KNOWLEDGE AND AWARENESS LEVELS OF 4TH AND 5TH CLASSROOM STUDENTS OF A MEDICINE FACULTY ABOUT CORONARY ARTERY DISEASE
Abstract
Objective
Coronary artery disease (CAD) ranks first in mortality
and morbidity in the World. Physicians' high level of
knowledge, skills, and awareness on this subject
is essential in the fight against this chronic disease.
This study aimed to determine the knowledge and
awareness levels of physician candidates about
CAD and to contribute to the areas that need to be
developed after the survey.
Material and Method
This cross-sectional and descriptive study was
conducted on 600 students from the 4th and 5th
grades of Suleyman Demirel University Faculty of
Medicine between April 1, 2022, and May 1, 2022. The
questionnaire that measured the level of knowledge
and awareness about CAD was administered through
social media communication networks or face-to-face.
Results
Of the 348 participants included in our study, 200
(57.5%) were women. The mean age of the participants
was 23.14±1.1, their average weight was 68.6±
10.7, and their average height was 169.73± 12.7.
Of the students who participated in the survey, 223
(65%) were fifth-grade students, and 125 (35%) were
fourth-grade students. Of the students, 314 (90%)
completed their cardiology internship. When we asked
the participants to rate their level of knowledge about
CAD between 1 and 5, 48.2% of the participants gave
3 points to their knowledge level. In addition, 74.7%
(n=260) of the students who participated in the survey
know that troponin I is the most specific marker in
myocardial ischemia. 52.2% (n=182) marked smoking
as the question of which lifestyle changes the most
in the follow-up of CAD and gave the correct answer.
When they surveyed the life-saving treatment in CAD,
24.4% (n=85) of the study population gave the correct
answer by marking the stent implantation option. This
response was followed by the fast-acting nitrate option
with 36.2% (n=126).
Conclusion
As a result, increasing the knowledge and awareness
of the faculty of medical students about CAD is
important for the fight against CAD, and this study
contributed to the determination of the missing points.
References
- 1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2012;380(9859):2095-128.
- 2. Visseren FL, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC). European heart journal. 2021;42(34):3227-337.
- 3. Fryar CD, Chen TC, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999-2010. NCHS Data Brief. 2012;103:1-8.
- 4. Shah NS, Lloyd-Jones DM, O'Flaherty M, Capewell S, Kershaw K, Carnethon M, et al. Trends in cardiometabolic mortality in the United States, 1999-2017. Jama. 2019;322(8):780-2.
- 5. Yılmaz Nişancı P, Oktay A, Onat A, Azmi Özler D, Sansoy V, Soydan İ, et al. Türk Kardiyoloji Derneği Koroner Arter Hastalığına Yaklaşım ve Tedavi Kılavuzu. İstanbul, Türkiye: TKD;1999.
- 6. Heydari A, Ziaee ES, Gazrani A. Relationship between disease awareness and adherence to therapeutic regimen among cardiac patients. International journal of community-based nursing and midwifery. 2015;3(1):23.
- 7. Bağcı A, Aksoy F, Oskay T, Işık İB, Türker Y, Okudan YE, et al. Akut miyokard infarktüsünde yeni gelişen atriyal fibrilasyon ile SYNTAX skoru arasındaki ilişki. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(3):7-14.
- 8. Status WP. The use and interpretation of anthropometry. WHO technical report series. 1995;854(9).
- 9. Demir E, Artantaş AB. Tıp ve hemşirelik öğrencilerinde sağlıklı yaşam biçimi davranışlarının değerlendirilmesi: kesitsel bir çalışma.Ankara Medical Journal. 2018;18(2):186-97.
- 10. Ceylan A. Tıp fakültesi öğrencilerinde sağlıklı yaşam davranışları ve tıp eğitimi ile ilişkisi. Uzmanlık Tezi. Bursa: Uludag University. 2016.
- 11. Bağcı A. Koroner arter hastalığında SYNTAX skorunun yeri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(4):44-50.
- 12. Ibánez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Revista espanola de cardiologia (English ed). 2017;70(12):1082.
- 13. Pascual I, Moris C, Avanzas P. Beta-blockers and calcium channel blockers: first-line agents. Cardiovascular drugs and therapy. 2016;30(4):357-65.
- 14. Figtree GA, Vernon ST, Hadziosmanovic N, Sundström J, Alfredsson J, Arnott C, et al. Mortality in STEMI patients without standard modifiable risk factors: a sex-disaggregated analysis of SWEDEHEART registry data. The Lancet. 2021;397(10279):1085-94.
- 15. Armitage J. The safety of statins in clinical practice. The Lancet. 2007;370(9601):1781-90.
- 16. Kinoshita M, Yokote K, Arai H, Iida M, Ishigaki Y, Ishibashi S, et al. Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017. Journal of Atherosclerosis and Thrombosis. 2018:GL2017.
- 17. Collet J-P, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). European heart journal. 2021;42(14):1289-367.
- 18. Chu S, Liu L, Shi L, Han X, Meng L, Ding W, et al. Arrhythmia associated with acute coronary syndrome: occurrence, risk factors, therapy and prognosis: a single-centre study. Heart. 2012;98(Suppl 2):E275-E.
- 19. Aksoy F, Kaya K, Kızılkaya ZT, Çot SN, Batu HF, Hasoğlu İ, et al. Bir tıp fakültesi 3. sınıf öğrencilerinin sigara ile ilgili bilgi ve görüş durumları. SDÜ Tıp Fakültesi Dergisi. 2019;26(1):90-5.
- 20. Cattaruzza MS, West R. Why do doctors and medical students smoke when they must know how harmful it is? The European Journal of Public Health. 2013;23(2):188-9.
- 21. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Vol. 916. Geneva: World Health Organization, 2003.
- 22. Joint FAO/WHO Expert Consultation. Fats and fatty acids in human nutrition: Report of an expert consultation (10 − 14 November 2008 Geneva). Rome: FAO; 2010.
- 23. WHO/NMH/NHD. Eliminate industrially-produced trans-fatty acids [Internet]. [cited 18 April 2018]. Available from: https:// www.who.int/docs/default-source/documents/replace-transfats/ replace-action-package.pdf
BİR TIP FAKÜLTESİ 4. VE 5. SINIF ÖĞRENCİLERİNİN KORONER ARTER HASTALIĞI HAKKINDAKİ BİLGİ VE FARKINDALIK DÜZEYLERİ
Abstract
Amaç
Koroner arter hastalığı (KAH) dünyada mortalite ve
morbiditede ilk sırada yer almaktadır. Hekimlerin bu
konuda bilgi, beceri ve bilinç düzeyinin yüksek olması
bu kronik hastalıkla mücadelede önem arz etmektedir.
Bu çalışma ile hekim adaylarının KAH ile ilgili bilgi
ve farkındalık düzeyini belirlemek ve anket sonrasında
geliştirilmesi gereken alanlara katkı sağlanması
amaçlandı.
Gereç ve Yöntem
Çalışma 1 Nisan 2022 ile 1 Mayıs 2022 tarihleri arasında
Süleyman Demirel Üniversitesi Tıp Fakültesi 4.
ve 5. Sınıf 600 öğrenciye sosyal medya haberleşme
ağlarından yada yüzyüze ulaşılarak KAH ile ilgili bilgi
ve bilinç düzeyini ölçen anket aracılığıyla tanımlayıcı
ve kesitsel olarak yapıldı.
Bulgular
Çalışmamıza dahil edilen 348 katılımcının 200’ü
(%57,5) kadındı. Katılımcıların yaş ortalaması
23,14±1,1 , kilo ortamalası 68,6± 10,7 , boy ortalaması
ise 169,73± 12,7 olarak hesaplandı. Ankete
katılan öğrencilerin 223’ü (%65) dönem 5 öğrencisi
olup 125’i (%35) dönem 4 öğrencisidir. Toplam öğrencinin
314’ü (%90) kardiyoloji stajını tamamlamıştır.
Katılımcıların KAH hakkında kendi bilgi düzeylerini
1 ile 5 arasında değerlendirmelerini istediğimizde;
katılımcıların %48.2’ü kendi bilgi düzeylerine 3 puan
vermiştir. Ayrıca ankete katılan öğrencilerin %74,7’si
(n=260) miyokard iskemisinde en spesifik belirtecin
troponin I olduğunu bilmektedir. KAH’nın takibinde en
olumlu etkiyi hangi yaşam tarzı değişikliği yapar sorusuna
ise %52,2’si (n=182) sigarayı bırakmak olarak
işaretlemiş olup doğru cevabı vermişlerdir. Akut koroner
sendromda hayat kurtarıcı tedavinin sorgulandığı
anket sorusuna katılımcıların %24,4’ü (n=85) stent
implantasyonu seçeneğini işaretleyerek doğru cevabı
vermiştir. Bu cevabı %36,2 (n=126) ile hızlı etkili nitrat
seçeneği izlemiştir.
Sonuç
Sonuç olarak tıp fakültesi öğrencilerinin KAH ile bilgi
ve bilincini artırmak KAH ile mücadele için önemli olup
bu çalışma eksik olan noktaların belirlenmesine katkı
sunmuştur.
References
- 1. Lozano R, Naghavi M, Foreman K, Lim S, Shibuya K, Aboyans V, et al. Global and regional mortality from 235 causes of death for 20 age groups in 1990 and 2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2012;380(9859):2095-128.
- 2. Visseren FL, Mach F, Smulders YM, Carballo D, Koskinas KC, Bäck M, et al. 2021 ESC Guidelines on cardiovascular disease prevention in clinical practice: Developed by the Task Force for cardiovascular disease prevention in clinical practice with representatives of the European Society of Cardiology and 12 medical societies with the special contribution of the European Association of Preventive Cardiology (EAPC). European heart journal. 2021;42(34):3227-337.
- 3. Fryar CD, Chen TC, Li X. Prevalence of uncontrolled risk factors for cardiovascular disease: United States, 1999-2010. NCHS Data Brief. 2012;103:1-8.
- 4. Shah NS, Lloyd-Jones DM, O'Flaherty M, Capewell S, Kershaw K, Carnethon M, et al. Trends in cardiometabolic mortality in the United States, 1999-2017. Jama. 2019;322(8):780-2.
- 5. Yılmaz Nişancı P, Oktay A, Onat A, Azmi Özler D, Sansoy V, Soydan İ, et al. Türk Kardiyoloji Derneği Koroner Arter Hastalığına Yaklaşım ve Tedavi Kılavuzu. İstanbul, Türkiye: TKD;1999.
- 6. Heydari A, Ziaee ES, Gazrani A. Relationship between disease awareness and adherence to therapeutic regimen among cardiac patients. International journal of community-based nursing and midwifery. 2015;3(1):23.
- 7. Bağcı A, Aksoy F, Oskay T, Işık İB, Türker Y, Okudan YE, et al. Akut miyokard infarktüsünde yeni gelişen atriyal fibrilasyon ile SYNTAX skoru arasındaki ilişki. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(3):7-14.
- 8. Status WP. The use and interpretation of anthropometry. WHO technical report series. 1995;854(9).
- 9. Demir E, Artantaş AB. Tıp ve hemşirelik öğrencilerinde sağlıklı yaşam biçimi davranışlarının değerlendirilmesi: kesitsel bir çalışma.Ankara Medical Journal. 2018;18(2):186-97.
- 10. Ceylan A. Tıp fakültesi öğrencilerinde sağlıklı yaşam davranışları ve tıp eğitimi ile ilişkisi. Uzmanlık Tezi. Bursa: Uludag University. 2016.
- 11. Bağcı A. Koroner arter hastalığında SYNTAX skorunun yeri. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2018;9(4):44-50.
- 12. Ibánez B, James S, Agewall S, Antunes MJ, Bucciarelli-Ducci C, Bueno H, et al. 2017 ESC Guidelines for the management of acute myocardial infarction in patients presenting with ST-segment elevation. Revista espanola de cardiologia (English ed). 2017;70(12):1082.
- 13. Pascual I, Moris C, Avanzas P. Beta-blockers and calcium channel blockers: first-line agents. Cardiovascular drugs and therapy. 2016;30(4):357-65.
- 14. Figtree GA, Vernon ST, Hadziosmanovic N, Sundström J, Alfredsson J, Arnott C, et al. Mortality in STEMI patients without standard modifiable risk factors: a sex-disaggregated analysis of SWEDEHEART registry data. The Lancet. 2021;397(10279):1085-94.
- 15. Armitage J. The safety of statins in clinical practice. The Lancet. 2007;370(9601):1781-90.
- 16. Kinoshita M, Yokote K, Arai H, Iida M, Ishigaki Y, Ishibashi S, et al. Japan Atherosclerosis Society (JAS) guidelines for prevention of atherosclerotic cardiovascular diseases 2017. Journal of Atherosclerosis and Thrombosis. 2018:GL2017.
- 17. Collet J-P, Thiele H, Barbato E, Barthélémy O, Bauersachs J, Bhatt DL, et al. 2020 ESC Guidelines for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation: the Task Force for the management of acute coronary syndromes in patients presenting without persistent ST-segment elevation of the European Society of Cardiology (ESC). European heart journal. 2021;42(14):1289-367.
- 18. Chu S, Liu L, Shi L, Han X, Meng L, Ding W, et al. Arrhythmia associated with acute coronary syndrome: occurrence, risk factors, therapy and prognosis: a single-centre study. Heart. 2012;98(Suppl 2):E275-E.
- 19. Aksoy F, Kaya K, Kızılkaya ZT, Çot SN, Batu HF, Hasoğlu İ, et al. Bir tıp fakültesi 3. sınıf öğrencilerinin sigara ile ilgili bilgi ve görüş durumları. SDÜ Tıp Fakültesi Dergisi. 2019;26(1):90-5.
- 20. Cattaruzza MS, West R. Why do doctors and medical students smoke when they must know how harmful it is? The European Journal of Public Health. 2013;23(2):188-9.
- 21. World Health Organization. Diet, nutrition, and the prevention of chronic diseases: report of a joint WHO/FAO expert consultation. Vol. 916. Geneva: World Health Organization, 2003.
- 22. Joint FAO/WHO Expert Consultation. Fats and fatty acids in human nutrition: Report of an expert consultation (10 − 14 November 2008 Geneva). Rome: FAO; 2010.
- 23. WHO/NMH/NHD. Eliminate industrially-produced trans-fatty acids [Internet]. [cited 18 April 2018]. Available from: https:// www.who.int/docs/default-source/documents/replace-transfats/ replace-action-package.pdf
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences |
| Journal Section | Araştırma Makaleleri |
| Authors | |
| Publication Date | September 23, 2023 |
| Submission Date | January 31, 2023 |
| Acceptance Date | August 9, 2023 |
| Published in Issue | Year 2023 Volume: 30 Issue: 3 |
Süleyman Demirel Üniversitesi Tıp Fakültesi Dergisi/Medical Journal of Süleyman Demirel University is licensed under Creative Commons Attribution-NonCommercial-NoDerivs 4.0 International.