Tıp Fakültesi Öğrencilerinde Kalp Yetersizliği Bilgi ve Farkındalığının Değerlendirilmesi

Yıl 2023, Cilt: 49 Sayı: 3, 305 - 312, 31.12.2023

Şeyda Günay-polatkan , Deniz Sığırlı , Çetin Alak , Tunay Şentürk

https://doi.org/10.32708/uutfd.1338445

Öz

Kalp yetersizliği, yaşlanan nüfus ve eşlik eden hastalıkların artması nedeniyle tüm dünyada prevalansı artan önemli bir sağlık sorunudur. Ne yazık ki belirtileri geç fark edilip uygun tedavinin başlanmasında gecikmeler olabilmektedir. Bu nedenle tüm branşlardaki hekimlerin kalp yetersizliği bilgi ve farkındalık düzeyinin yeterli olması büyük önem taşımaktadır. Bu araştırma, ülkemizde tıp fakültesi öğrencilerinde kalp yetersizliği bilgi ve farkındalık düzeylerini değerlendirmek amacıyla yapılan ilk araştırmadır. Katılımcıların sosyo-demografik özelikleri ve kalp yetersizliğinin tanımı, nedenleri, belirti ve bulguları, komplikasyonları, tedavisi, kalp yetersizliğinde yaşam tarzı önerileri hakkındaki anket soruları ile kalp yetersizliği bilgi ve farkındalık düzeyleri değerlendirilmiştir. Anket soruları literatürde yer alan çalışmalar ışığında araştırma ekibi tarafından oluşturulmuştur. Çalışmaya 134 kadın (%49,8) ve 135 erkek (%50,2) toplam 269 öğrenci katılmıştır. Öğrencilerin %58,7’si 1. sınıf ve %41,3’ü 6. sınıf tıp fakültesi öğrencilerinden oluşmaktadır. Doğru cevaplanan soru yüzdeleri değerlendirildiğinde 6. sınıf öğrencileri 1. sınıf öğrencilerine göre daha fazla doğru yanıt vermiştir (medyan [minimum-maksimum] %80,9 [48,9-97,9] karşı, medyan [minimum-maksimum] %68,1 [2,1-93,6],p<0,001). Öğrencilerin diğer tedavi yöntemlerine göre kalp nakli, yapay kalp gibi ileri evre kalp yetersizliği tedavileri hakkında bilgisi daha azdır. Teorik ders ve klinik staj eğitimi aldıkça kalp yetersizliği bilgi ve farkındalığı artmakla beraber kalp nakli, yapay kalp gibi ileri evre kalp yetersizliği tedavi yöntemlerine eğitim programlarında daha fazla yer verilmelidir.

Anahtar Kelimeler

kalp, nakil, yetersizlik, farkındalık, tıp, öğrenci

Assessment of Knowledge and Awareness on Heart Failure among Medical Students

Öz

Heart failure is an important health problem with a rising prevalence all over the world due to the increase of aging population and comorbidities. Unfortunately, there may be delays in detecting symptoms and initiating appropriate treatment. Therefore, it is of great importance that physicians in all departments should have sufficient knowledge and awareness of heart failure. This is the first study in our country to evaluate the kwowledge and awareness levels on heart failure among medical students. The socio-demographic characteristics of the participants and knowledge and awareness on the definition of heart failure, its causes, signs and symptoms, complications, treatment and about lifestyle recommendations were evaluated using a questionnaire. The survey questions were created by the research team in the light of the studies in the literature. A total of 269 students, 134 female (49.8%) and 135 male (50.2%) participated in the study. 58.7% of the students were of 1st year students and 41.3% of the students were 6th year students. When the percentages of correctly answered questions were evaluated, 6th year students gave more correct answers than 1st year students (median [min-max] 80.9% [48.9-97.9] vs median [min-max] 68.1%) [2.1-93.6],p<0.001). Students have less knowledge about advanced heart failure treatments such as heart transplantation and artificial heart compared to other treatment methods. Although knowledge and awareness of heart failure increases after they take theoretical lectures and attend to clinical internship training, lectures about advanced heart failure treatment methods such as heart transplantation and artificial heart should take more place in education programs.

Anahtar Kelimeler

heart, transplant, failure, awareness, medical, student

Kaynakça

• 1. GBD 2017 Disease and Injury Incidence and Prevalence Collaborators. Global, regional, and national incidence, prevalence, and years lived with disability for 354 diseases and injuries for 195 countries and territories, 1990-2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet 2018; 392: 1789– 1858.
• 2. Lloyd-Jones DM, Larson MG, Leip EP, et al. Lifetime risk for developing congestive heart failure: the Framingham Heart Study. Circulation. 2002;106(24):3068-3072.
• 3. Değertekin M, Erol Ç, Ergene O, et al. Heart failure prevalence and predictors in Turkey: HAPPY study. Arch Turk Soc Cardiol 2012;40:298-308.
• 4. Heidenreich PA, Albert NM, Allen LA, Bluemke DA, Butler J, Fonarow GC, et al; American Heart Association Advocacy Coordinating Committee; Council on Arteriosclerosis, Thrombosis and Vascular Biology; Council on Cardiovascular Radiology and Intervention; Council on Clinical Cardiology; Council on Epidemiology and Prevention; Stroke Council. Forecasting the impact of heart failure in the United Stages: a policy statement from the American Heart Association. Circ Heart Fail. 2013; 6: 606–619.
• 5. Conrad N, Judge A, Tran J, Mohseni H, Hedgecott D, Crespillo AP, et al. Temporal trends and patterns in heart failure incidence: a population-based study of 4 million individuals. Lancet. 2018; 391: 572–580.
• 6. Johansson S, Wallander M.A., Ruigomez A., Garcia Rodriguez L.A. Incidence of newly diagnosed heart failure in UK general practice. Eur J Heart Fail. 2001; 3 (2): 225–231.
• 7. Ahmed A: A propensity matched study of New York Heart Association class and natural history end points in heart failure. Am J Cardiol. 2007; 99 (4): 549–553.
• 8. Miller T.A: Health literacy and adherence to medical treatment in chronic and acute illness: A metaanalysis. Patient Educ Couns. 2016; 99 (7): 1079–1086.
• 9. WJ, McMurray JJ, Rauch B, Zannad F, Keukelaar K, Cohen-Solal A, Lopez-Sendon J, Hobbs FD, Grobbee DE, Boccanelli A, Cline C, Macarie C, Dietz R, Ruzyllo W. Public awareness of heart failure in Europe: first results from SHAPE. Eur Heart J. 2005 Nov;26(22):2413-21.
• 10. Zelenak C, Radenovic S, Musial-Bright L, Tahirovic E, Sacirovic M, Lee CB, Jahandar-Lashki D, Inkrot S, Trippel TD, Busjahn A, Hashemi D, Wachter R, Pankuweit S, Störk S, Pieske B, Edelmann F, Düngen HD. Heart failure awareness survey in Germany: general knowledge on heart failure remains poor. ESC Heart Fail. 2017 Aug;4(3):224-231.
• 11. Nowak K, Stępień K, Furczyńska P, Owsianka I, Włodarczyk A, Zalewski J, Nessler J, Gackowski A. The awareness and knowledge about heart failure in Poland - lessons from the Heart Failure Awareness Day and internet surveys. Folia Med Cracov. 2019;59(2):93-109.
• 12. Jung MH, Kim HL, Choi JH, Lee S, Kong MG, Na JO, Cho YH, Cho KI, Choi DJ, Kim EJ. Heart failure awareness in the Korean general population: Results from the nationwide survey. PLoS One. 2019 Sep 6;14(9):e0222264.
• 13. Maksimović MŽ, Marinković JM, Vlajinac HD, Maksimović JM, Tomanić MS, Radak DJ. Awareness and knowledge of cardiovascular disease risk factors among medical students. Wien Klin Wochenschr. 2017 Jul;129(13-14):458-463.
• 14. Reiner Ž, Sonicki Z, Tedeschi-Reiner E. The perception and knowledge of cardiovascular risk factors among medical students. Croat Med J. 2012 Jun;53(3):278-84.
• 15. Arredondo J, Herranz A, Saiz R, Vázquez I, Beunza JJ, López del Burgo C. Estudio sobre el conocimiento de factores de riesgo cardiovascular en estudiantes de medicina [Medical students' knowledge of cardiovascular risk factors]. Rev Med Univ Navarra. 2007 Oct-Dec;51(4):3-8.
• 16. Jasinska-Piadlo A, Campbell P. Management of patients with heart failure and preserved ejection fraction. Heart 2023;109:874-883.
• 17. Soni, A. Top 10 Most Costly Conditions among Men and Women, 2008: Estimates for the U.S. Civilian Noninstitutionalized Adult Population, Age 18 and Older. Statistical Brief #331. July 2011. Agency for Healthcare Research and Quality, Rockville, MD
• 18. Dobson R. Heart disease is costliest condition to treat. BMJ. 2003 Mar 29;326(7391):679.
• 19. Miller L, Birks E, Guglin M, Lamba H, Frazier OH. Use of Ventricular Assist Devices and Heart Transplantation for Advanced Heart Failure. Circ Res. 2019;124(11):1658-78.
• 20. https://organkds.saglik.gov.tr/DSS/PUBLIC/WL_Hearth.aspx (07/08/2023)
• 21. Darbari A, Naithani M, Sharma SK, Gupta A, Kumar A, Satsangi DK. Current Knowledge Status and Attitude on Heart Transplantation Among Undergraduate Medical Students of a Tertiary Care Medical Institute in India. Indian Journal of Transplantation. 2020 Mar 14(1):p 30-37.
• 22. Bilgel H, Sadikoglu G, Bilgel N. Knowledge and attitudes about organ donation among medical students. Transplantations Med 2006;18:91-96.