A population- based study on awareness of heart attack in Aydın city-Turkey

ERGİN, Filiz; BESER, ERDAL; MEMİŞ, Sakine; EVCİ KİRAZ, EMİNE DİDEM

A population- based study on awareness of heart attack in Aydın city-Turkey

Sakine MEMİŞ, (Adnan Menderes Üniversitesi, Aydın Sağlık Yüksek Okulu, Hemşirelik Bölümü, Aydın, Türkiye)

EMİNE DİDEM EVCİ KİRAZ, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Aydın, Türkiye)

Filiz ERGİN, (Adnan Menderes Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Aydın, Türkiye)

Erdal BEŞER (Adnan Menderes Üniversitesi, Tıp Fakültesi, Halk Sağlığı Anabilim Dalı, Aydın, Türkiye)

Anadolu Kardiyoloji Dergisi

7 0

Yıl: 2009 Cilt: 9 Sayı: 4 Sayfa Aralığı: 304 - 310 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

A population- based study on awareness of heart attack in Aydın city-Turkey

Öz:

Amaç: Türkiye’den seçilmiş bir örneklemde kalp krizi risk faktörleri ve alarm belirtileri bilgi ve farkındalıklarını belirlemektir.Yöntemler: Toplum temelli ve kesitsel tipteki bu çalışma, Aydın merkezde yaşayan 40 yaş üstü 997 katılımcı ile gerçekleştirildi. Gruplar çok aşamalı örnekleme yöntemiyle (basit rastgele-küme örnekleme yöntemleri) belirlendi. Soru formu, katılımcıların evlerinde yüz yüze görüşme tekniği ile dolduruldu. Tanımlayıcı istatistiklerde yüzde, ortalama±standart sapma değerleri, analitik değerlendirmede ki-kare, t-testi, risk değerlendirmede lojistik regresyon analizi kullanılmıştır.Bulgular: Katılımcıların %42.3’ü kalp krizinin ne olduğunu, %23.2’si alarm belirtilerinin herhangi birini bilmiyordu, %11.8’i ise risk faktörlerinden herhangi birinin farkında değildi. Katılımcılar kalp krizi alarm belirtisi olarak ilk üç sırada, bilinç kaybı/baygınlık, göğüs ağrısı ve ağrının yayılmasını belirttiler. Risk faktörü olarak ilk sırada stres, ikinci sırada sigara yer aldı. Kalp krizi majör alarm belirtilerini yaş, yerleşim yeri, eğitim durumu, meslek ve kişisel risk faktörü bulunma durumlarının etkilediği tespit edilmiştir (p<0.05). Çok değişkenli analizlerde ilkokul ve altı eğitimli olmanın 2.447 kat (%95GA 1.773-3.378; p<0.0001), ileri yaşın 1.020 kat (%95GA 1.007-1.032, p=0.002), kentsel alanda yaşamanın 1.493 kat (%95GA 1.133-1.968, p=0.004), işsiz olmanın 1.436 kat (%95GA 1.010-2.041, p=0.044) ve kalp krizi açısından herhangi bir risk faktörünün olmamasının 1.965 kat (%95GA 1.201-3.216, p=0.007) kalp krizi majör risk faktörlerini bilme durumunu ters yönde etkilediği tespit edilmiştir.Katılımcılar (%24.1), kalp krizi geçiren birine ilk yapacakları müdahaleyi “sırt üstü yatırmak, yakasını açmak, ayaklarını kaldırmak” olarak ifade ettiler. Kalp krizi alarm belirtileri ve risk faktörleri hakkındaki bilgilerini televizyon (%28.6), komşu/akrabalarından (%28.3) edindiklerini belirttiler.Sonuç: Bu çalışma, toplum temelli eğitim programları ve kitle iletişim araçları kullanılarak kalp krizine yönelik farkındalığın artırılmasının bir ihtiyaç olduğunu göstermiştir. (Anadolu Kardiyol Derg 2009; 9: 304-10)

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Aydın-Türkiye’de kalp krizi farkındalığı üzerine toplum temelli bir çalışma

Öz:

Objective: The study was conducted to determine the level of knowledge and awareness of risk factors and warning signs of heart attack in a selected sample of the Turkish population. Methods: Population-based cross-sectional study was carried out with people over age 40 years in Aydın. The study group was determined by multi-stage sampling method (simple random and cluster sampling methods). Questionnaire was administered during face-to-face interviews in the participants’ homes. Chi-square and t-test were used for analytical evaluation. Risk assessments were performed utilizing logistic regression analysis. Results: The percentage of participants who did not know what a heart attack is and its warning signs were 42.3% and 23.2%, respectively. Overall, 11.8% were unaware of risk factors. Loss of consciousness/fainting, chest pain, radiation of pain were reported as three major warning signs. Among risk factors, stress was ranked as the most common, followed by smoking. It was determined that age, place of residence, education, occupation, self-reported risk factors had effect on the knowledge for major warning signs (p<0.05). In multivariate analysis, the factors having a negative effect on knowledge of major warning signs were having primary school/lower level of education (OR=2.447, 95%CI 1.773-3.378; p<0.0001), being older (OR=1.020, 95%CI 1.007-1.032, p=0.002), living in urban area (OR=1.493, 95%CI 1.133-1.968, p=0.004), being unemployed (OR=1.436, 95%CI 1.010-2.041, p=0.044) and absence of self-reported risk factors (OR=1.965, 95%CI 1.201-3.216, p=0.007). The percentage of participants stated that the first action to take for a person having heart attack was to put them on their back, open their collar, elevate their feet was 24.1%. They had learned information about the symptoms and the risk factors from television (28.6%) and neighbors/relatives (28.3%).Conclusion: This study revealed the need for increasing awareness utilizing community based education programs and the mass media.

Anahtar Kelime:

Konular: Kalp ve Kalp Damar Sistemi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

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APA	MEMİŞ S, EVCİ KİRAZ E, ERGİN F, BESER E (2009). A population- based study on awareness of heart attack in Aydın city-Turkey. , 304 - 310.
Chicago	MEMİŞ Sakine,EVCİ KİRAZ EMİNE DİDEM,ERGİN Filiz,BESER ERDAL A population- based study on awareness of heart attack in Aydın city-Turkey. (2009): 304 - 310.
MLA	MEMİŞ Sakine,EVCİ KİRAZ EMİNE DİDEM,ERGİN Filiz,BESER ERDAL A population- based study on awareness of heart attack in Aydın city-Turkey. , 2009, ss.304 - 310.
AMA	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E A population- based study on awareness of heart attack in Aydın city-Turkey. . 2009; 304 - 310.
Vancouver	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E A population- based study on awareness of heart attack in Aydın city-Turkey. . 2009; 304 - 310.
IEEE	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E "A population- based study on awareness of heart attack in Aydın city-Turkey." , ss.304 - 310, 2009.
ISNAD	MEMİŞ, Sakine vd. "A population- based study on awareness of heart attack in Aydın city-Turkey". (2009), 304-310.

APA	MEMİŞ S, EVCİ KİRAZ E, ERGİN F, BESER E (2009). A population- based study on awareness of heart attack in Aydın city-Turkey. Anadolu Kardiyoloji Dergisi, 9(4), 304 - 310.
Chicago	MEMİŞ Sakine,EVCİ KİRAZ EMİNE DİDEM,ERGİN Filiz,BESER ERDAL A population- based study on awareness of heart attack in Aydın city-Turkey. Anadolu Kardiyoloji Dergisi 9, no.4 (2009): 304 - 310.
MLA	MEMİŞ Sakine,EVCİ KİRAZ EMİNE DİDEM,ERGİN Filiz,BESER ERDAL A population- based study on awareness of heart attack in Aydın city-Turkey. Anadolu Kardiyoloji Dergisi, vol.9, no.4, 2009, ss.304 - 310.
AMA	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E A population- based study on awareness of heart attack in Aydın city-Turkey. Anadolu Kardiyoloji Dergisi. 2009; 9(4): 304 - 310.
Vancouver	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E A population- based study on awareness of heart attack in Aydın city-Turkey. Anadolu Kardiyoloji Dergisi. 2009; 9(4): 304 - 310.
IEEE	MEMİŞ S,EVCİ KİRAZ E,ERGİN F,BESER E "A population- based study on awareness of heart attack in Aydın city-Turkey." Anadolu Kardiyoloji Dergisi, 9, ss.304 - 310, 2009.
ISNAD	MEMİŞ, Sakine vd. "A population- based study on awareness of heart attack in Aydın city-Turkey". Anadolu Kardiyoloji Dergisi 9/4 (2009), 304-310.