Research Article
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Cardiovascular disease risk factors knowledge of individuals with type 2 diabetes and associated factors

Year 2022, Volume: 15 Issue: 4, 824 - 834, 01.10.2022
https://doi.org/10.31362/patd.1149533

Abstract

Purpose: This study aimed to determine the knowledge level of individuals with type 2 diabetes regarding cardiovascular disease risk factors and the affecting factors.
Materials and methods: This single-center, descriptive and cross-sectional study was conducted with patients (n=207) who were admitted to Pamukkale University Hospitals Health Research and Application Center Endocrine polyclinic for control between September 2021 and December 2021.
Findings: The mean age of the individuals with type-2 DM who participated in the study was 60.99±13.74 years, and had been suffering from type-2 DM for a mean of 12.22±9.86 years. The mean scores of the cardiovascular diseases risk factors knowledge level scale was found to be 17.90±3.33 It was determined that 51.2% of the individuals included in the study were female, 31.9% had a history of type-2 DM and 52.2% had a history of heart disease. When their health-promoting behaviors were examined, it was determined that very few of the participants exercised but paid attention to healthy nutrition. It was determined that the cardiovascular risk factors knowledge levels of the patients did not differ statistically in terms of sociodemographic variables (p>0.05). However, it was determined that there was a statistically significant difference between some variables related to heart health-promoting behaviors such as exercise status, amount of fruit/vegetables consumed daily, preferred foods in snacks, monitoring blood sugar/cholesterol level, getting an ECG and having cardiovascular health checked (p<0.05).
Conclusion: The cardiovascular disease risk factors knowledge levels of the patients participating in the study were below the mean score of the scale. Although their level of knowledge was not very low, the ratio of the healthy lifestyle behaviors they developed to the general risk factors knowledge level was found to be quite low. Individuals with type-2 DM who have preventive health behaviors and exhibit positive eating habits have higher knowledge levels than others. 

Supporting Institution

The study was not funded by Funding Organization(s) and Funding Support

Thanks

We would like to thank all patients who participated in this study. We also gratefully acknowledge the invaluable contribution to Cardiovascular Surgery Clinic of Pamukkale University Hospital where we conducted this study

References

  • Referans1 Gür CÇ, Polat H, Müderrisoglu C, Altunoglu E, Yılmaz M. Tip 2 diyabet hastalarında diyabet regülasyonu, HbA1C, diyabet yası, BMI, dislipidemi ve mikroalbuminuri ile makrovaskuler komplikasyonların karsılastırılması. Istanbul Med J 2013;14:243-247.
  • Referans2 Keskin Ö, Balcı B. Diabetes mellitus ve kardiyovasküler komplikasyonlar. Kafkas J Med Sci 2011;1:81-85. Referans3 Kilkenny MF, Dunstan L, Busingye D. et al. Knowledge of risk factorsfor diabetesorcardiovascular disease (CVD) is poor among individuals with risk factors for CVD. PloS one 2017;12:e0172941.
  • Referans4 Türkiye Diyabet Programı 2015-2020, Saglık Bakanlıgı Türkiye Halk Sağlıgı Kurumu. Ankara, 2014. Available at: https://erzurumism.saglik.gov.tr/Eklenti/8856/0/turkiyediyabetprogrami2015-2020pdf.pdf, Accessed April 15, 2022.
  • Referans5 Kayaniyil S, Ardern CI, Winstanley J. et al. Degree and correlates of cardiac knowledge and awareness among cardiac inpatients. Patient Educ Couns. 2009;75:99-107.
  • Referans 6 Khot UN, Khot MB, Bajzer CT. et al. Prevalance of conventional risk factors in patients with coronary heart disease. JAMA 2003;290:898-904.
  • Referans7 Buse JB, Gindberg HN, Bakris GL. et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientic statement from the American Heart Association and the American Diabetes Association. Circulation 2007;115:114-126.
  • Referans8 Qiu S, Cai X, Schumann U, Velders M, Sun Z, Steinacker JM. Impact of walking on glycemic control and other cardiovascular risk factors in type 2 diabetes: a meta-analysis. PLoS One 2014; 9:e109767.
  • Referans9 Huang Y, Li J, Zhu, X. et al. Relationship between healthy lifestyle behaviors and cardiovascular risk factors in Chinese patients with type 2 diabetes mellitus: a subanalysis of the CCMR-3B STUDY. Acta Diabetol 2017;54:569-579.
  • Referans10 Ergin E, Akın S, Kazan S, Erdem ME, Tekçe M, Aliustaoglu M. Diyabetik hastalarda lipit profili: farkındalık ve tedavideki basarı oranlarımız. Kartal Egitim ve Arastırma Hastanesi Tıp Dergisi 2013;24:157-163.
  • Referans11 Taşkın Yılmaz F, Karakoç Kumsar A ve Çelik S. The Association Between Healthy Lifestyle Behaviors and Level of Knowledge About Cardiovascular Disease Risk Factors in People with Type 2 Diabetes. Hemsirelikte Egitim ve Arastırma Dergisi 2018;15:63-70.
  • Referans12 Arıkan G, Metintas S, Kalyoncu C, Yıldız Z. Kardiyovasküler Hastalıklar Risk Faktörleri Bilgi Düzeyi (KARRIF-BD) Ölçegi’nin geçerlik ve güvenirligi. Turk Kardiyol Dern Ars 2009;37:35-40.
  • Referans13 George D, and Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 Update, 10th Edition, Pearson, Boston. 2010. Available at: https://wps.ablongman.com/wps/media/objects/385/394732/george4answers.pdf Accessed April 10, 2022.
  • Referans14 International Diabetes Federation (IDF) Available at: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf. Accessed April 14, 2022
  • Referans15 Einarson TR, Acs A, Ludwig C, & Panton UH. Prevalence of cardiovascular disease in type 2 diabetes: a systematic literature review of scientific evidence from across the world in 2007–2017. Cardiovasc Diabetol 2018;17:1-19.
  • Referans16 American Diabetes Association (ADA). Summary of revisions: Standards of medical care in diabetes- 2019. Available at: https://diabetesjournals.org/care/article/42/Supplement_1/S4/31265/Summary-of-Revisions-Standards-of-Medical-Care-in Accessed April 14, 2022.
  • Referans17 Türk Endokrinoloji ve Metabolizma Derneği (TEMD). Diabetes Mellitus ve komplikasyonlarının tanı, tedavi ve izlem klavuzu 2020. Available at: https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf. Accessed April 14, 2022.
  • Referans18 Lorber D. Importance of cardiovascular disease risk management in patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes 2014;7:169-183.
  • Referans19 Wagner J, Abbott G, Lacey, K. Knowledge of heart disease risk among spanish speakers with diabetes: the role of interpreters in the medical encounter. Ethn Dis 2005;15:679-684.
  • Referans20 Andsoy I I, Tastan S, Iyigun E, Kopp LR. Knowledge and attitudes towards cardiovascular disease in a population of North Western Turkey: a cross-sectional survey. Int. J. Caring Sci 2015; 8:115-124.
  • Referans21 Schreuder TH, Maessen MF. Tack CJ, Thijssen DH, Hopman, MT. Life-long physical activity restores metabolic and cardiovascular function in type 2 diabetes. Eur J Appl Physiol. 2014;114:619-627.
  • Referans22 Franklin BA, Myers J, Kokkinos P. Importance of lifestyle modification on cardiovascular risk reduction: counseling strategies to maximize patient outcomes. J Cardiopulm Rehabil Prev 2020;40:138-143.
  • Referans23 Nie R, Han Y, Xu J, Huang Q, Mao J. Illness perception, risk perception and health promotion self-care behaviors among Chinese patient with type 2 diabetes: A cross-sectional survey. Appl Nurs Res 2017; 39:89-96.
  • Referans24 Barbaresko J, Rienks J, Nöthlings U. Lifestyle indices and cardiovascular disease risk: a meta-analysis. Am J Prev Med 2018;55:555-564.

Tip 2 diyabetli bireylerin kardiyovasküler hastalık risk faktörleri bilgisi ve ilişkili faktörler

Year 2022, Volume: 15 Issue: 4, 824 - 834, 01.10.2022
https://doi.org/10.31362/patd.1149533

Abstract

Amaç: Bu çalışmada, Tip 2 diyabetli bireylerin kardiyovasküler hastalıklar risk faktörleri bilgi düzeyleri ve etkileyen faktörlerin belirlemesi amaçlandı.
Gereç ve yöntem: Tek merkezli, tanımlayıcı ve kesitsel tipteki bu çalışma Eylül-Aralık 2021 tarihleri arasında Pamukkale Üniversitesi Hastaneleri Sağlık Araştırma Uygulama Merkez Müdürlüğü Endokrin polikliniğine kontrol amacı ile gelen hastalarda (n=207) yürütüldü.
Bulgular: Tip 2 diyabetli bireylerin yaş ortalaması 60,99±13,74 yaş olup, ortalama 12,22±9,86 yıldır diyabet hastasıdır. Kardiyovasküler hastalıklar risk faktörleri bilgi düzeyi ölçeği toplam puan ortalamaları 17,90±3,33 olarak bulundu. Araştırma kapsamına alınan bireylerin %51,2’sinin kadın, %31,9’unun DM öyküsü ve %52,2’sinin kalp hastalığı öyküsü olduğu belirlendi. Sağlığı koruyucu davranışları incelendiğinde çok azının eğersiz yaptığı fakat sağlıklı beslenmeye özen gösterdikleri tespit edildi.
Hastaların kardiyovasküler risk faktörleri bilgi düzeyi açısından sosyodemografik değişkenler arasında istatistiksel olarak anlamlı fark saptanmadı (p>0,05). Fakat kalp sağlığı koruyucu davranışlarına ait bazı değişkenler arasında (egzersiz yapma durumu, günlük tüketilen mevye/sebze miktarı, ara öğünlerde tercih besinler, kan şekeri/kollesterol düzeyini takip etme, EKG çektirme ve kalp damar sağlığını kontrol ettirme durumu) istatistiksel olarak anlamlı farklılık olduğu belirlendi (p<0,05).
Sonuç: Çalışmaya alınan hastaların kardiyovasküler hastalık risk faktörleri bilgi düzeyleri ölçek puan ortalamasının altındaydı. Bilgi düzeyleri çok düşük olmamakla birlikte geliştirdikleri sağlıklı yaşam biçimi davranışlarının genel risk faktörleri bilgi düzeyine oranı oldukça düşük bulundu. Koruyucu sağlık davranışına sahip ve olumlu beslenme alışkanlığı sergileyen Tip-2 DM’li bireylerin bilgi düzeyleri diğerlerine göre daha yüksektir.

References

  • Referans1 Gür CÇ, Polat H, Müderrisoglu C, Altunoglu E, Yılmaz M. Tip 2 diyabet hastalarında diyabet regülasyonu, HbA1C, diyabet yası, BMI, dislipidemi ve mikroalbuminuri ile makrovaskuler komplikasyonların karsılastırılması. Istanbul Med J 2013;14:243-247.
  • Referans2 Keskin Ö, Balcı B. Diabetes mellitus ve kardiyovasküler komplikasyonlar. Kafkas J Med Sci 2011;1:81-85. Referans3 Kilkenny MF, Dunstan L, Busingye D. et al. Knowledge of risk factorsfor diabetesorcardiovascular disease (CVD) is poor among individuals with risk factors for CVD. PloS one 2017;12:e0172941.
  • Referans4 Türkiye Diyabet Programı 2015-2020, Saglık Bakanlıgı Türkiye Halk Sağlıgı Kurumu. Ankara, 2014. Available at: https://erzurumism.saglik.gov.tr/Eklenti/8856/0/turkiyediyabetprogrami2015-2020pdf.pdf, Accessed April 15, 2022.
  • Referans5 Kayaniyil S, Ardern CI, Winstanley J. et al. Degree and correlates of cardiac knowledge and awareness among cardiac inpatients. Patient Educ Couns. 2009;75:99-107.
  • Referans 6 Khot UN, Khot MB, Bajzer CT. et al. Prevalance of conventional risk factors in patients with coronary heart disease. JAMA 2003;290:898-904.
  • Referans7 Buse JB, Gindberg HN, Bakris GL. et al. Primary prevention of cardiovascular diseases in people with diabetes mellitus: a scientic statement from the American Heart Association and the American Diabetes Association. Circulation 2007;115:114-126.
  • Referans8 Qiu S, Cai X, Schumann U, Velders M, Sun Z, Steinacker JM. Impact of walking on glycemic control and other cardiovascular risk factors in type 2 diabetes: a meta-analysis. PLoS One 2014; 9:e109767.
  • Referans9 Huang Y, Li J, Zhu, X. et al. Relationship between healthy lifestyle behaviors and cardiovascular risk factors in Chinese patients with type 2 diabetes mellitus: a subanalysis of the CCMR-3B STUDY. Acta Diabetol 2017;54:569-579.
  • Referans10 Ergin E, Akın S, Kazan S, Erdem ME, Tekçe M, Aliustaoglu M. Diyabetik hastalarda lipit profili: farkındalık ve tedavideki basarı oranlarımız. Kartal Egitim ve Arastırma Hastanesi Tıp Dergisi 2013;24:157-163.
  • Referans11 Taşkın Yılmaz F, Karakoç Kumsar A ve Çelik S. The Association Between Healthy Lifestyle Behaviors and Level of Knowledge About Cardiovascular Disease Risk Factors in People with Type 2 Diabetes. Hemsirelikte Egitim ve Arastırma Dergisi 2018;15:63-70.
  • Referans12 Arıkan G, Metintas S, Kalyoncu C, Yıldız Z. Kardiyovasküler Hastalıklar Risk Faktörleri Bilgi Düzeyi (KARRIF-BD) Ölçegi’nin geçerlik ve güvenirligi. Turk Kardiyol Dern Ars 2009;37:35-40.
  • Referans13 George D, and Mallery M. SPSS for Windows Step by Step: A Simple Guide and Reference, 17.0 Update, 10th Edition, Pearson, Boston. 2010. Available at: https://wps.ablongman.com/wps/media/objects/385/394732/george4answers.pdf Accessed April 10, 2022.
  • Referans14 International Diabetes Federation (IDF) Available at: https://diabetesatlas.org/idfawp/resource-files/2021/07/IDF_Atlas_10th_Edition_2021.pdf. Accessed April 14, 2022
  • Referans15 Einarson TR, Acs A, Ludwig C, & Panton UH. Prevalence of cardiovascular disease in type 2 diabetes: a systematic literature review of scientific evidence from across the world in 2007–2017. Cardiovasc Diabetol 2018;17:1-19.
  • Referans16 American Diabetes Association (ADA). Summary of revisions: Standards of medical care in diabetes- 2019. Available at: https://diabetesjournals.org/care/article/42/Supplement_1/S4/31265/Summary-of-Revisions-Standards-of-Medical-Care-in Accessed April 14, 2022.
  • Referans17 Türk Endokrinoloji ve Metabolizma Derneği (TEMD). Diabetes Mellitus ve komplikasyonlarının tanı, tedavi ve izlem klavuzu 2020. Available at: https://file.temd.org.tr/Uploads/publications/guides/documents/20200625154506-2020tbl_kilavuz86bf012d90.pdf. Accessed April 14, 2022.
  • Referans18 Lorber D. Importance of cardiovascular disease risk management in patients with type 2 diabetes mellitus. Diabetes Metab Syndr Obes 2014;7:169-183.
  • Referans19 Wagner J, Abbott G, Lacey, K. Knowledge of heart disease risk among spanish speakers with diabetes: the role of interpreters in the medical encounter. Ethn Dis 2005;15:679-684.
  • Referans20 Andsoy I I, Tastan S, Iyigun E, Kopp LR. Knowledge and attitudes towards cardiovascular disease in a population of North Western Turkey: a cross-sectional survey. Int. J. Caring Sci 2015; 8:115-124.
  • Referans21 Schreuder TH, Maessen MF. Tack CJ, Thijssen DH, Hopman, MT. Life-long physical activity restores metabolic and cardiovascular function in type 2 diabetes. Eur J Appl Physiol. 2014;114:619-627.
  • Referans22 Franklin BA, Myers J, Kokkinos P. Importance of lifestyle modification on cardiovascular risk reduction: counseling strategies to maximize patient outcomes. J Cardiopulm Rehabil Prev 2020;40:138-143.
  • Referans23 Nie R, Han Y, Xu J, Huang Q, Mao J. Illness perception, risk perception and health promotion self-care behaviors among Chinese patient with type 2 diabetes: A cross-sectional survey. Appl Nurs Res 2017; 39:89-96.
  • Referans24 Barbaresko J, Rienks J, Nöthlings U. Lifestyle indices and cardiovascular disease risk: a meta-analysis. Am J Prev Med 2018;55:555-564.
There are 23 citations in total.

Details

Primary Language English
Subjects Cardiovascular Surgery, Endocrinology
Journal Section Research Article
Authors

Fadime Gök 0000-0003-0415-4229

Publication Date October 1, 2022
Submission Date July 27, 2022
Acceptance Date September 14, 2022
Published in Issue Year 2022 Volume: 15 Issue: 4

Cite

AMA Gök F. Cardiovascular disease risk factors knowledge of individuals with type 2 diabetes and associated factors. Pam Med J. October 2022;15(4):824-834. doi:10.31362/patd.1149533

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