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Diyabetik Koroner Arter Hastalarında Bypass Operasyonu ve Stent Uygulamalarında Yaş Faktörünün Yaşam Kalitesi Üzerine Etkisi

Year 2018, Volume: 4 Issue: 2, 921 - 932, 15.08.2018
https://doi.org/10.30569/adiyamansaglik.444439

Abstract

Amaç : Bu çalışmada diyabetik koroner arter
hastalarında bypass ve stent uygulamalarında yaşın erken dönem yaşam kalitesi
üzerine etkilerini karşılaştırmayı amaçladık.

      Gereç ve Yöntem:  Çalışmaya Konya Üniversitesi Meram Tıp
Fakültesi Kalp ve Damar Cerrahisi Merkezinde 01.07.2011-31.01.2012 tarihleri
arasında opere olan ve Kardiyoloji 
kliniğinde perkütan transkatater koroner anjiyoplasti-stent yapılan
diyabetik 85’şer hasta alındı. Preoperatif rutin biyokimyasal testler (AKŞ ve
HbA1c)  incelenerek diyabetik hastalar
seçildi. Stent uygulanan ve opere olan hastalar 
60>yaş  ve 60≤yaş  olarak 2 gruba ayrılarak Short Form-36 anketi
uygulandı.

      Bulgular: Bypass ve stent uygulanan
hastalar yaşa göre yaşam kalitesi alt boyutları karşılaştırıldığında fiziksel
rol de anlamlı farklılık tespit edilirken(p<0,05), fiziksel işlev,
ağrı,genel sağlık algısı, yaşamsallık, sosyal işlev, mental rol,ve mental
sağlık arasında anlamlı fark bulunamamıştır (p>0,05).

      Sonuç:
Diyabetik hastalarda yaşa göre erken dönem yaşam kalitesi incelendiğinde
fiziksel rol de stent uygulamalarının daha etkili olduğu görülmektedir.









     Anahtar Kelimeler:
SF-36, Diyabet, Koroner arter baypas cerrahisi, Perkütan
Transkatater Koroner Anjiyoplasti

References

  • 1. Chockalignam A, Balaguer-Vintro, Achutti A, et al. Impending Global Pandemic of Cardiovascular Diseases; Challenges and Opportunities for the Prevention and Control of Cardiovascular Diseases in Developing Countries and Economies in Transition. Can J Cardiol. 2000;16:231-235.
  • 2. World Health Organization 2017. World health statistics 2017: monitoring health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization; 2017.p.1-173. Licence: CC BYNC-SA 3.0 IGO.
  • 3. Jaarsma T. Developing the potential of social media in cardiovascular care. European Journal of Cardiovascular Nursing 2014; 13(5), 386–387.
  • 4. Phillips P. Telephone follow-up for patients eligible for cardiac rehab: A systematic review. British Journal of Cardiac Nursing 2014; 9(4): 186-98.
  • 5. Onat A, Karakoyun S, Akbaş T, Özpamuk Karadeniz F, Karadeniz Y, Çakır H ve ark. TEKHARF 2014 taraması ve Türkiye’de coğrafi bölgelere göre ölüm oranı ile koroner hastalık insidansı.Türk Kardiyol Dern Arş 2015; 43(4):326–332. http://dx.doi.org/10.5543/tkda.2015.80468.
  • 6. Onat A, Şurdum-Avcı G, Şenocak M ve ark. Türkiye’de erişkinlerde kalp hastalığı ve risk faktörleri sıklığı taraması: 3. kalp hastalıkları prevelansı. Türk Kardiyol Dern Arş 1991;19:26–33.
  • 7. Onat A, Yazıcı M, Eryonucu B ve ark. TEKHARF 2002 yılı taramasının ölüm ve koroner olaylara ilişkin sonuçları. Türk Kardiyol Dern Arş 2002;30;694–698.)
  • 8. Küçükberber N, Özdilli K, Yorulmaz H. Kalp hastalarında sağlıklı yaşam biçimi davranışları ve yaşam kalitesine etki eden faktörlerin değerlendirilmesi. Anadolu Kardiyol Dergisi 2011; 11: 619-26.
  • 9. Kurçer MA, Özbay A. Koroner Arter Hastalarında Uygulanan Yaşam Tarzı Eğitim ve Danışmanlığının Yaşam Kalitesine Etkisi. Anadolu Kardiyoloji Dergisi 2011; 11: 107-13.
  • 10. Boulay P, Prud'homme D. Risk factor management after short-term versus long-term cardiac rehabilitation program. Coronary Health Care 2001; :133-40.
  • 11. Sabbah I, Drouby N, Sabbah S, Retel-Rude N, Mercier M. Quality of life in rural and urban populations in Lebanon using SF-36 Health Survey. Health Qual Life Outcomes 2003;1:30.
  • 12. Bilir N., Özcebe H., Vaizoğlu, SA., Aslan D., Subaşı N., Telatar TG. Van İlinde 15 Yaş Üzeri Erkeklerde SF-36 ile Yaşam Kalitesinin Değerlendirilmesi. Turkiye Klinikleri J Med Sci 2005, 25: 663-8.)
  • 13. Saffi Lumertz MA, Polanczyk1 CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. European Journal of Cardiovascular Nursing 2014; 13(5): 436–443.
  • 14. Kenan TOPAL Yaşam Kalitesini Ölçmede Kullanılan Ölçekler Turkiye Klinikleri J Fam Med-Special Topics 2014;5(3):9-14
  • 15. Ware JE, Kosinski M, Gandek B. SF-36 health survey. Manual and interpretation guide. Lincoln (RI): Quality Metric Inc.; 1993
  • 16. Maslic-Sersic D, Vuletic´ G. Psychometric evaluation and establishing norms of Croatian SF-36 Health Survey: Framework for subjective health research. Croat Med J 2006;47:95—102.
  • 17. Zu Wallack R. Outcome assesment. In Hodgkin JE (ed). Pulmonary rehabilitation. USA: Lippincott Williams-Wilkins; 2000. p.363-387
  • 18. Mahler DA, Mackowiak JI. Evaluation of the Short-Form 36-İtem questionnaire to measure health related quality of life in patients with COPD. Chest 1995;107:1585-9.
  • 19. Koçyiğit H, Aydemir Ö, Fişek G, ve ark. Kısa Form (KF-36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12: 102-6.
  • 20. Hawkes AL, Patrao TA, Ware R, Atherton JJ, Taylor CB, Oldenburg BF. Predictors of physical and mental health-related quality of life outcomes among myocardial infarction patients. BMC Cardiovascular Disorders 2013;13(69):1-9. http://www.biomedcentral.com/1471-2261/13/69
  • 21. Fidan Korkut Owen, Nur Demirbaş Çelik ,Yaşam Boyu Sağlıklı Yaşam ve İyilik Hali , Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry 2018;10(4):430-443 doi:10.18863/pgy.364108
  • 22. Gencer B, Girardin F. Coronary artery diseases associated with persistent lower quality of life in women. Open Heart. 2015;2(1):1-2. http://dx.doi.org/10.1136/openhrt-2015-000305
  • 23. Krumholz HM, Peterson ED, Ayanian JZ, Chin MH, DeBusk RF, Goldman L, Kiefe CI, Powe NR, Rumsfeld JS, Spertus JA, Weintraub WS; National Heart, Lung, and Blood Institute working group. Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular sease. Circulation. 2005 Jun 14;111(23):3158-66
  • 24. Küçükberber N, Özdilli K, Yorulmaz H. Kalp hastalarında sağlıklı yaşam biçimi davranışları ve yaşam kalitesine etki eden faktörlerin değerlendirilmesi. Anadolu Kardiyol Derg 2011;11:619-26. . http://dx.doi.org/10.5152/akd.2011.166
  • 25. Uysal H, Ozcan Ş. A Turkish version of myocardial infarction dimensionla assessment scale (TRMIDAS):Reliability-validity assessment. Eur J Cardiovasc Nurs 2011;10:115-23. http://dx.doi.org/10.1016/j.ejcnurse.2010.05.007
  • 26. Kaul P, Armstrong PW, Fu Y, Knight JD, Clapp-Channing NE, Sutherland W, Granger CB, Mark DB; GUSTO-IIb investigators. Impact of different patterns of invasive care on quality of life outcomes in patients with non-ST elevation acute coronary syndrome:
  • 27. Zhang Z, Mahoney EM, Stables RH, Booth J, Nugara F, Spertus JA, Weintraub WS. Diseasespecific health status after stent-assisted percutaneous coronary intervention and coronary artery bypass surgery: one-year results from the Stent or Surgery trial. Circulation. 2003 Oct 7;108(14):1694-700
  • 28. Szygula-Jurkiewicz B, Zembala M, Wilczek K, Wojnicz R, Polonski L. Health related quality of life after percutaneous coronary intervention versus coronary artery bypass graft surgery in patients with acute coronary syndromes without ST-segment elevation. 12-month follow up. Eur J Cardiothorac Surg. 2005 May;27(5):882-6
  • 29. Cohen DJ, Van Hout B, Serruys PW, Mohr FW, Macaya C, den Heijer P, Vrakking MM, Wang K, Mahoney EM, Audi S, Leadley K, Dawkins KD, Kappetein AP; Synergy between PCI with Taxus and Cardiac Surgery Investigators.N Engl J Med. 2011 Mar 7;364(11):1016-26

The Effect of Age on the Quality of Life to Whom Underwent Stent Graft and Coronary Artery Gypass Graft Operation With Diabetic Coronary Artery Disease Patients

Year 2018, Volume: 4 Issue: 2, 921 - 932, 15.08.2018
https://doi.org/10.30569/adiyamansaglik.444439

Abstract

     Aim: In this study, we aimed to compare the effects of age
on early life quality of the patients with diabetic coronary artery disease who
underwent coronary artery by pass surgery or stent application.

     Methods: The study was carried out at Konya Meram University
Faculty of Medicine. 170 diabetic patients, number of 85 patients underwent
PTA, number of 85 patients underwent CABG, between the dates of 01.07.2011 and
31.01.2012 were included in the study. Diabetic patients were selected by
examining with blood tests (fasting blood glucose and HbA1c) at the
preoperative period. Patients were divided into 2 groups of >60 age and
60 age and both groups were evaluated with Short
Form-36 questionnaire.

     Results: There was a significant difference in the physical
role of the groups in terms of quality of life subscales (p <0,05). No statistically significant difference was found
between physical function, pain, general health perception, vitality, social
function, mental role, and mental health
(p> 0,05).

     Conclusion: When the data examined in terms of early life quality
according to age, it is seen that stenting is more effective in physical role.

   
Key words:
SF-36,
diabetes, coronary artery bypass graft, percutaneous transcatheter coronary
angioplasty











 

References

  • 1. Chockalignam A, Balaguer-Vintro, Achutti A, et al. Impending Global Pandemic of Cardiovascular Diseases; Challenges and Opportunities for the Prevention and Control of Cardiovascular Diseases in Developing Countries and Economies in Transition. Can J Cardiol. 2000;16:231-235.
  • 2. World Health Organization 2017. World health statistics 2017: monitoring health for the SDGs, Sustainable Development Goals. Geneva: World Health Organization; 2017.p.1-173. Licence: CC BYNC-SA 3.0 IGO.
  • 3. Jaarsma T. Developing the potential of social media in cardiovascular care. European Journal of Cardiovascular Nursing 2014; 13(5), 386–387.
  • 4. Phillips P. Telephone follow-up for patients eligible for cardiac rehab: A systematic review. British Journal of Cardiac Nursing 2014; 9(4): 186-98.
  • 5. Onat A, Karakoyun S, Akbaş T, Özpamuk Karadeniz F, Karadeniz Y, Çakır H ve ark. TEKHARF 2014 taraması ve Türkiye’de coğrafi bölgelere göre ölüm oranı ile koroner hastalık insidansı.Türk Kardiyol Dern Arş 2015; 43(4):326–332. http://dx.doi.org/10.5543/tkda.2015.80468.
  • 6. Onat A, Şurdum-Avcı G, Şenocak M ve ark. Türkiye’de erişkinlerde kalp hastalığı ve risk faktörleri sıklığı taraması: 3. kalp hastalıkları prevelansı. Türk Kardiyol Dern Arş 1991;19:26–33.
  • 7. Onat A, Yazıcı M, Eryonucu B ve ark. TEKHARF 2002 yılı taramasının ölüm ve koroner olaylara ilişkin sonuçları. Türk Kardiyol Dern Arş 2002;30;694–698.)
  • 8. Küçükberber N, Özdilli K, Yorulmaz H. Kalp hastalarında sağlıklı yaşam biçimi davranışları ve yaşam kalitesine etki eden faktörlerin değerlendirilmesi. Anadolu Kardiyol Dergisi 2011; 11: 619-26.
  • 9. Kurçer MA, Özbay A. Koroner Arter Hastalarında Uygulanan Yaşam Tarzı Eğitim ve Danışmanlığının Yaşam Kalitesine Etkisi. Anadolu Kardiyoloji Dergisi 2011; 11: 107-13.
  • 10. Boulay P, Prud'homme D. Risk factor management after short-term versus long-term cardiac rehabilitation program. Coronary Health Care 2001; :133-40.
  • 11. Sabbah I, Drouby N, Sabbah S, Retel-Rude N, Mercier M. Quality of life in rural and urban populations in Lebanon using SF-36 Health Survey. Health Qual Life Outcomes 2003;1:30.
  • 12. Bilir N., Özcebe H., Vaizoğlu, SA., Aslan D., Subaşı N., Telatar TG. Van İlinde 15 Yaş Üzeri Erkeklerde SF-36 ile Yaşam Kalitesinin Değerlendirilmesi. Turkiye Klinikleri J Med Sci 2005, 25: 663-8.)
  • 13. Saffi Lumertz MA, Polanczyk1 CA, Rabelo-Silva ER. Lifestyle interventions reduce cardiovascular risk in patients with coronary artery disease: A randomized clinical trial. European Journal of Cardiovascular Nursing 2014; 13(5): 436–443.
  • 14. Kenan TOPAL Yaşam Kalitesini Ölçmede Kullanılan Ölçekler Turkiye Klinikleri J Fam Med-Special Topics 2014;5(3):9-14
  • 15. Ware JE, Kosinski M, Gandek B. SF-36 health survey. Manual and interpretation guide. Lincoln (RI): Quality Metric Inc.; 1993
  • 16. Maslic-Sersic D, Vuletic´ G. Psychometric evaluation and establishing norms of Croatian SF-36 Health Survey: Framework for subjective health research. Croat Med J 2006;47:95—102.
  • 17. Zu Wallack R. Outcome assesment. In Hodgkin JE (ed). Pulmonary rehabilitation. USA: Lippincott Williams-Wilkins; 2000. p.363-387
  • 18. Mahler DA, Mackowiak JI. Evaluation of the Short-Form 36-İtem questionnaire to measure health related quality of life in patients with COPD. Chest 1995;107:1585-9.
  • 19. Koçyiğit H, Aydemir Ö, Fişek G, ve ark. Kısa Form (KF-36)’nın Türkçe versiyonunun güvenirliliği ve geçerliliği. İlaç ve Tedavi Dergisi 1999;12: 102-6.
  • 20. Hawkes AL, Patrao TA, Ware R, Atherton JJ, Taylor CB, Oldenburg BF. Predictors of physical and mental health-related quality of life outcomes among myocardial infarction patients. BMC Cardiovascular Disorders 2013;13(69):1-9. http://www.biomedcentral.com/1471-2261/13/69
  • 21. Fidan Korkut Owen, Nur Demirbaş Çelik ,Yaşam Boyu Sağlıklı Yaşam ve İyilik Hali , Psikiyatride Güncel Yaklaşımlar-Current Approaches in Psychiatry 2018;10(4):430-443 doi:10.18863/pgy.364108
  • 22. Gencer B, Girardin F. Coronary artery diseases associated with persistent lower quality of life in women. Open Heart. 2015;2(1):1-2. http://dx.doi.org/10.1136/openhrt-2015-000305
  • 23. Krumholz HM, Peterson ED, Ayanian JZ, Chin MH, DeBusk RF, Goldman L, Kiefe CI, Powe NR, Rumsfeld JS, Spertus JA, Weintraub WS; National Heart, Lung, and Blood Institute working group. Report of the National Heart, Lung, and Blood Institute working group on outcomes research in cardiovascular sease. Circulation. 2005 Jun 14;111(23):3158-66
  • 24. Küçükberber N, Özdilli K, Yorulmaz H. Kalp hastalarında sağlıklı yaşam biçimi davranışları ve yaşam kalitesine etki eden faktörlerin değerlendirilmesi. Anadolu Kardiyol Derg 2011;11:619-26. . http://dx.doi.org/10.5152/akd.2011.166
  • 25. Uysal H, Ozcan Ş. A Turkish version of myocardial infarction dimensionla assessment scale (TRMIDAS):Reliability-validity assessment. Eur J Cardiovasc Nurs 2011;10:115-23. http://dx.doi.org/10.1016/j.ejcnurse.2010.05.007
  • 26. Kaul P, Armstrong PW, Fu Y, Knight JD, Clapp-Channing NE, Sutherland W, Granger CB, Mark DB; GUSTO-IIb investigators. Impact of different patterns of invasive care on quality of life outcomes in patients with non-ST elevation acute coronary syndrome:
  • 27. Zhang Z, Mahoney EM, Stables RH, Booth J, Nugara F, Spertus JA, Weintraub WS. Diseasespecific health status after stent-assisted percutaneous coronary intervention and coronary artery bypass surgery: one-year results from the Stent or Surgery trial. Circulation. 2003 Oct 7;108(14):1694-700
  • 28. Szygula-Jurkiewicz B, Zembala M, Wilczek K, Wojnicz R, Polonski L. Health related quality of life after percutaneous coronary intervention versus coronary artery bypass graft surgery in patients with acute coronary syndromes without ST-segment elevation. 12-month follow up. Eur J Cardiothorac Surg. 2005 May;27(5):882-6
  • 29. Cohen DJ, Van Hout B, Serruys PW, Mohr FW, Macaya C, den Heijer P, Vrakking MM, Wang K, Mahoney EM, Audi S, Leadley K, Dawkins KD, Kappetein AP; Synergy between PCI with Taxus and Cardiac Surgery Investigators.N Engl J Med. 2011 Mar 7;364(11):1016-26
There are 29 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Research Article
Authors

Cengiz Güven 0000-0001-9693-434X

Erdal Ege

Publication Date August 15, 2018
Submission Date July 17, 2018
Acceptance Date July 24, 2018
Published in Issue Year 2018 Volume: 4 Issue: 2

Cite

AMA Güven C, Ege E. Diyabetik Koroner Arter Hastalarında Bypass Operasyonu ve Stent Uygulamalarında Yaş Faktörünün Yaşam Kalitesi Üzerine Etkisi. ADYÜ Sağlık Bilimleri Derg. August 2018;4(2):921-932. doi:10.30569/adiyamansaglik.444439