THE RELATIONSHIP BETWEEN RISK FACTORS OF ACUTE CORONARY SYNDROME AND HEALTHY LIFESTYLE BEHAVIORS IN PATIENTS WHO APPLIED TO THE EMERGENCY DEPARTMENT WITH CHEST PAIN

Year 2023, Volume: 25 Issue: 2, 215 - 224, 31.08.2023

Füsun Afşar

https://doi.org/10.24938/kutfd.1276883

Abstract

Objective: Chest pain is one of the potential symptoms of acute coronary syndrome and is the second most common emergency worldwide. Acute coronary syndrome tends to be seen in patients aged <45 years throughout the world. To be able to reduce the admission of patients with high-risk acute coronary syndrome referred to the cardiology polyclinic from the Emergency Department and decrease the morbidity/mortality rates, the association of acute coronary syndrome with healthy lifestyle behaviours should be examined, which will also contribute to a long-term high-quality and disability-free life.
Material and Methods: This cross-sectional study included 70 patients who presented with complaints of chest pain at the emergency department of an A1 Branch Training and Research Hospital between January and March 2022. The relationships were examined between acute coronary syndrome risk factors and healthy lifestyle behaviours using the Healthy Lifestyle Behaviours Scale-II.
Results: In the study population, mean age was 55.06±14.06 years. Of the study population, 31.43% were women. The mean total score in Healthy Lifestyle Behaviours Scale-II was 130.23±19.14, ranging from 91 to 171. The relationship between ACS risk factors and Healthy Lifestyle Behaviours Scale-II examined. A statistically significant medium level positive correlation was found between pain duration, pain severity, troponin with the health responsibility physical activity and diet points (p<0.05).
Conclusion: Determining the relationship between possible acute coronary syndrome patients presenting at emergency department with chest pain complaints and the Healthy Lifestyle Behaviours Scale-II is associated with the prevention of initial development of modifiable risk factors, increased awareness and the development of effective and effective behavioural lifestyles to increase the quality of life.

Keywords

Chest Pain, acute coronary syndrome, emergency service, healthy lifestyle behaviour, risk factors

Acil Servise Göğüs Ağrısı Şikayeti ile Başvuran Hastalarda Akut Koroner Sendromun Risk Faktörleri ile Sağlıklı Yaşam Biçimi Davranışları Arasındaki İlişki

Abstract

Amaç: Göğüs ağrısı, akut koroner sendromun potansiyel semptomlarından biridir ve dünyada acil başvuruları arasında ikinci sıradadır. Akut koroner sendrom dünya genelinde 45 yaş altı hastalarda görülme eğilimi göstermektedir. Acil servisten kardiyoloji polikliniğine yönlendirilen yüksek riskli akut koroner sendrom hastalarının başvurularının ve morbidite/mortalite oranlarının azaltılması için, uzun vadede kaliteli ve engelsiz bir yaşam sürecine katkıda bulunulabilmesi, sağlıklı yaşam biçimi davranışları ile ilişkilidir.

Gereç ve Yöntemler: A1 Dal Eğitim Araştırma Hastanesi Ocak-Mart 2022 tarihleri arasında göğüs ağrısı şikayeti ile acile başvuran 70 gönüllü hastada akut koroner sendrom risk faktörleri ile sağlıklı yaşam biçimi davranışları arasındaki ilişkiyi belirlemek amacıyla bu çalışma kesitsel ve ilişki arayıcı dizaynda yapılmıştır.

Akut koroner sendrom risk faktörleri ile sağlıklı yaşam tarzı davranışları arasındaki ilişkiler Sağlıklı Yaşam Tarzı Davranışları Ölçeği-II kullanılarak incelenmiştir.

Bulgular: Çalışma katılımcılarının yaş ortalaması 55.06±14.06 idi, %31.43’ü kadındı. Sağlıklı Yaşam Tarzı Davranışları Ölçeği-II’nde toplam puan 91 ile 171 arasında değişirken ortalama 130.23±19.14 idi. Akut koroner sendrom risk faktörlerinin ile HLBS-II arasındaki birlikte ilişkisi incelendi. Ağrı süresi, ağrı şiddeti, troponin ile sağlık sorumluluğu fiziksel aktivite ve diyet puanları arasında pozitif yönde orta düzeyde istatistiksel olarak anlamlı ilişki bulundu (p<0.05).

Sonuç: Acil servise göğüs ağrısı şikayeti ile ayaktan başvuran olası akut koroner sendrom hastalarının Sağlıklı Yaşam Tarzı Davranışları Ölçeği-II ile ilişkisinin belirlenmesi, özellikle değiştirilebilir risk faktörlerinin ilk gelişiminin önlenmesi, farkındalığın artması ve yaşam kalitesinin artmasına yönelik etkili ve etkin davranışçı yaşam biçimlerinin geliştirilmesi ile ilişkilidir.

Keywords

Göğüs ağrısı, akut koroner sendrom, sağlıklı yaşam davranışı, acil servis, risk faktörleri

Thanks

Doç.Dr. Bengü Şaylan'a desteklerinden dolayı teşekkür ederim

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