Selected determinants of health behavior in patients with an increased risk of perioperative myocardial infarction

Aurelia Sega, Ilona Nowak, Aleksandra Władymiruk, P. Bijak, Anna Andrychiewicz, Katarzyna Wojnar-Gruszka, M. Kózka
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Abstract

Background. Perioperative myocardial ischemia can occur in any patient over 45 years of age subjected to surgery due to non-cardiac causes. Despite the fact that it worsens the prognosis, it still sometimes goes unnoticed. Objectives. Examining selected determinants of health-related behaviors in people with an increased risk of perioperative myocardial ischemia, compared to healthy subjects. Material and methods. The study group included 80 people with an increased risk of myocardial ischemia. The control group consisted of 80 healthy individuals. Five standardized research tools were used to collect data. Results. In the test group, there was a low degree of adverse health-related behaviors that may increase the risk of myocardial ischemia. There were no dominant characteristics for type A personalities. We showed a correlation between the health locus of control and health-related behaviors in the study group. Life satisfaction in the study group positively correlated with health-related behaviors. Selected determinants of health-related behaviors differentiated the studied groups to the disadvantage of the control group. Conclusions. Subjects with an increased risk of perioperative myocardial ischemia showed desirable health-related behaviors more often than the group of healthy people (control group). There is a need for health education in all age groups in order to maintain and improve the health of the entire population. In the group of healthy subjects (control group), the study showed an average level of health-related behaviors and a lack of any incentive to change it, despite a high level of self-efficacy in this group. Taking this into account, greater emphasis should be put on primary prevention in this age group.
围手术期心肌梗死风险增加患者健康行为的选定决定因素
背景任何45岁以上因非心脏原因接受手术的患者都可能发生围手术期心肌缺血。尽管它会恶化预后,但有时还是会被忽视。目标。与健康受试者相比,研究围手术期心肌缺血风险增加的人群的健康相关行为的选定决定因素。材料和方法。研究组包括80名心肌缺血风险增加的患者。对照组由80名健康个体组成。使用了五种标准化研究工具来收集数据。后果在试验组中,与健康相关的不良行为程度较低,可能会增加心肌缺血的风险。A型人格没有显性特征。我们发现研究组的健康控制点与健康相关行为之间存在相关性。研究组的生活满意度与健康相关行为呈正相关。选定的健康相关行为决定因素使研究组与对照组相比处于劣势。结论。围手术期心肌缺血风险增加的受试者比健康人组(对照组)更经常表现出理想的健康相关行为。需要对所有年龄组进行健康教育,以保持和改善全体人口的健康。在健康受试者组(对照组)中,该研究显示,尽管该组的自我效能水平很高,但健康相关行为水平平均,缺乏任何改变的动机。考虑到这一点,应更加重视这一年龄组的初级预防。
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