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Determination and management of cardiovascular disease risk on primary health care centers

Ayşe Dağıstan, Sebahat Gözüm.

Abstract
Cardiovascular diseases (CVD) are located at the beginning of the causes of morbidity and mortality in Turkey and in the World. CVD risk factors are determined and take the necessary precautions and control of the modifiable risk factors are very important in terms of the reduction in mortality. In order to be controlled modifiable risk factors the necessary lifestyle changes need to be made by individuals. Especially, it must be provided individual-specific risk assessment, the opportunistic and systematic screening of the CVD risk factors, consultancy on risky behaviors (diet, smoking, etc.) by Family Health Center’ staff. There are a lot of risk assessment systems to determine the level of individual CVD risk. Which is suited for use at Family Health Centers and one of the recommended risk assessment tools in national and international current guidelines is SCORE (Systematic Coronary Risk Evaluation). SCORE or other risk assessment tools should be used at family health centers which are the most significant way to reach individual and also individuals and society should be made counseling on a healthy diet, smoking cessation and physical activity.

Key words: Kardiovasküler Hastalık Riski, Birinci Basamak Sağlık Hizmetleri, Risk Değerlendirme



Birinci basamak sağlık hizmetlerinde kardiyovasküler hastalık riskinin belirlenmesi ve yönetimi

Özet
Kardiyovasküler hastalıklar (KVH), Dünya’da ve Türkiye’de morbidite ve mortalite nedenlerinin başında yer almaktadır. KVH risk faktörlerinin belirlenerek bu doğrultuda gerekli önlemlerin alınması ve özellikle değiştirilebilir risk faktörlerinin kontrol altına alınması mortalitenin azalması açısından oldukça önemlidir. Değiştirilebilir risk faktörlerinin kontrol altına alınabilmesi için bireylerin gerekli yaşam tarzı değişikliklerini yapması gerekmektedir. Bu noktada, özellikle birinci basamakta Toplum Sağlığı ve Aile Sağlığı Merkezi çalışanlarının bireylerde KVH risk faktörlerini fırsatçı ve sistematik bir şekilde taraması, bireye özel risk değerlendirmesi yaparak riskli davranışların (diyet, sigara içme vs.) değiştirilmesi ile ilgili danışmanlık sunması önemlidir. Bireylerin KVH risk düzeyini belirlemek için çeşitli risk değerlendirme sistemleri bulunmaktadır. Ulusal ve uluslararası güncel rehberlerde önerilen ve birinci basamakta kullanmaya elverişli olan risk değerlendirme araçlarından biri SCORE (Systematic Coronary Risk Evaluation) sistemidir. Toplumun ve bireylerin KVH riski azaltılabilmek için toplumda bireylere ulaşmada en önemli basamak olan Aile Sağlığı Merkezlerinde SCORE ya da güncel rehberlerde önerilen diğer risk değerlendirme sistemleri kullanılmalı, değiştirilebilir risk faktörlerine yönelik olarak bireylere ve topluma sağlıklı beslenme, sigara bırakma ve fiziksel aktivite danışmanlığı yapılmalıdır.

Anahtar Kelimeler: Cardiovascular Disease Risk, Primary Health Care, Risk Assessment


 
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How to Cite this Article
Pubmed Style

Dagistan A, Gozum S. [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Prev Med Bull. 2016; 15(6): 575-582. Turkish. doi:10.5455/pmb.1-1453887275



Web Style

Dagistan A, Gozum S. [Determination and management of cardiovascular disease risk on primary health care centers]. www.scopemed.org/?mno=216497 [Access: November 24, 2017]. Turkish. doi:10.5455/pmb.1-1453887275



AMA (American Medical Association) Style

Dagistan A, Gozum S. [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Prev Med Bull. 2016; 15(6): 575-582. Turkish. doi:10.5455/pmb.1-1453887275



Vancouver/ICMJE Style

Dagistan A, Gozum S. [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Prev Med Bull. (2016), [cited November 24, 2017]; 15(6): 575-582. Turkish. doi:10.5455/pmb.1-1453887275



Harvard Style

Dagistan, A. & Gozum, S. (2016) [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Prev Med Bull, 15 (6), 575-582. Turkish. doi:10.5455/pmb.1-1453887275



Turabian Style

Dagistan, Ayse, and Sebahat Gozum. 2016. [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Preventive Medicine Bulletin, 15 (6), 575-582. Turkish. doi:10.5455/pmb.1-1453887275



Chicago Style

Dagistan, Ayse, and Sebahat Gozum. "[Determination and management of cardiovascular disease risk on primary health care centers]." TAF Preventive Medicine Bulletin 15 (2016), 575-582. Turkish. doi:10.5455/pmb.1-1453887275



MLA (The Modern Language Association) Style

Dagistan, Ayse, and Sebahat Gozum. "[Determination and management of cardiovascular disease risk on primary health care centers]." TAF Preventive Medicine Bulletin 15.6 (2016), 575-582. Print.Turkish. doi:10.5455/pmb.1-1453887275



APA (American Psychological Association) Style

Dagistan, A. & Gozum, S. (2016) [Determination and management of cardiovascular disease risk on primary health care centers]. TAF Preventive Medicine Bulletin, 15 (6), 575-582. Turkish. doi:10.5455/pmb.1-1453887275



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