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KORONER ARTER BAYPAS CERRAHİSİ GEÇİREN HASTALARDA SAĞLIKLI YAŞAM BİÇİMİ DAVRANIŞLARININ SÜRDÜRÜLMESİ

Year 2021, Volume: 25 Issue: 2, 92 - 101, 28.08.2021

Abstract

Koroner arter hastalığı en yaygın görülen ölüm nedenlerinden biri olup genellikle düşük ve orta gelirli ülkelerde görülmektedir. Koroner hastalıklarının risk faktörlerinin önlenmesinde sağlıklı yaşam biçimi davranışlarının önemi tüm dünyada vurgulanmış ve buna dair kanıta dayalı kılavuzlar yayınlanmıştır. Sağlıklı yaşam biçimi davranışlarının kazanılması sonucunda koroner arter hastalığının yaklaşık olarak %60’ının önlenebileceği belirtilmiştir. Koroner arter hastalığının önlenmesinde sağlıklı yaşam biçimi davranışları arasında tütün ürünlerinden uzak durulması, sağlıklı beslenme, kilo yönetimi, uygun ve düzenli fiziksel aktivite yapılması yer almaktadır. Sağlıklı yaşam biçimi davranışlarının kazanılması sadece koroner arter hastalığının önlenmesinde önemli olmayıp sağlığın sürdürülmesinde de son derece önemlidir. Koroner arter hastalığının tedavisinde en sık tercih edilen yöntem haline gelen koroner arter baypas cerrahisinden sonra da sağlığın sürdürülmesinde sağlıklı yaşam biçimi davranışlarının kazanılması önem taşımaktadır. Sağlıklı yaşam biçimi davranışların kazanılmasında ve sağlığın sürdürülmesinde bireysel tercihler ön planda gibi görülse de hemşirelerin bilgileri yaygınlaştırılması ve uyumun sağlanması açısından önemli rolleri ve sorumlulukları bulunmaktadır. Aynı zamanda hemşirelerin sağlıklı yaşam biçimi davranışlarının kazandırılmasında hastalara ve ailelerine eğitim vermek, sosyal sorumluluk projelerinin oluşturmak ve bu alanda araştırmalar yapmak gibi birçok fırsatı da bulunmaktadır.
Bu derlemede koroner arter hastalarına veya koroner arter baypas cerrahisi geçiren hastalara yönelik sağlık yaşam biçimi davranışlarına ve önerilere yer verilmektedir.

References

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MAINTAINING HEALTHY LIFESTYLE BEHAVIORS IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS SURGERY

Year 2021, Volume: 25 Issue: 2, 92 - 101, 28.08.2021

Abstract

Coronary artery disease is one of the most common causes of death and is generally seen in low and middle income countries. The importance of healthy lifestyle behaviors in preventing risk factors of coronary diseases has been emphasized all over the world and evidence-based guidelines have been published. It has been stated that approximately 60% of coronary artery disease can be prevented as a result of gaining healthy lifestyle behaviors. Healthy lifestyle behaviors in the prevention of coronary artery disease include avoiding tobacco products, healthy nutrition, weight management, and proper and regular physical activity. Acquiring healthy lifestyle behaviors is not only important in preventing coronary artery disease, but also in maintaining health. After coronary artery bypass surgery, which has become the most preferred method in the treatment of coronary artery disease, it is important to gain healthy lifestyle behaviors in maintaining health. Although individual preferences seem to be at the forefront in the acquisition of healthy lifestyle behaviors and maintaining health, nurses have important roles and responsibilities in terms of disseminating information and ensuring compliance. At the same time, nurses have many opportunities to teach healthy lifestyle behaviors to patients and their families, to create social responsibility projects and to conduct research in this field.
This review includes health lifestyle behaviors and recommendations for patients with coronary artery disease or patients undergoing coronary artery bypass surgery.

References

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  • 12. Mattia A, Manetta F. Medical and Surgical Management and Outcomes for Coronary Artery Disease. IntechOpen. 2017;163.
  • 13. Ali MA, Yasir J, Sherwani RN, Fareed M, Arshad F, Abid F, et al. Frequency and predictors of non-adherence to lifestyle modifications and medications after coronary artery bypass grafting: A cross-sectional study. Indian Heart J. 2017;69(4):469-473.
  • 14. Safabakhsh L, Arbabisarjou A, Jahantigh M, Nazemzadeh M, Rigi SN, Nosratzehi S. The effect of health promoting programs on patient’s life style after coronary artery bypass graft–hospitalized in Shiraz hospitals. Glob J Health Sci. 2016;8(5):154.
  • 15. Kähkönen O, Kankkunen P, Saaranen T, Miettinen H, Kyngäs H, Lamidi ML. Motivation is a crucial factor for adherence to a healthy lifestyle among people with coronary heart disease after percutaneous coronary intervention. J Adv Nurs. 2015;71(10):2364-2373.
  • 16. Cobb SL, Brown DJ, Davis LL. Effective interventions for lifestyle change after myocardial infarction or coronary artery revascularization. J Am Acad Nurse Pract. 2006;18(1):31-39.
  • 17. Griffo R, Ambrosetti M, Tramarin R, Fattirolli F, Temporelli PL, Vestri AR, et al. Effective secondary prevention through cardiac rehabilitation after coronary revascularization and predictors of poor adherence to lifestyle modification and medication. Results of the ICAROS Survey. Int J Cardiol. 2013;167(4):1390-1395.
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  • 21. Arnett DK, Blumenthal RS, Albert MA, Buroker AB, Goldberger ZD, Hahn EJ, et al. 2019 ACC/AHA guideline on the primary prevention of cardiovascular disease: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol. 2019;4(10):e177-e232.
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  • 23. Rigotti NA, Pasternak RC. Cigarette smoking and coronary heart disease: risks and management. Cardiol Clin. 1996;14(1):51-68.
  • 24. Ambrose JA, Barua RS. The pathophysiology of cigarette smoking and cardiovascular disease: an update. J Am Coll Cardiol. 2004;43(10):1731-1737.
  • 25. Szpak D, Grochowalski A, Chrząszcz R, Florek E, Jawień W, Undas A. Tobacco smoke exposure and endothelial dysfunction in patients with advanced coronary artery disease. Pol Arch Med Wewn. 2013;123(9):474-481.
  • 26. Steenaard RV, Ligthart S, Stolk L, Peters MJ, van Meurs JB, Uitterlinden AG, et al. A. Tobacco smoking is associated with methylation of genes related to coronary artery disease. Clin Epigenetics. 2015;7(1):54.
  • 27. Wang XL, Greco M, Sim AS, Duarte N, Wang J, Wilcken DE. Effect of CYP1A1 MspI polymorphism on cigarette smoking related coronary artery disease and diabetes. Atherosclerosis. 2002;162(2):391-397.
  • 28. Amiri P, Mohammadzadeh-Naziri K, Abbasi B, Cheraghi L, Jalali-Farahani S, Momenan AA, et al. Smoking habits and incidence of cardiovascular diseases in men and women: findings of a 12 year follow up among an urban Eastern-Mediterranean population. BMC Public Health. 2019:19(1):1042.
  • 29. Banks E, Joshy G, Korda RJ, Stavreski B, Soga K, Egger S, et al. Tobacco smoking and risk of 36 cardiovascular disease subtypes: fatal and non-fatal outcomes in a large prospective Australian study. BMC Med. 2019;17(1):128.
  • 30. Voors AA, van Brussel BL, Thijs Plokker HW, Ernst SM, Ernst NM, Koomen EM, et al. Smoking and cardiac events after venous coronary bypass surgery: a 15-year follow-up study. Circulation. 1996;93(1):42-47.
  • 31. van Domburg RT, Meeter K, van Berkel DF, Veldkamp RF, van Herwerden LA, Bogers AJ. Smoking cessation reduces mortality after coronary artery bypass surgery: a 20-year follow-up study. J Am Coll Cardiol. 2000;36(3):878-883.
  • 32. Amoroso G, Mariani MA, Tio RA & Grandjean JG. Continued cigarette smoking after coronary artery bypass surgery reduces endothelium-dependent vasodilation in internal thoracic artery grafts. Ital Heart J. 2001;2:139-141.
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Details

Primary Language Turkish
Subjects Nursing
Journal Section REVIEW
Authors

Nihal Çeliktürk 0000-0002-9004-0502

Tuğba Nur Öden 0000-0002-3460-9725

Fatma Demir Korkmaz 0000-0003-3810-297X

Publication Date August 28, 2021
Published in Issue Year 2021 Volume: 25 Issue: 2

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Content of this journal is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License

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