of other internationals groups. 120 surgeries in 117 children with congenital heart disease were performed. In children on whom cardio-pulmonary by-pass was performed, the diagnosis was: VSD, n=26, (with pulmonary hypertension, stenosis of the RVOT or ductus), ASD, n=37 (with pulmonary stenosis, ductus, mitral regurgitation or anomalous pulmonary venous drainage), subaortic stenosis (n=37). Regarding the percutaneous procedures, 121 out of 146 were interventional, mainly for PDA closure (n=71), pulmonary valvuloplasty (n=33) and ASD closure (n=10). 92% of the children were extubated within 3 hours of PICU admission. The average ICU stay was 1.2 days. We carried out the training programme as planned, with special dedication to the on-going training schedule in the surgical and intensive care field. The patient follow-up was performed by doctors at the local hospital. There was not any major complication during the follow-up. Conclusions: The implementation and development of a program in pediatric cardiac surgery in developing countries is possible with good results, on the condition that the training programme is adapted to the culture and special needs of the local staff, giving them on-going involvement and avoiding imposing of any work rule.
Guillem Pons-Lladó
Universitat Autònoma de Barcelona, Spain
Title: Non-Invasive Cardiac Imaging: the challenge of resource management for an efficient diagnostic workup in the era of new emerging techniques
Biography:
Guillem Pons-Lladó, MD, PhD, FAHA, Cardiology specialist, is Director of the Cardiac Imaging Unit at the Department of Cardiology of the Hospital de Sant Pau, Autonomous University of Barcelona, Spain. He is also Director of a Master Degree and regular Training Courses on Advanced Cardiac Imaging Techniques (Cardiac-MR and Cardiac-CT) addressed to either medical specialists or nurses/technologists. He has published 3 books on these issues, and is the author or co-author of more than 100 papers in peer-reviewed journals of the specialty, including articles on guidelines for the appropriate use of Cardiac-MR of the Spanish Society of Cardiology.
Abstract:
Cardiac Imaging Units (CIUs) encompass today conventional techniques, such as Echocardiography (ECHO), together with other recently appeared methods with proven advantages for cardiac applications, as Magnetic Resonance (CMR) or Multidetector Computed Tomography (CCT). ECHO is an omnipresent technique in the vast majority of patients due to its availability, low cost, and the large amount of useful information that provides. The actual value of ECHO, however, is largely dependent on the skill of the operator (cardiologist and technologist) and, also, limited by physical constraints of ultrasound, as the reduced field of view, or interferences due to non-cardiac structures. CMR, appeared later in time, does not face with these limitations and, in addition, provides with new important information, as is that on the tissue components of heart muscle. Finally, CCT, the most recently introduced technique, has made available a true non-invasive coronary angiography, which is the optimal complement to the other techniques. ECHO, CMR and CCT constitute, thus, indispensable resources in a modern CIU upon which rational diagnostic schemes may be based, allowing to achieve the ideal threefold aim in every patient with heart disease: 1) diagnostic accuracy; 2 ) prognostic stratification; and 3) therapeutic planning. The diverse nature of these techniques, however, and their different adscription pose a particular challenge of organization to the CIU, which requires the involvement of committed cardiologists, radiologists, and nurses/technologists, who must be specifically trained on this truly new subspecialty in Cardiology/Radiology as is Cardiac Imaging.
Esra Koroglu
Istanbul Arel University School of Health, Turkey
Title: Determining the effectiveness of training and follow-up program given to patients with pacemaker
Biography:
Esra Koroglu graduated from Nursing School of Zonguldak Karaelmas University in 2006 and earned her Master’s degree in 2008 from the Institute of Health Science, Gazi University. Following, she received her PhD from Institute of Health Science (medical nursing), Hacettepe University in 2014. Apart from her academic experience, she worked in Emergency Service of Ankara University Hospital as a clinic nurse for 1.5 years. Then she studied in Faculty of Health Sciences in Ankara University as a Research Asistant for seven years. She has been working in Ä°stanbul Arel University, Nursing Departmant as an Assistant Professor since September 2014. Her areas of academic interest are nursing, cardiovascular nursing, pacemakers, oncology nursing, and geriatrics.
Abstract:
This research is an intervention study to evaluate the effectiveness of planned education and follow-up program on quality of life, anxiety and depression levels of patients with pacemaker. The research sample consists of 60 (30 intervention, 30 control) patients implanted with pacemaker that meet the study criteria followed at Ankara University Faculty of Medicine Heart Center, and Turkey High Specialization Education and Investigation Hospital. Non probability sampling method was selected as the research sampling. Data was collected with patient identifier data collection form, Spielberger's State-Trait Anxiety Inventory, the Beck Depression Inventory and SF-36 Quality of Life Questionnaire. These scales were applied to the patients at the beginning of the study and then again after two months. In the first interview with patients in the intervention group, individual interviews were carried to identify education requirements, individual education was given on the related subjects and second meeting was scheduled for two months later. A phone number was given to the patients and their relatives to reach the researcher during this time. Patients and their relatives received counseling from the researcher via phone in between the interviews. The normal clinical procedure continued for the control group, this group was also given education at the end of the research. When the first and last assesment results between the groups were compared; a decrease in the anxiety, depression level, an increase in average scores of many sub-scale quality of life were identified in the intervention group patients. In accordance with the results obtained from this study, as well as evaluation of psychosocial aspects of patients with pacemakers, the presence of consultants reachable via telephone, implementation of planned education and follow-up programs by nurses are recommended.
Cicek Senture
Gulhane Military Medical Academy, Turkey
Title: Analyzing The Efficiencies Of Discharge Education For The Patients Who Had A Cardiac Surgery
Biography:
Cicek Senture has completed her Msc from Gülhane Military Medical Academy. She is a PhD student in the same academy since 2013.
Abstract:
The study was aimed to analyse the efficiencies of discharge educations for the patients who had a cardiac surgery. Research was performed between the dates of November 2011 and June 2012 in Post Operation Clinics at Cardiovascular Surgery Department. Samples of the study consisted of 180 patients who had a planned cardiac surgery during this period. The first 90 patients were accepted as control group, and the last 90 patients were accepted as experimental group. The researcher used the documents “Patient Introduction Form”, a form for detection of the knowledge status before taking the discharge education of the patients and a form for detection of the knowledge status after taking the education. The control group had taken the discharge education by clinic nurses and the resarcher gave this education with the education booklet which has been made for the conclusions of searching the literature- to the patients who are in the experimental group. The conclusions of the research shows that nurses had been given a successful oral education to the patients who had a cardiac surgery, but if a written education material will be added to this education and with standardization of the discharching education will make it more effective.
Ibrahim I. Elmahallawy
Menoufiya University, Egypt
Title: Prevalence Of Chronic Renal Failure In COPD Patients
Biography:
Ibrahim I Elmahallawy is an Associate Professor of Chest Diseases, Chest Department, Menoufiya University, Shebin Elkom, Egypt. He is the President of the Nile Thoracic Society (NTS) which is a scientific respiratory society and the Director of the bronchoscopy unit in Menoufiya Chest Department. He has published more than 20 papers in international reputed journals.
Abstract:
Background: COPD is a leading cause of death worldwide. It is associated with a large number of comorbidities. Methods: The current study included 300 COPD patients aged 65.28±6.32 years, 148 of them (49.3%) were females and the rest were males and 300 control age and gender matched patients with diseases other than COPD; aged 64.70±7.12 years, 138 of them (46%) were males and the rest were females. They were enrolled in the study during their follow up visits to the outpatient clinic of the Chest Department, Menoufiya University Hospitals from August 2009 to August 2012. The GFR was estimated and patients were categorized according to their renal function as having normal renal function (GFR ≥ 60 mL/min/1.73 m2), concealed CRF (normal serum creatinine and GFR < 60 mL/min/1.73 m2), or overt CRF (increased serum creatinine and GFR < 60 mL/min/1.73 m2). Results: In the COPD group; the mean BUN value was 22.86±13.63, the mean serum creatinine concentration was 1.29±0.67mg/dL and the mean estimated GFR was 75.20± 35.78 mL/min/1.73 m2. In the control group; the mean BUN value was 14.04±9.61, the mean serum creatinine concentration was 0.85±0.34 mg/dL and the mean estimated GFR was 92.04±25.54 mL/min/1.73 m2 (P<0.01 for all in comparison with the COPD group). The prevalence of normal renal function, concealed CRF, and overt CRF in COPD group of patients was 54%, 26% and 20%, respectively. The corresponding figures in the control group were 78%, 10%, and 12%, respectively (COPD vs. control group: P<0.001). The overall prevalence of CRF (GFR<60 mL/min/1.73 m2) was 46% in the study group and 22% in the control group (P<0.001). COPD was significantly associated with both concealed and overt CRF. Age and hypoalbuminemia were significantly associated with overt CRF while the number of comorbidities was significantly associated with concealed CRF. Conclusions: CRF may be an important COPD comorbidity and should be screened for not only by serum creatinine level but also by the estimated GFR.
- Adult Health Nursing
Session Introduction
Joaquim J.F. Soares
Mid Sweden University, Sweden
Title: Abuse against older persons
Biography:
Joaquim J F Soares has a PhD in clinical psychology (Uppsala University). He is Professor in psychology and public health sciences (Mid Sweden University). H e is a Tutor of 12 PhD students in the areas of psychology and public health. He is the Reviewer of journals such as Quality of Life Research and Psychosomatic Medicine. He has over 80 publications in peer-reviewed journals in the areas of psychology, public health and epidemiology. He was awarded several research grants, including grants from the European Union.
Abstract:
Older age is often connected with stresses (e.g. reduced financial capacity, aloneness, increased morbidity). Violence may be an additional strain increasing the overall burden of older persons. Recent data with different samples (e.g. general population) concerning abuse towards older persons show prevalence rates up to 55%. Elder abuse co-exists for instance with depression, premature mortality and injury. Interestingly, little attention has been paid to sex differences in elder abuse. To the extent that such data exist, the findings are inconsistent, i.e. no differences between the sexes, women more abused than men and the opposite. Based on a randomly selected sample of 4,467 women and men aged 60-84 years from 7 European countries (Germany; Greece; Italy; Lithuania; Portugal; Spain; Sweden) and with well-known instruments (e.g. CTS2), we found the following. There were no differences between women and men concerning the prevalence of abuse (e.g. psychological), and its chronicity (how often) and severity (e.g. minor). However, when abuse acts were divided into low and high frequency, women tended to have been exposed to higher levels of abuse (e.g. psychological) than men. Furthermore, although abused women and men were doing worse (e.g. poor quality of life) than non-abused, women´s problems were more evident. Practitioners should consider these issues and develop effective prevention and treatment interventions to alleviate the situation of older persons.
Andrea Pokorna
Masaryk university, Czech Republic
Title: The possibilities to use special communication techniques in geriatric care
Biography:
Andrea Pokorna has completed her PhD in 2009 at Masaryk University Brno (her doctoral thesis was focused on the prevention of ageist attitudes to elderly). She became an Associate Professor in Nursing in 2014 at South Moravian University in ÄŒeské BudÄ›jovice. She works at Masaryk University and also at Institute of Health Informatics and Statistics. She is also involved in wound care activities (member of the board of Czech wound Association and EWMA – European wound management association). She is publishing regularly in Czech and also in international journals.
Abstract:
The increasing number of seniors suffering from dementia symptoms is a reality all over the world. The disease is associated among other characteristics with a communication barrier, requiring care takers to think about the ideal conditions for treating the elderly with dementia. There are several possibilities to improve communication and to use several types of communication tools and techniques in communication to elderly people. One of them is the Validation by Naomi Feil® concept, which seems to be a convenient communication tool for those who are caring for the disoriented senior. This is a communication method claiming to lessen stress, nervousness, crying and aggression, and to positively affect the relationship between caregivers and seniors. What has to be highlighted is that the caregivers who would like to use this method should be well educated to know the way to use it. The best learning methods for nurses in daily geriatric practice are seminars with practical demonstrations in the own workplace, self-studying, obtaining professional theoretical knowledge, use of an interactive-learning course and an online counseling or internet advisory center. Validation methods used by professional caregivers could lead to the prevention of the burn-out syndrome and of course help not only caregivers but also to their elderly patients to understand each other.
Eda Yasar
Celal Bayar University, Turkey
Title: The effect of music on the comfort and anxıety of the elderly lıvıng nursıng home
Biography:
Eda Yasar has completed the MSc at the age of 27 years from Institute of Health Science (Fundamentals nursing), Ege University. She is a PhD student in the same Academy since 2014. She is as a Research Assistant at Celal Bayar University School of Health, Department of Fundamentals Nursing.
Abstract:
In this study which includes experimental research (randomized control), it was examined the impact of music on the comfort and anxiety of the elderly living in nursing home. The research had been carried in Zübeyde Hanım Nursing Home, in Ä°zmir, between December 15, 2013 and May 15, 2014. The sample of study were consisted of 56 elderly, reflecting the selectioncriteria. 28 of them represent the experimental group and the rest the control group. The data of the study had been collected by using Eldely Identification Form (EIF), General Comfort Scale (GCS) and Beck Anxiety Scale (BAS). The elderly were followed for 22 days. There was not any attempt to the elderly in the control group; 1st day EIF, 1st, 8th, 15th and 22nd GSC and BAS had been applied respectively. EIF, GSC and BAS forms had been applied to the expermental group for comparison records before the 1st day of music practice. The experimental group elderly have been listened 30 minutes music for 22 days duration between 8:00 p.m. to 10:00 p.m. and GCS and BAS had been applied in the 8th, 15th and 22nd days of the study. Chi-square, the test of significance between two means, the significance test of the difference between two pers, LSD (Least-Significant difference) test were used in the data analysis process. As a results of the study, it is seen with significant (p<0.05) that music reduces anxiety by increasing the comfort level on the elderly living in nursing home. Due to the positive results of the music on anxiety and comfort obtained from this study, some proposals are suggested fort he potential applications in nursing homes and inclusion in the independent nursing practice.
Iveta Mintale
P.Stradins Clinical University hospital, Latvia
Title: Baltic diet vs Mediterranean diet
Biography:
Dr.Iveta Mintale is a Cardiologist at Latvian Cardiology Centre and she is professor at P.Stradins Hospital University.She has published over 20 Publications on the topics of public health, cardiology, nutrition and dietetics.She is the division head of the outpatient assistance of the cardiology department in the Latvian University. Her Research interest Include Cardiology, Public health, Nutrition and diet.
Abstract:
The milestone of illness prophylaxis is a healthy lifestyle, which is composed of regular physical activity and a healthy diet. Following the Mediterranean diet for two years has been shown to have significant decrease in cardiovascular death by 9%, cancer by 6%, Parkinson's and Alzheimer's by 13%. This diet helps to control the perfect weight, improves lipid profile and diminishes the risk of diabetes. The Mediterranean diet consists of extra virgin olive oil, vegetables and fruit, wholegrain products, legumes, nuts and seeds, dairy products (with no other sources of fat other than milk fat), fish (at least twice a week), poultry, veal, pork in limited amount, eggs - 0-4 per week. It is possible to adapt this kind of alimentation in the Nordic countries, but it is important to find products grown there with similar nutritional characteristics. Nowadays, fresh fruits and vegetables can be bought all year round, but it is essential to use seasonal products. In Latvia, at this point, attention should be brought to more efficient storage and conservation. We have a vast variety of legumes and cereals. The selection of dairy products should be bigger and of higher quality, because you rarely see local cheeses made in an artisanal manner at the marketplaces. There is good availability of saltwater fish in the cities, but in the countryside the only fish one can buy is salted and smoked, having exaggeratedly high amounts of salt. Consumption of meat and its products should be lowered to a maximum of three times per week. A special attention should be brought to game (such as deer), because it contains low levels of cholesterol and higher amounts of unsaturated fatty acids due to the alimentation of wild herbs. Unfortunately, there is a lack of good quality oil in Latvia, because no other product can be compared to the nutritious components of extra virgin olive oil and its effects on cardiovascular health. Consumption of high amounts of olive oil decreases the incidence of stroke by 41%. Education should be done widely to promote tradition and gastronomic heritage as a cultural aspect.Healthy lifestyle has to be visible to everyone at any time as a constant reminder of its importance.
Feride Yigit
Istanbul Arel University School of Health, Turkey
Title: Health personnel attitudes to Hpv
Biography:
Feride Yigit received her PhD degree from Marmara University, Obstetric and Gynecologic Nursing in 2005. She has been working as Assistant Professor at the department of Nursing in the School of Health Sciences at Ä°stanbul Arel University since September 2014. She has published more than 15 papers in reputable journals and has been serving as an editorial board member of reputable journals in Turkey since 2008.
Abstract:
HPV is the most common viral infection in the reproductive system. Most of the men and women who have been sexually active, in particular polygamy is in question that after a certain time the disease will occur, some becoming infected more than once. It is a sexually transmitted infection and does not need full vaginal intercourse, even genital contact is sufficient to be infected. The aim of this study is to identify type research; information on HPV and the attitudes of health workers. Research was done as a tool for data collection; personal information form, Hendrick Sexual attitude Scale and HPV information form including 3 questionnaires will be used. The data in the computer environment will be evaluated using the appropriate statistical analysis. The realization of the work permit is taken from the ethics committee of Istanbul Arel University.
Biography:
Aysun Perim Ketenciler is a nurse and completed her secondary education in Istanbul Pertevniyal High School in 2000. She completed her Master degree in 2005 from Trakya University of Health Sciences Institute of Public Health Department and began graduate studies. She worked as a nurse in the Neurosurgery Service. In 2007, she worked at the Women and Family Health Center in Istanbul as a training nurse. She served as an instructor in the department, Hasan Kalyoncu University Public Health Nursing.
Abstract:
Aging is a social phenomenon. Today, a dramatically extend the life span of human life and make more visible the fact that aging is having more healthy. WHO, active aging "health to improve the quality of life of the elderly, community participation and the process of ensuring a high level of security" is defined. Target submission of this opportunity and the need to defend. That proposed by the WHO and in 2002, in Madrid, the United Nations World in Aging Meeting (United Nations World Assembly on Ageing) emphasized that "active aging" concept, energetic, as well as the elderly frail elderly is also to consider and a lot of rights as active aging is a requirement emphasizes the handling. Referring to the recommendations made to the various sections on active aging, national and local governments, mental health, disability and the development of preventive health policy issues by focusing on the treatment of chronic diseases; health consulting, protective services, ensuring universal and equal access to quality health care and long-term care services; prevention of all kinds of abuse of older persons; will encourage these people to live independently shelter and transportation facilities to make convenient and secure their access to the elderly and to provide adequate care and support to people in their homes is recommended that the provision of vehicles. Ensure that older people remain healthy and active is a necessity not a luxury. Priority to improve the health of the elderly due diligence must be done, programs and policies should be tailored to these findings. Also regulation to improve the environmental health of the elderly, the development of social support, actively maintaining of the programs, the creation of new programs and intersectoral collaboration is necessary.
Somayeh Ghafari
Isfahan University, Iran
Title: Exploring the rehabilitation care process of patients with multiple sclerosis
Biography:
Somayeh Ghafari has completed his PhD from University of Social Welfare and Rehabilitation Sciences (USWR). She is the Assistant Professor of Isfahan University of Medical Science. She has published more than 15 papers in reputed journals.
Abstract:
Many physical, psychological, familial, social problems, financial losses of Multiple Sclerosis (MS) caused rehabilitation care process essential for the patients to diminish these symptoms and side effects. Exploring the rehabilitation care process helps the rehabilitation care team to provide safe and high quality care. Therefore, this study aimed to explore the rehabilitation care process of patients with multiple sclerosis. A qualitative grounded theory method was used in this study. The study participants were 40 people with MS chosen via purposeful sampling. Participants including: Patients, family members, nurses, physicians, physiotherapists, psychologists and other members of rehabilitation care team. Subsequently, the data were analyzed according to ‘the Strauss and Corbin constant comparative analysis method. Data analysis showed that the main concern of patients and their families was the loss of independence and productivity. Faced with this concern, the participants were passed "perception of disease threat" "decline in the personal integrity" "strive to accept and adapt to disease" and actualized patents’ abilities with maximum independence "in order to" return to a productive and independent life". These attempts to return to a productive and independent life reflected the process of rehabilitation care that was done by patients, families and health care team in an interactive, dynamic, participatory, but was not coordinated. In this way, there were a number of inhibitors that often lead to failure of the process. Finally the "theory of trying to return to a productive and independent life" was explored of gathered data. Results showed that the core concept of rehabilitation care process in MS patients was "actualizing the abilities". The inhibiting factors often caused the patients failure to return to an independent and productive life. It seems designing an appropriate model of rehabilitation care based on the findings of this study may overcome the barriers and lead patients to have a productive and independent life.
- Women Health Nursing
Session Introduction
Jan Hodgson
The University of Melbourne, Australia
Title: Are we meeting couples’ needs following prenatal diagnosis of a fetal abnormality? Findings from Prenatal Testing: A Longitudinal Study (PeTALS)
Biography:
Jan Hodgson has worked in a variety of healthcare settings including nursing, critical care, community care and genetic counselling for over 35 years. She is currently Senior Lecturer at the University of Melbourne (UOM) in the areas of health communication, counselling, medical genetics, biomedical ethics and research methods, and is also the Research Coordinator for the UOM Master of Genetic Counselling. An experienced qualitative researcher, she is a Member Scholar of the International Institute of Qualitative Methods (IIQM). Her research interests include women's reproductive health, prenatal diagnosis and reflective counselling practice and she has widely published in these fields.
Abstract:
Background: The PeTALS project aims to explore the psychosocial impact of prenatal diagnosis and identify professional and social supports that are utilized and needed. Method: A longitudinal case study approach is being used at 3 Victorian sites to collect questionnaire and qualitative data from women and men at 3 different time-points – 6 weeks post definitive diagnosis of fetal abnormality, 6-9 months later, and 2 years post-diagnosis. Results: Over 90 individuals have been interviewed at the first time-point, regarding their experience of receiving a prenatal diagnosis. Parents commonly experienced significant grief and overwhelming sadness; many described intense feelings of isolation. Those choosing to have an abortion frequently described feeling negatively ‘judged’. Access to abortion, levels of support and the perceived quality of support varied both within and across the sites. Conclusions: Following prenatal diagnosis, women and men describe variable and sometimes inadequate levels of follow-up bereavement care and support. The expanding scope of prenatal testing means couples are increasingly faced with complex choices. Providing prenatal testing in the absence of a full range of supportive options may be considered unethical.
Ece Kaplan
Hasan Kalyoncu University Faculty of Health Sciences, Turkey
Title: The effects of women’s sexual satisfaction on their marital accordance, whose spouses implementing “coitus interruptus†as the family planning method
Biography:
Ece Kaplan, MSN, is in instructor at Gaziantep University, Faculty of Health Sciences Department of Nursing, Gaziantep, and an instructor at the University of Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing, Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the sexual satisfaction of women, whose spouses prefer the coitus interruptus as the family planning method and the effects of sexual satisfaction on their marital accordance. Methods: Out of 1422 women applying to the Binevler Family Health Center, the number of the women, who have been evaluated as the specimen, is calculated by 302 women. As the data collecting method with the questionnaire form, “Gloombook-Rust Sexual Satisfaction Scale (GRSSS)” (Cronbach Alpha Reliability Coefficient 0.91) and “Marital Accordance Scale (MAS)” (Cronbach Alpha Reliability Coefficient 0.90) have been utilized. The questionnaire form consists of two groups. In the first chapter there are sociodemographic features of the women and their spouses, and in the second chapter there are questions about the factors, which may affect the sexual satisfaction of women. The GRSSS and MAS have been conducted with the questionnaire form between the dates of 15th February and 10th June 2014. The result data from the survey have been evaluated via the computer program “SPSS for Windows 18” (Statistical Package for Social Sciences) with the calculations of average, standard deviation, percentage numbers with minimum and maximum values, t-test and OnewayAnova Test. Results: The average points of GRSSS, which determines the sexual satisfaction of women, the age of women, education level, working situation, age of marriage, the education lever of their spouses, the sharing of feelings with her spouse, the resemblance in their living habits and values, the mutual decision on significant matters with her spouse, the number of children they have the number of pregnancy, the planned pregnancy, the frequency of sexual intercourse, the decision on coitus interruptus, the reasons of coitus interruptus preference, undesired pregnancy situations and the difference of sexual satisfactions between spouses have been found statistically important (p<0.05). Conclusions: As a result, it is stated that the sexual satisfaction of women is low (The average point of GRSSS is 83.07). Additionally it is found out that women with less sexual satisfaction have also less marital accordance(r = 0.514, p = 0.001).In accordance with the results of the research, the recommendations regarding the improvement of women’s sexual satisfaction and their marital harmony have been developed and propounded.
Souria Aissaoui
Aix-Marseille University, France
Title: Genetic mutation risk calculation in Lynch syndrome inheritance: Evaluating the utility of the PREMM1,2,6 Model in a French population.
Biography:
AISSAOUI has completed her Ph.D. from Aix-Marseille University.She is the first genetic counselor graduated bas Doctor in France. She is the referral genetic cousellor and doctor in cancer genetic counselling in Lyon.
Abstract:
Lynch syndrome is due to germline mutations in mismatch repair genes: MLH1, MSH2, MSH6 and PMS2. It is characterized by an increased risk of various cancers including colorectal and endometrial cancers. Early diagnosis of these patients allows appropriate surveillance that improves survival rate. Differentiating between patients who should undergo genetic testing and those for whom it is not necessary is difficult despite various established criteria (Amsterdam and Bethesda). Often, health professionals meet in Multidisciplinary Committees (MDC) to discuss patients cases regarding Lynch syndrome. In this study, we wanted to know if the prediction model PREMM1,2,6 could be used to enhance MDC decision-making and whether it could be included in our own routine practice and in those of other French teams. In our cohort, using the prediction model would have avoided 12% of analyzes decided by the MDC, and would have detected all patients with a mutation in MMR genes. In addition, the study suggested that the decision-making criteria used by the professionals in our MDC was too restrictive since we should have performed 20% more genetic testing according to the model. These results suggest that PREMM1,2,6 should really be used in current practice to validate the decisions of the MDC before genetic testing in complex cases. It should also be coupled with immunohistochemistry as major quality criteria for genetic testing as previously reported in the literature.
Semra Ay
Celal Bayar University, Turkey
Title: “Nurses’ Beliefs and Practices Related to Breast Cancer and Breast Self-Examination determined with the Health Belief Modelâ€
Biography:
Semra A Y has completed her PhD at University Nursing School Public Health Department (2008). She is as a Lecturer at Celal Bayar University Vocational School of Health Services. Her research on public health, health promotion, woman-child and health-related have been published.
Abstract:
Introduction: Breast cancer, the most widespread type of cancer in women, is an important public health problem not only in Turkey but also in the world. The purpose of this study is to determine factors affecting nurses’ beliefs and practices related to breast cancer and breast self-examination with the Health Belief Model. Materials and Methods: This study designed as across-sectional study was conducted using a questionnaire which was based on the Champion's Health Belief Model Scale (CHBMS). Results: Of the nurses who participated in the research, 52.1% were in the 30-39 age group (n = 493). The scores obtained from the susceptibility subscale of CHBMS were higher among the nurses in the 50-59 age group, married, having previous pregnancies, having meat-/fat-based diet, having first-degree relatives with breast cancer history and performing BSE regularly. In this study, the scores obtained from the perceived benefits of performing BSE and self-efficacy subscales increased as the nurses’ education levels increased, which can be explained by the fact that the nurses developed preventive and health promoting behaviors during their university and graduate education. The nurses with higher income levels, nonsmokers, having regular breast ultrasonography and performing BSE regularly obtained higher mean scores from the perceived benefits of BSE subscale.
Biography:
Simge Zeyneloglu, MSN, PhD, is an associated professor at Gaziantep University Faculty of Health Sciences Department of Nursing, Gaziantep, and an associated professor at the University of Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the sexual satisfaction of women, whose spouses prefer the coitus interruptus as the family planning method and the effects of sexual satisfaction on their marital accordance. Methods: Out of 1422 women applying to the Binevler Family Health Center, the number of the women, who have been evaluated as the specimen, is calculated by 302 women. As the data collecting method with the questionnaire form, “Gloombook-Rust Sexual Satisfaction Scale (GRSSS)” (Cronbach Alpha Reliability Coefficient 0.91) and “Marital Accordance Scale (MAS)” (Cronbach Alpha Reliability Coefficient 0.90) have been utilized. The questionnaire form consists of two groups. In the first chapter there are socio-demographic features of the women and their spouses, and in the second chapter there are questions about the factors, which may affect the sexual satisfaction of women. The GRSSS and MAS have been conducted with the questionnaire form between the dates of 15th February and 10th June 2014. The result data from the survey have been evaluated via the computer program “SPSS for Windows 18” (Statistical Package for Social Sciences) with the calculations of average, standard deviation, percentage numbers with minimum and maximum values, t-test and OnewayAnova Test. Results: The average points of GRSSS, which determines the sexual satisfaction of women, the age of women, education level, working situation, age of marriage, the education lever of their spouses, the sharing of feelings with her spouse, the resemblance in their living habits and values, the mutual decision on significant matters with her spouse, the number of children they have, the number of pregnancy, the planned pregnancy, the frequency of sexual intercourse, the decision on coitus interruptus, the reasons of coitus interruptus preference, undesired pregnancy situations and the difference of sexual satisfactions between spouses have been found statistically important (p<0.05). Conclusions: As a result, it is stated that the sexual satisfaction of women is low (The average point of GRSSS is 83.07). Additionally it is found out that women with less sexual satisfaction have also less marital accordance(r = 0.514, p = 0.001).In accordance with the results of the research, the recommendations regarding the improvement of women’s sexual satisfaction and their marital harmony have been developed and propounded.
Saber Boutayeb
National institute of oncology, Morocco
Title: The evaluation of nurse activity in the day hospital of the national institute of oncology
Biography:
Bouhajjari Nacer has completed his license nursing from the Institute of Nursing of Rabat. He works as Chief Nurse Officer in the Department of medical oncology of National Institute of Oncology (Rabat, Morocco). He also had training in the Institut Curie in Paris and participated in several international congresses such as Eurocancer and AMFROM.
Abstract:
Objective: The purpose of this study was to investigate the activity of nurses in oncology in the context of the national institute of oncology in Morocco. Material & Methods: This study is retrospective and was conducted between 01/01/2013 and 31/12/2013. The primary end point was the evaluation of nurse activity in the day hospital of oncology. The data was collected from our software win hospital. Results: A total of 2600 new patients were treated in our institute in 2013 and 16500 cycles of chemotherapy were administered by our team of nurses which include 12 nurses. Breast cancer represented the first pathology in women (33%) whereas the lung cancer was the most common in men (21%). The short protocols represented 49%, the intermediate 28% and the long protocols 23%.The number of patients per seat of chemotherapy was 2.64/day. Discussion: These results will be discussed during the congress.
- Pediatric Nursing
Session Introduction
Chin-Wen Chen
Antai Tian-Sheng Memorial Hospital, Taiwan
Title: Symptoms, Adherence and the Quality of Life in Patients Receiving Stent Implantation
Biography:
Chih-Wen Chen has obtained her Master degree in Nursing from College of Nursing at National Taipei University of Nursing and Health Sciences. She is the nurse practitioner leader at AnTai medical care cooperation Antai Tian-Sheng Memorial Hospital.
Abstract:
The purpose of this study was to explore cardiac-related symptoms, adherence, and the quality of life in 100 patients who undergone first cardiac stenting implantation at both baseline and six months post cardiac stenting implantation. Convenience sampling was utilized and recruited patients from a regional teaching hospital in south of Taiwan. This study was a follow-up design. Data collecting instrument included Cardiac symptoms scale, compliance scale, and 12-item Short-Form Health Survey. Results included: (1) following cardiac stent implementation, patients experienced mainly chest pain, shortness of breath, and fatigue frequently; patients’ chest pain had significantly improved (p<0.05) at six months post cardiac stenting implantation; (2) dyspnea, fatigue, palpitations, and poor appetite were significantly related to the physical component of the quality of life (p <.05) at six months. In addition, fatigue, depression, difficulty sleeping, anxiety, stress, and poor appetite were negatively related to the mental component of the quality of life (p<0.05); (3) cardiac-related symptoms interfere, friends/family support, severity of symptoms, adherence, family history could predict the quality of life.
Ayfer Ekim
Istanbul Bilgi University, Turkey
Title: Transition from hospital to home in the management of childhood chronic diseases
Biography:
Ayfer Ekim has completed her PhD at Marmara University Department of Pediatric Nursing. She is an Assistant Professor at Department of Nursing, Istanbul Bilgi University, Istanbul, Turkey. Her primary interests are childhood chronic diseases, pain management and nursing theory and models. She still works as a writer, researcher and educator in the field of pediatric nursing.
Abstract:
The nurse is a member of health care team who provides primary care to the patients and their families, experiencing transition period. According to ANA “The nurse is responsible and accountable for individual nursing practice and determines the appropriate of tasks consistent with the nurse’s obligation to provide optimum patient care”. The nurse is also responsible for the planning of transition of health care responsibilities to patients and their families. For childhood chronic diseases, planning and implementing interventions for the child and his family on transition from hospital to home should be part of nursing process. The child and his family should be acquired certain skills in order to manage the transition process appropriately. Also, some nursing interventions should be planned to help them overcome that complicated transition period. Those interventions are: a) Assessment of the child and his family, b) Determination of the sources to make the transition easier, c) Gaining disease management skills Recently, it has been shown that one-sided, education based strategies are not adequate for childhood chronic diseases so that multiple-sided interventions have gained importance in transition from hospital to home. The positive outcomes of multiple interventions such as phone-counselling, home visits have been promoted for management of childhood chronic diseases. The role of nurses in those multiple interventions should be motivating the patients and families to participate in disease management process and helping them about problems which might possibly be occurred during home visits and phone counselling.
Jihea Choi
Yonsei University, South Korea
Title: Health-related Quality of Life of Adolescent with Idiopathic Scoliosis in Korea
Biography:
Jihea Choi has completed her Doctoral program in Yonsei University College of Nursing and currently works as Assistant Professor for Department of Nursing, Wonju College of Medicine, Yonsei University in Korea. Hyejung Lee has completed her Doctoral program in the University of Illinois at Chicago and currently works as Assistant Professor for College of Nursing, Yonsei University in Korea.
Abstract:
Purpose: To identify health related quality of life (HRQoL) by severity of disease in adolescents with idiopathic scoliosis (AIS) in Korea. Methods: One hundred ten adolescents with medically diagnosed idiopathic scoliosis completed the SRS-22r questionnaire. Data were collected over 1 year and analyzed using descriptive statistics, Kruskal-Wallis and Mann-Whitney U tests and ANOVA. Results: For 52 adolescents (47.3%) was mild AIS in its severity and for 46 (41.8%) moderate AIS, and for 12(10.9%) severe. Half of the participants were first diagnosed with AIS during the early adolescent period (10~12years) (48.2%) and the rest during the middle adolescent period (13~15years) (44.5%). The mean SRS-22r score for the participants was 4.21 out of 5. The median scores were not significantly different among groups. However, the median score for self-image/appearance of the severe AIS group which was a sub-domain of SRS-22r was significantly lower than those of the other groups. Conclusions: HRQoL was not significantly influenced by severity of disease, except self-image/appearance in Korean with AIS. To enhance HRQoL of AIS, strategies should be developed tailored to individuals based on severity of disease. As the highest prevalence rate was detected during early adolescence early screening examination is warranted for AIS.
Tcheunkeu Ebanga Nadine
Catholic Health Organization, Cameroon
Title: Good nurse –patient relationship a route to eradicating loss to follow up inpatients on art; case study Cameroon meme
Biography:
Tcheunkeu Ebanga Nadine is a bachelor degree holder in nursing. I work with the catholic health organization Cameroon as a nurse a post I have held for 5 years. Nadine is born of Tabe Susan and Tcheunkeu Thomas. She is a proud mother of 3 kids and very pationate about her research.
Abstract:
Background: Initiating HIV+ patients on ART require lifelong commitment to treatment. Nurses are the first health care workers these patients meet in the hospital and thus failure for nurses to established a cordial relationship with these clients can lead to refusal to start treatment and more especially stopping treatment by patients who have started stopping treatment at anytime leads to increase morbidity and mortality. Rational: This study sought to bring out the importance of good nurse patient relationship in reducing loss to follow-up and enhancing patient’s adherence to treatment. Methodology: Four hospitals were use for this study which included to public hospitals and two religious hospitals. Data was then collected for 12months comparing the rate of adherence of patients on ART in mission hospitals and that of patients on public hospitals. The study lasted for 12 months and a total of 450 naïve clients were enrolled on ART from all 4 hospitals at the start of the study. Results: Out of these 450 patients seen at the start of the studies 300 (66.7%) was coming from the public hospitals while 150 (33.3%) was the number of patients seen by the mission hospital. A six months survey was conducted to assess how many of the patients in both sites were still coming regularly for their follow up and refills. It was notices that in the public hospitals they still had 200 that is 66.7 % patients coming regularly while the mission sites still had 110 (73.3%) faithful clients. The last survey was done after 12months on thesame sites considering the same number that is 450 clients which were enrolled in the study at the very beginning. The was no doubt that the public hospitals still had more lost to follow-up cases than the mission as they had lost another 30 clients leaving them with 120 hence their total loss to follow up clients were 180 .patients while the mission settings had lost more 15 clients so their total loss to follow-up clients came up to 55 patients. Conclusion: The public hospitals loss more patients on ART than the mission hospitals they loss up to 180 patients making it a percentage loss of 60 while the mission just recorded a percentage loss of 36.7. It was so because the mission nurses played a key role as they are more welcoming and caring due to their strong religious affiliation that makes them more empathetic and comforting than their counterparts of the public settings. Nurses have a vital role in making patients stick to ARTs.
Simge Zeyneloglu
Gaziantep University, Turkey
Title: Determınatıon of attachment levels of women to ınfants ın prenatal perıod
Biography:
Simge Zeyneloglu, MSN, PhD, is an Associated Professor at Gaziantep University Faculty of Health Sciences Department of Nursing, Gaziantep, and an Associated Professor at the University of Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the attachment levels of women to infants in prenatal period. Methods: The population of the study consists of 89.138 women that applied to Follow-Pregnant Clinic of Necip Fazil Maternity and Child Health Hospital in KahramanmaraÅŸ, and the sample is composed of 382 women. As a data collection tool, the questionnaire "Prenatal Attachment Inventory" (Cronbachalpha reliability coefficient of 0.84) is used. The questionnaire consists of two parts. In the first part; socio-demographic characteristics of pregnant women and their spouses; these condpart includes questions for fertility characteristics depend on what affects the attachment to babies of the women. Questionnaire and Prenatal Attachment Inventory were implemented between 20 January and 16 May 2014. The data obtained from this study is assessed by using SPSS 18 for Windows (Statistical Package for Social Sciences), and mean, standard deviation, minimum and maximum values with percentage numbers, t-test area lsoassessed using SPSS. Results: It is determined that there is statistically significant difference between means of Prenatal Attachment Inventory scores determining the attachment levels of pregnant women to infants and education level, number of pregnancies, number of living children, planned pregnancy, previously experienced pregnancy loss, healthy the emotions experienced when pregnancy learned, positive health behavior changes during pregnancy, tobacco and alcohol consumption habits (p <0.05). According to the results of there gression analysis; a significant relationship was found that is between the level of prenatal attachment with positive changes in health behaviors during pregnancy and the pregnancy is planned (p <0.05). Conclusions: As a result, attachment levels of pregnant women to their infants in prenatal periodare respectively high (calculated Prenatal Attachment Inventory mean score is 59.31). Suggestions for increasing the attachment levels of pregnant women to their infants in prenatal period connecting the study results have also been developed.
Amnon Raviv
Dream Doctors medical clowns, Israel
Title: The Dream Doctors: Medical Clowning as part of the medical teamwork in medical procedures in pediatric units
Biography:
Amnon Ravi is a PhD candidate, and he teaches in the Ben Gurion University School of medicine, Israel. He works as a medical clown in hospitals for more than a decade as part of the Dream Doctors Project. He has published many articles about medical clowning, his book 'Medical Clowning: The healing performance' is going to be published next year by the University of Chicago Press.
Abstract:
The Dream Doctors' medical clowns are now involved in many and varied medical procedures carried out on children. Studies have shown how their work contributes greatly to reducing anxieties among child patients (and their families) prior to and during medical procedures. The medical clown thus assists the medical treatment team in carrying out the procedures more easily and comfortably. The cooperation within the triad of physician-nurse-medical clown during medical procedures is a new team model for many nurses, physicians, and even for the medical clowns. This presentation characterizes this unique collaboration and proposes ways to improve cooperation between the multidisciplinary team to benefit the wellbeing of child patients. In recent years, medical clowning has entered a new era. No longer confined to the rooms on the ward, the medical clown has now become part of the multidisciplinary healthcare team, and is involved in an increasing number of various medical procedures carried out on children. Recent studies have shown the significant impact of the medical clown's presence in assisting to reduce children's anxieties during medical procedures, thus helping the nurse and physician to carry out the procedure more easily. The need arises to create a new model of the multidisciplinary healthcare team's work to include the triad of nurse-physician-medical clown, based on the understanding of what is required to carry out the procedure, clear job definitions, and agreement on the most desirable type of verbal and nonverbal communication among the team members.