Kontakt 2010, 12(3):325-330 | DOI: 10.32725/kont.2010.044

Willingness to accept changes in the risk behaviour in correlation with biochemical parameters of atherosclerosis in clients after reconstruction vascular surgery of distal extremitiesHealth and Social Sciences

Petr Pták

Nemocnice České Budějovice, a. s., chirurgické oddělení

The authors attempted to find whether the clients after surgery for ischaemic disease of distal extremities will be willing to accept changes in their living style in different fields of the life. Based on a questionnaire completed during control examinations by 117 clients dismissed from the hospital after reconstruction vascular surgery of distal extremities, data were accumulated concerning the subjective attitude to the problem and analysis of serum values of biochemical parameters of atherosclerosis (HDL, LDL, total cholesterol and triglycerides) before and after the operation. Results of the secondary prevention in the treatment of ischaemic disease of distal extremities were evaluated. Some parameters in the group were assessed in terms of the age and education of clients.
Based on results of the present work and their statistical evaluation, it is to conclude that the clients in the group were not generally willing to change their living style in all the parameters, but their complex therapy significantly improved biochemical parameters of atherosclerosis. The work demonstrated that clients with higher education exerted a higher willingness to change their living style in certain areas.
A quite definite result of the work is the documentation of the unwillingness of clients to accept changes in their living style in general but also their will to perceive problems of their health condition and accept at least partial changes in certain areas of the living style, which result in a shift of objective parameters providing data on progression of atherosclerosis. It is necessary to consider this principle in the attitude to each individual client and to conduct a targeted secondary prevention.

Keywords: distal extremities; risk behaviour; atherosclerosis; ischaemic diseases

Received: June 14, 2010; Accepted: September 6, 2010; Published: October 20, 2010  Show citation