Aliye OKGÜN ALCAN, Fatma DEMİR KORKMAZ, Kayalar NİHAN, Berk ÖZKAYNAK, Adil POLAT, Bülent MERT, Hatice ÇAKMAKÇI, Yücel CİHAN, Erentuğ VEDAT, Serhat Bahadır GENÇ, Fatma Tuğba İLAL MERT

Koroner arter baypas greft cerrahisi sonrası sağlıklı yaşam biçimi davranışlarının değerlendirilmesi

Amaç: Bu çalışmada koroner arter baypas greft cerrahisi yapılan hastaların ameliyat öncesi ve sonrası sağlıklı yaşam biçimi davranışları değerlendirildi.Çalışma planı: Çalışmaya Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi’nde elektif koroner arter baypas greft cerrahisi yapılan ve iletişim sorunu olmayan toplam 208 hasta (170 erkek, 38 kadın; ort. yaş 57.1±8.5 yıl; dağılım 32-78 yıl) dahil edildi. Sağlıklı yaşam biçimi davranışları ameliyattan önce ve altı hafta sonra Sağlıklı Yaşam Biçimi Davranışları Ölçeği ile değerlendirildi.Bulgular: Hastaların ameliyattan altı hafta sonraki ortalama Sağlıklı Yaşam Biçimi Davranış skorları, ameliyat öncesi skorlara kıyasla, anlamlı derecede artmış idi. Ölçeğin alt boyutlarından kendini gerçekleştirme ve kişiler arası destek skorlarında da anlamlı bir artış izlendi. Ameliyattan altı hafta sonra sağlık sorumluluğu, egzersiz ve stres yönetimi alt boyut skorları, ameliyat öncesine kıyasla, anlamlı olarak azaldı.Sonuç: Koroner arter baypas greft cerrahisi, hastaların sağlıklı yaşam biçimi davranışlarını etkilemektedir. Ameliyattan altı hafta sonra hastaların kendini gerçekleştirme yetilerinde ve yakın çevresi ile olan iletişimde artış olduğu; kendi sağlık sorumluluğu, egzersiz düzeyi, öğünlerin düzenlenmesi ve stres ile baş etme durumunda azalma olduğu söylenebilir.

An evaluation of health-promotion lifestyle behaviors following coronary artery bypass graft surgery

Background: This study aims to evaluate pre- and postoperative health-promoting lifestyle behaviors among patients undergoing coronary artery bypass graft surgery. Methods: A total of 208 patients (170 males; 38 females; mean age 57.1±8.5 years; range 32 to 78 years) without communication problems who underwent elective coronary artery bypass graft surgery in Kartal Koşuyolu Yüksek İhtisas Training and Research Hospital, were included. Health-promoting lifestyle behaviors were assessed preoperatively and at six weeks following surgery using the Health Promotion Lifestyle Behaviors Scale. Results: The mean scores for Health-Promoting Lifestyle Behaviors of the patients at six weeks following surgery significantly increased than the preoperative scores. There was also a significant increase in the scores for the self-actualization and interpersonal support sub-dimensions of the scale. The scores for the health responsibility, exercise, and stress management sub-dimensions significantly decreased at six weeks following surgery. Conclusion: Coronary artery bypass graft surgery affects health-promoting lifestyle behaviors of the patients. It can be concluded that self-actualization skills of the patients and communication with their immediate family increase, where as their responsibility toward their own health, exercise levels, meal arrangements, and stress management decrease at six weeks following surgery.

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