Miyokard �nfarkt�s� Ge�iren Bireylerde Sa�l�kl� Ya�am Bi�imi Davran��lar� ve Metabolik Kontrol

Ak�a Do�an, Derya; Dedeo�lu Demir, Burcu; T�ren, Sevda; Y�lmazer Serbes, Rabia G�lnur

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Miyokard �nfarkt�s� Ge�iren Bireylerde Sa�l�kl� Ya�am Bi�imi Davran��lar� ve Metabolik Kontrol [Turk J Card Nur]

Turk J Card Nur. Bask�daki Makaleler: KVHD-09327 | DOI: 10.5543/khd.2024.09327

Miyokard �nfarkt�s� Ge�iren Bireylerde Sa�l�kl� Ya�am Bi�imi Davran��lar� ve Metabolik Kontrol

Derya Ak�a Do�an¹, Burcu Dedeo�lu Demir², Sevda T�ren², Rabia G�lnur Y�lmazer Serbes³
¹Hem�irelik B�l�m�, Sa�l�k Bilimleri Fak�ltesi, Bursa Uluda� �niversitesi, Bursa, T�rkiye
²Hem�irelik B�l�m�, Sa�l�k Bilimleri Fak�ltesi, �stanbul Arel �niversitesi, �stanbul, T�rkiye
³�lk ve Acil Yard�m Program�, �stanbul Okan �niversitesi, Sa�l�k Hizmetleri Meslek Y�ksekokulu, �stanbul, T�rkiye

Ama�: Bu ara�t�rman�n amac� miyokard infarkt�s� (MI) ge�iren bireylerde sa�l�kl� ya�am bi�imi davran��lar� ve metabolik kontrol aras�ndaki ili�kiyi belirlemektir.

Y�ntem: Tan�mlay�c� ve kesitsel t�rde yap�lan ara�t�rman�n verileri, kat�l�mc�lar�n sosyodemografik ve klinik �zellikleri ile Sa�l�kl� Ya�am Bi�imi Davran��lar� �l�e�i II�yi (SYBD� II) i�eren anket formu arac�l��yla, y�z-y�ze g�r��me y�ntemi ile Ocak 2023 ve Haziran 2023 aras�nda topland�. Ara�t�rman�n �rneklemini bir e�itim ve ara�t�rma hastanesinin koroner yo�un bak�m �nitesinde tedavi g�ren MI tan�s� alm�� 251 birey olu�turdu.

Bulgular: Hastalar�n toplam SYBD� II puan ortalamas� 120.16�17.61 olarak saptand�. MI ge�iren bireylerin sa�l�kl� ya�am bi�imi davran��lar� ve metabolik bulgular� aras�nda ili�ki incelendi�inde; toplam HPLP II puan� ile HbA1c (r=-0.290, P >.0001), a�l�k kan glikozu (r=-.174, P =.0.006), total kolestrol (r=-0.261, P >.0001), trigliserid (r=-0.216, P >.0001) ve d��k yo�unluklu lipoprotein (r=-0.247, P >.0001) aras�nda istatistiksel olarak negatif y�nde ili�ki bulunurken, y�ksek yo�unluklu lipoprotein (r=0.375, P >.0001) ile istatistiksel olarak pozitif y�nde ili�ki oldu�u belirlendi.

Sonu�: Bu �al��mada MI ge�iren bireylerin sa�l�kl� ya�am bi�imi davran��lar�n�n orta d�zeyde oldu�u ve metabolik kontrol ile ili�kili oldu�u bulundu. Sa�l�kl� ya�am bi�imi davran��lar�n� benimseyen bireylerin daha iyi metabolik kontrole sahip oldu�u g�r�ld�. Bu bulgular, bireylerin sa�l�kl� ya�am bi�imi davran��lar�n� benimseme konusunda daha fazla destek ve rehberli�e ihtiya� duyduklar�n� g�stermektedir. Bu ba�lamda, sa�l�k profesyonelleri, MI ge�iren bireyleri sa�l�k sorumlulu�u, fiziksel aktivite, beslenme, manevi geli�im, ki�ileraras� ili�kiler ve stres y�netimi gibi ya�am bi�imi de�i�iklikleri konusunda desteklemelidir.

Anahtar Kelimeler: Kardiyovask�ler hastal�k, glisemik kontrol, sa�l�kl� ya�am tarz�, lipid metabolizmas�, miyokardiyal infarkt�s

Healthy Lifestyle Behaviors and Metabolic Control in Individuals with Myocardial Infarction

Derya Ak�a Do�an¹, Burcu Dedeo�lu Demir², Sevda T�ren², Rabia G�lnur Y�lmazer Serbes³
¹Department of Nursing, Faculty of Health Sciences, Bursa Uludag University, Bursa, T�rkiye
²Department of Nursing, Faculty of Health Sciences, Istanbul Arel University, Istanbul, T�rkiye
³First and Emergency Aid Program, Vocational School of Health Services, Istanbul Okan University, Istanbul, T�rkiye

Objective: The study aimed to determine the relationship between healthy lifestyle behaviors (HLB) and metabolic control in individuals with myocardial infarction (MI).

Methods: This descriptive and cross-sectional study collected data between January 2023 and June 2023 using a questionnaire. The questionnaire included the sociodemographic and clinical characteristics of the participants and the Health Promoting Lifestyle Profile II (HPLP II). The questionnaire was administered via face-to-face interviews. The study sample consisted of 251 individuals diagnosed with MI who were treated in the coronary intensive care unit of a training and research hospital.

Results: The total mean score of the patients on the HPLP II was 120.16�17.61. When examining the relationship between HLB and metabolic findings of individuals with MI, the total HPLP II score showed a statistically significant negative correlation with HbA1c (r = -0.290, P <.0001), fasting blood glucose (r = -0.174, p =.006), total cholesterol (r = -0.261, P <.0001), triglycerides (r = -0.216, P <.0001), and low-density lipoprotein (r = -0.247, P <.0001), while there was a statistically significant positive correlation with high-density lipoprotein (r = 0.375, P <.0001).

Conclusion: This study found that the HLB of individuals with MI were at a moderate level and were associated with metabolic control. Individuals who adopted HLB had better metabolic control. These findings suggest that individuals need more support and guidance in adopting HLB. In this context, health professionals should support and educate individuals with MI about lifestyle changes such as health responsibility, physical activity, nutrition, spiritual development, interpersonal relationships, and stress management.

Keywords: Cardiovascular disease, glycemic control, healthy lifestyle, lipid metabolism, myocardial infarction

Sorumlu Yazar: Derya Ak�a Do�an
Makale Dili: �ngilizce

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