Evaluation of adherence to cardiovascular risks, admission to education / counseling and adherence to the recommendations of adult patients who apply to Family Health Centers: A multi-center cross-sectional study
Aim: Cardiovascular system diseases (CVD), especially coronary heart disease, are among the leading causes of death all over the world. . In this study, we aimed to evaluate the patients' lifestyle status and to find out whether they have received training / counseling in addition to the recommendations they have received.Methods: This cross-sectional study was performed between April 1, 2013 and May 15, 2013 in Istanbul. The study consisted of adult patients older than 18 years of age who were admitted to five different family health centers. The questionnaire was created by modifying the questionnaire used in a previous study conducted by the researchers according to primary health care services. All patients included in the study applied a face-to-face questionnaire consisting of socio-demographic variables, previous training or counseling, smoking cessation, healthy eating, hypertensive, diabetic or cholesterol-lowering diet counseling and compliance with these recommendations. Weight and height were measured by family physicians during the examination of the patient. Results: A total of 948 patients, 672 women (70.9%) and 276 men (29.1%) were included in the study. The mean age was 42.64 ± 14.35. Of the participants, 644 people (67.9%) received any advice, and 367 (38.7%) were any counseling / training fields. The participants were asked about open-ended questions about their recommendations, training / counseling, and whether they met these recommendations.
Conclusion: Although people who are admitted to the Family Health Center are insufficient against cardiovascular risk factors, they receive some suggestions, but their compliance rates are quite low. Although the rates of education / counseling areas are lower with the recommendation, the compliance rates are significantly higher than the ones taking the lead. Further analytical and qualitative studies aimed at increasing patient compliance and increasing compliance rates will provide important data for centralizing the goals of the patient, one of the major paradigms in the management of multiple complex processes.