Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Tip 2 Diyabetli Bireylerde Kardiyovasküler Risk Düzeyi ile Sağlıklı Yaşam Biçimi Davranışları Arasındaki İlişkinin Belirlenmesi: Kesitsel Araştırma
Determining the Relationship Between Cardiovascular Risk Level and Healthy Lifestyle Behaviors in Individuals with Type 2 Diabetes: Cross-Sectional Research
Reva GÜNDOĞANa , İbrahim Caner DİKİCİb
aAdıyaman İl Sağlık Müdürlüğü, İl Ambulans Servisi, Adıyaman, Türkiye
bHarran Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Şanlıurfa, Türkiye
Turkiye Klinikleri J Nurs Sci. 2024;16(4):1188-97
doi: 10.5336/nurses.2024-103787
Article Language: TR
Full Text
ÖZET
 Amaç: Araştırma, Tip 2 diyabetli bireylerde kardiyovasküler risk düzeyleri ve sağlıklı yaşam biçimi davranışları arasındaki ilişkinin belirlenmesi amacıyla yapıldı. Gereç ve Yöntemler: Araştırma bir üniversite hastanesinin endokrinoloji kliniğinde Nisan-Ekim 2022 tarihleri arasında dâhil edilme kriterlerini karşılayan 131 hasta ile kesitsel olarak yapıldı. Araştırma verileri hasta bilgi formu, Framingham risk skoru ve Sağlıklı Yaşam Biçimi Davranışları Ölçeği-II soru formu ile toplandı. Veri analizinde; sayı, yüzde, ortalama gibi tanımlayıcı istatistik ile birlikte normal dağılım testinden sonucunda tek yönlü varyans analizi, Mann-Whitney U, Kruskall-Wallis testleri, korelasyon analizinde ise Spearman korelasyon testi kullanıldı. Anlamlılık düzeyi olarak p<0,05 kabul edildi. Bulgular: Araştırmada, katılımcıların Framingham kardiyovasküler risk skoru puan ortalamalarının 10,48±4,52, Sağlıklı Yaşam Biçimi Davranışları Ölçeği puan ortalamalarının 96,10±17 olduğu belirlendi. Framingham kardiyovasküler risk toplam puanı ile yaş, sistolik kan basıncı ve diyastolik kan basıncı arasında zayıf pozitif anlamlı bir ilişki belirlendi (p<0,05). Framingham kardiyovasküler risk toplam skoru ile Sağlıklı Yaşam Biçimi Davranışları Ölçeği toplam puan ve alt boyut puanları arasında anlamlı istatistiksel ilişki bulunmadı (p>0,05). Sonuç: Araştırmada elde edilen sonuçlar doğrultusunda hemşirelerin, Tip 2 diyabetli bireylerde diyabet tedavisine uyum, kronik hastalıkların önlenmesi ve yönetimi, hipertansiyonun denetim altına alınması ve kilo kontrolü gibi önlenebilir kardiyovasküler risk faktörleri konularında hemşirelik girişimlerini planlanması ve bireylere eğitim verilmesi önerilir.

Anahtar Kelimeler: Diabetes mellitus; kalp hastalığı risk faktörleri; sağlıklı yaşam biçimi
ABSTRACT
 Objective: The research was conducted to determine the relationship between cardiovascular risk levels and healthy lifestyle behaviors in individuals with Type 2 diabetes. Material and Methods: The research was conducted cross-sectionally in the endocrinology clinic of a university hospital between April and October 2022 with 131 patients who met the inclusion criteria. The research data was collected with the Patient information form, Framingham risk score and Healthy Lifestyle Behavior Scale-II questionnaire. In data analysis, one-way analysis of variance,MannWhitney U, Kruskall-Wallis tests were used as a result of normal distributiontest along with descriptive statistics such as number, percentage,mean, and Spearman Correlation test was used in correlation analysis.p<0.05 was accepted as the significance level. Results: In the study, it was determined that the participants' mean Framingham cardiovascular risk score score was 10.48±4.52, and their Healthy Lifestyle Behavior Scale mean score was 96.10±17. A weak positive significant correlation was found between Framingham cardiovascular risk total score and age, systolic blood pressure and diastolic blood pressure (p<0.05).. There was no significant statistical relationship between the Framingham cardiovascular risk total score and the Healthy Lifestyle Behaviors Scale total score and subscale scores (p>0.05). Conclusion: In line with the results obtained in the study, it is recommended that nurses plan nursing interventions and provide training to individuals on preventable cardiovascular risk factors such as compliance with diabetes treatment, prevention and management of chronic diseases, control of hypertension and weight control in individuals with Type 2 diabetes.

Keywords: Diabetes mellitus; heart disease risk factor; healthy lifestyle
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