Perkütan Koroner Girişim Geçiren Bireylerde Ölüm Korkusu ve Sağlıklı Yaşam Biçimi Davranışları Arasındaki İlişki

Year 2024, , 6 - 13, 11.03.2024

Şerafettin Okutan , Cihan Önen , Ahmet Göktaş , Mehmet Tahir Huyut

https://doi.org/10.26453/otjhs.1271809

Abstract

Amaç: Perkütan koroner girişim geçiren bireylerde ölüm korkusu ve sağlıklı yaşam biçimi davranışları arasındaki ilişkiyi incelemektir.
Materyal ve Metot: Örneklem sayısı 109 olarak belirlendi. Çalışma, bir hastanenin anjiyo ünitesi ve kardiyoloji kliniklerinde gerçekleştirildi. Veriler, Thorson-Powell Ölüm Kaygısı ve Sağlıklı Yaşam Biçimi Davranışları II ölçekleriyle toplandı.
Bulgular: Hastaların ölüm kaygısı ölçeği puanı 55,17±11,52 ve sağlıklı yaşam biçimi davranışları ölçeği puanı 123,51±14,56 olarak bulundu. Ölüm kaygısı ile sağlıklı yaşam biçimi davranışları ölçekleri arasında negatif ilişki (r = -0,683, p= 0,003) bulundu. Ölüm kaygısı arttıkça sağlıklı yaşam biçimi davranışları azaldı. Ölüm kaygısı düzeyi ile fiziksel aktivite arasında negatif korelasyon (r = -0,720, p=0,002) bulundu. Fiziksel aktivite azaldıkça ölüm kaygısı düzeyi arttı.
Sonuç: Hastaların daha az ölüm kaygısı yaşamaları için diyet, egzersiz, manevi gelişim, stres yönetimi ve sağlıklı sosyal hayat gibi sağlıklı yaşam tarzının önemi bilinmelidir. Hastalara sağlıklı yaşam eğitim programları uygulanmalıdır. Kalıcılığı sağlamak için hastalar görsellerle ve broşürlerle desteklenmeli, eğitimler tekrarlanmalıdır.

Keywords

Girişim, perkütan koroner, ölüm, sağlık, yaşam tarzı

Project Number

no

The Relationship Between Fear of Death and Healthy Lifestyle Behaviors in Individuals Having Percutaneous Coronary Intervention

Abstract

Objective: The study aims to investigate the relationship between fear of death and healthy lifestyle behaviors in individuals undergoing percutaneous coronary intervention.
Materials and Methods: The sample number was determined to be 109. The study was carried out in the angiography unit and cardiology clinics of a hospital. Data were collected using the Thorson-Powell Death Anxiety and Healthy Lifestyle Behaviors II Scales.
Results: The patients' death anxiety scale score was 55.17±11.52 and their healthy lifestyle behavior scale score was 123.51±14.56. A negative relationship (r = -0.683, p = 0.003) was found between death anxiety and healthy lifestyle behavior scales. As death anxiety increased, healthy lifestyle behaviors decreased. A negative correlation was found between death anxiety level and physical activity (r = -0.720, p=0.002). As physical activity decreased, death anxiety level increased.
Conclusions: In order for patients to experience less death anxiety, the importance of a healthy lifestyle, such as diet, exercise, spiritual development, stress management, and a healthy social life, should be known. Healthy lifestyle education programs should be applied to patients. To ensure permanence, patients should be supported with visuals and brochures, and training should be repeated.

Keywords

Intervention, percutaneous coronary, death, health, lifestyle

Supporting Institution

This research did not receive any specific grants from any funding agency in the public, commercial, or not-for-profit sectors.

Project Number

no

References

• 1. Turkish Statistical Institute. Death and Cause of Death Statistics, 2020. https://data.tuik.gov.tr/Bulten/Index?p=Olum-ve-Olum-Nedeni-Istatistikleri-2020-37243. Accessed February 5, 2022.
• 2. World Health Organization. Causes of Death. WHO. https://platform.who.int/mortality/themes/theme-details/topics/topic-details/MDB/cardiovascular-diseases. Accessed February 5, 2022.
• 3. Aggarwal M, Ornish D, Josephson R, et al. Closing gaps in lifestyle adherence for secondary prevention of coronary heart disease. Am J Cardiol. 2021;145:1-11. doi:10.1016/J.AMJCARD.2021.01.005.
• 4. Song R, Lee H. Effects of a 12-week cardiac rehabilitation exercise program on motivation and health-promoting lifestyle. Hear Lung J Acute Crit Care. 2001;30(3):200-209. doi:10.1067/mhl.2001.113282
• 5. Aazami S, Jaafarpour M, Mozafari M. Exploring expectations and needs of patients undergoing angioplasty. J Vasc Nurs. 2016;34(3):93-99. doi:10.1016/j.jvn.2016.04.003.
• 6. Gulanick M, Bliley A, Perino B, Keough V. Recovery patterns and lifestyle changes after coronary angioplasty: The patient’s perspective. Hear Lung J Acute Crit Care. 1998;27(4):253-262. doi:10.1016/S0147-9563(98)90037-1.
• 7. Lawton JS, Tamis-Holland JE, Bangalore S, et al. 2021 ACC/AHA/SCAI guideline for coronary artery revascularization: a report of the american college of cardiology/american heart association joint committee on clinical practice guidelines. J Am Coll Cardiol. 2022;79(2):e21-e129. doi:10.1016/j.jacc.2021.09.006.
• 8. Deveci B, Ozeke O, Gul M, et al. Impact of the radial versus femoral access for primary percutaneous intervention on smoking cessation rates: A paradoxus between the health related quality of life and smoking quitting? Cor Vasa. 2018;60(4):e381-e386. doi:10.1016/j.crvasa.2018.03.006.
• 9. Chen X, Chen H, Lu WB, et al. Lower baseline LDL cholesterol affects all-cause mortality in patients with first percutaneous coronary ıntervention. Biomed Environ Sci. 2023;36(4):324-333. doi:10.3967/BES2023.038.
• 10. Perera S, Aslam A, Stehli J, et al. Gender differences in healthy lifestyle adherence following percutaneous coronary ıntervention for coronary artery disease. Hear Lung Circ. 2021;30(1):e37-e40. doi:10.1016/J.HLC.2020.06.024.
• 11. Pitta NC, Furuya RK, Freitas NDO, et al. Effect of an educational program on physical activity in individuals undergoing their first percutaneous coronary intervention: A randomized clinical trial. Brazilian J Phys Ther. 2022;26(5):100443. doi:10.1016/J.BJPT.2022.100443.
• 12. Bendig E, Bauereiß N, Buntrock C, Habibović M, Ebert DD, Baumeister H. Lessons learned from an attempted randomized-controlled feasibility trial on “WIDeCAD” - An internet-based depression treatment for people living with coronary artery disease (CAD). Internet Interv. 2021;24. doi:10.1016/j.invent.2021.100375.
• 13. Sönmez A. Determining the comfort and anxiety experiences of the patients having been applied with coronary artery bypass graft surgery. Trakya Unıversity, Institute of Health Sciences, Department of Nursing, Master's Thesis. Edirne, Türkiye. 2013.
• 14. Afacan M. Effect of using discharge ınformation calendar on patients' healthy lifestyle behaviors after coronary artery bypass graft surgery. Trakya Unıversity, Institute of Health Sciences, Department of Nursing, Master's Thesis. Edirne, Türkiye. 2019.
• 15. Buruntekin F. Determination of the relationship between death anxiety and activities of daily life in ındividuals with myocardial ınfarction. Nevşehir Hacı Bektaş Veli University, Institute of Sciences, Department of Nursing, Master's Thesis. Nevşehir, Türkiye. 2022.
• 16. Karaca F, Yıldız M. Validity and reliability study of the turkish translation of the thorson-powell death anxiety scale in the normal population. TabulaRasa. 2001;1(1):43-55.
• 17. Walker SN, Sechrist KR, Pender NJ. The health promoting lifestyle profile development and psychometric characteristics. Nurs Res. 1987;36(2):76-80.
• 18. Bahar Z, Beşer A, Gördes N, Ersin F, Kıssal A. Validity and reliability study of the healthy lifestyle behaviors scale ıı. CUHemsirelik Yuksek Derg. 2008;12(1):1-13.
• 19. Huyut M, Soygüder S. The multi-relationship structure between some symptoms and features seen during the new coronavirus 19 ınfection and the levels of anxiety and depression post-covid. East J Med. 2022;27(1):1-10.
• 20. Huyut M, Keskin S. Factors affecting mathematics achievement: determination of environmental factors by multiple correspondence analysis. Turkish J Appl Sci Technol. 2017;1(2):48-59.
• 21. Whang W, Kubzansky LD, Kawachi I, et al. Depression and risk of sudden cardiac death and coronary heart disease in women. Results from the nurses’ health study. J Am Coll Cardiol. 2009;53(11):950-958. doi:10.1016/J.JACC.2008.10.060.
• 22. Cengizhan Ş. The effect of planned patient education before angiography on state, continuity and death anxiety. Hasan Kalyoncu University, Institute of Health Sciences, Department of Nursing, Master's Thesis. Gaziantep, Türkiye. 2018.
• 23. Doğan E. Duration of admission to the hospital and relationship to the health-promoting lifestyle in myocardial ınfarction. Namık Kemal University, Institute of Health Sciences, Department of Internal Diseases Nursing, Master's Thesis. Tekirdağ, Türkiye. 2018.
• 24. Higgins M, Dunn S, Theobald K. The patients’ perception of recovery after coronary angioplasty. Aust Crit Care. 2000;13(3):83-88. doi:10.1016/S1036-7314(00)70629-1.
• 25. Ashour A, Al-Smadi A, Shajrawi A, Al-Rawashdeh S, Alshraifeen A, Abed M. Changes in illness perception among patients’ undergoing percutaneous coronary intervention. Hear Lung. 2020;49(6):836-841. doi:10.1016/J.HRTLNG.2020.08.026.
• 26. Gaudel P, Neupane S, Koivisto AM, Kaunonen M, Rantanen A. Effects of a lifestyle-related risk factor modification intervention on lifestyle changes among patients with coronary artery disease in Nepal. Patient Educ Couns. 2021;104(6):1406-1414. doi:10.1016/j.pec.2020.11.030.
• 27. Qin H, Mayer H, Öztürk B, Badr Eslam R. Patients’ perspectives with acute coronary syndrome after percutaneous coronary ıntervention. J Nurse Pract. 2021;17(5):588-593. doi:10.1016/J.NURPRA.2021.02.006.
• 28. Li Y, Feng X, Chen B, Liu H. Retrospective analysis of exercise capacity in patients with coronary artery disease after percutaneous coronary intervention or coronary artery bypass graft. Int J Nurs Sci. 2021;8(3):257-263. doi:10.1016/J.IJNSS.2021.05.008.
• 29. Al-Zaru IM, Shahrour G, Masha’al D, Hayajneh AA. Depression and adherence to healthy lifestyle behaviors among patients with coronary artery diseases in Jordan. Heliyon. 2022;8(7):e09752. doi:10.1016/J.HELIYON.2022.E09752.
• 30. Astin F, Jones K, Thompson DR. Prevalence and patterns of anxiety and depression in patients undergoing elective percutaneous transluminal coronary angioplasty. Hear Lung. 2005;34(6):393-401. doi:10.1016/J.HRTLNG.2005.05.002.