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Ankara’daki Aile Hekimliği Asistanlarının Koagülasyon Testleri, Antikoagülasyon Tedavisi ve Takibi Konusundaki Farkındalıklarının Değerlendirilmesi

Year 2019, Volume: 19 Issue: 1, 187 - 198, 22.03.2019
https://doi.org/10.17098/amj.542431

Abstract

Amaç: Aile hekimliği uzmanları, hastalarla
ilk temas noktasını oluşturan birinci basamakta görev alan sağlık neferleridir.
Uzmanlık eğitim sürecini birçok eğitim aşamasından geçirerek tamamlayan
hekimler 3 yıl boyunca bir bilgi birikimi kazanırlar. Aile hekimliği uzmanlarının
geniş bir yelpazedeki hastalık grubuna hakim olmaları adına antikoagülan tedavi
ve takibi hakkında farkındalıklarının ortaya konması gerekmektedir.

Materyal ve Metot: Araştırma gözlemsel, kesitsel bir
anket çalışması olarak planladı. Ankara’daki aile hekimliği asistanlarına,
özellikle eğitim saatlerinde, anketler dağıtıldı. 01/9/2014 ile 01/12/2014
tarihleri arasında çalışmamıza davet edilen asistan hekimlerden anket
sorularına eksiksiz yanıt veren 143 katılımcı araştırmaya dahil edildi.

Bulgular: Araştırmaya katılımcıların büyük
çoğunluğu genç hekimlerden oluşmaktaydı. Asistan hekimlerin sadece % 8,4’ü
antikoagülan tedavi ve takibi ile ilgili bir eğitime katıldığını ifade etti.
Katılımcılardan eğitime katılanların bilgi düzeyi ve farkındalıklarını ölçmeye
yönelik olan sorulara daha doğru yanıtlar verdiğini gördük. Hekimlik mesleğinde
10 yılını doldurmamış olanlar çoğunluğu oluşturmaktaydı. Genç hekimler olarak
nitelendirdiğimiz bu grubun soruları doğru cevaplama oranları daha yüksekti.







Sonuç: Bu araştırma ile antikoagülan tedavi
ve takibi konusunda farkındalık ve eğitim eksikliği ortaya konulmuştur. Bu
çalışmayı destekleyici araştırmalar ile aile hekimliği asistanlarının
farkındalıklarının eksik olduğu konular belirlenerek bu konulara yönelik eğitim
planlarının yapılması daha donanımlı aile hekimliği uzmanlarının sağlık hizmeti
vermesini sağlayacaktır.

References

  • Leach DC, Fletcher SW. Perspectives on continuing education in the health professions: improving health care through lifelong learning. Chest. 2008;134(6):1299-303.
  • Van Cott EM, Laposata M, Prins MH. Laboratory evaluation of hypercoagulability with venous or arterial thrombosis. Archives of pathology & laboratory medicine. 2002;126(11):1281-95.
  • Fanikos J, Grasso-Correnti N, Shah R, Kucher N, Goldhaber SZ. Major bleeding complications in a specialized anticoagulation service. The American journal of cardiology. 2005;96(4):595-8.
  • Doree C, Stanworth S, Brunskill SJ, Hopewell S, Hyde CJ, Murphy MF. Where are the systematic reviews in transfusion medicine? A study of the transfusion evidence base. Transfusion medicine reviews. 2010;24(4):286-94.
  • Bonar RA, Lippi G, Favaloro EJ. Overview of Hemostasis and Thrombosis and Contribution of Laboratory Testing to Diagnosis and Management of Hemostasis and Thrombosis Disorders. Methods in molecular biology. 2017;1646:3-27.
  • Kraaijpoel N, van Es N, Bleker SM, Brekelmans MPA, Eerenberg ES, Middeldorp S, et al. Clinical Impact and Course of Anticoagulant-Related Major Bleeding in Cancer Patients. Thrombosis and haemostasis. 2018;118(1):174-81.
  • Kucher N, Castellanos LR, Quiroz R, Koo S, Fanikos J, Goldhaber SZ. Time trends in warfarin-associated hemorrhage. The American journal of cardiology. 2004;94(3):403- 6.
  • Hunt PJ, Richards AM, Espiner EA, Nicholls MG, Yandle TG. Bioactivity and metabolism of C-type natriuretic peptide in normal man. The Journal of clinical endocrinology and metabolism. 1994;78(6):1428-35.
  • Costantino G, Ruwald MH, Quinn J, Camargo CA, Jr., Dalgaard F, Gislason G, et al. Prevalence of Pulmonary Embolism in Patients With Syncope. JAMA internal medicine. 2008.

An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking

Year 2019, Volume: 19 Issue: 1, 187 - 198, 22.03.2019
https://doi.org/10.17098/amj.542431

Abstract

Objectives: The family physicians are the
individuals who constitute the first contact point with patients and take
position in primary care. On behalf of family physicians are dominating by a
wide range of disease groups, reveal the awareness of the anticoagulant therapy
and monitoring necessary.

Materials and Methods: Research was
planned as an observational, cross sectional survey. Surveys were hand out to
family physician residents in Ankara. 143 participants answering the questions
of survey without any reserve from assistant family physician, who were invited
to our study date between 15/10/2014 and 12/01/2014, were incorporated.

Results: Only 8.4% of the residents
stated that they attended a training on anticoagulant therapy and follow-up. We
pick out that participants who attend training have more accurate answer to
questions which intended to measure awareness and knowledge. Those constituted
the majority who has not completed 10 years in their medical profession. The
correct answer rates of the group that we call young physicians were higher.

Conclusion: With this research, the
awareness about anticoagulant therapy and monitoring and lack of education are
reveal. With the researches supporting this study, identifying the lacking
issues that residents of family physicians' awareness then making education
plans intended to these issues and better equipped family physician residents
giving medical service will be provided.

References

  • Leach DC, Fletcher SW. Perspectives on continuing education in the health professions: improving health care through lifelong learning. Chest. 2008;134(6):1299-303.
  • Van Cott EM, Laposata M, Prins MH. Laboratory evaluation of hypercoagulability with venous or arterial thrombosis. Archives of pathology & laboratory medicine. 2002;126(11):1281-95.
  • Fanikos J, Grasso-Correnti N, Shah R, Kucher N, Goldhaber SZ. Major bleeding complications in a specialized anticoagulation service. The American journal of cardiology. 2005;96(4):595-8.
  • Doree C, Stanworth S, Brunskill SJ, Hopewell S, Hyde CJ, Murphy MF. Where are the systematic reviews in transfusion medicine? A study of the transfusion evidence base. Transfusion medicine reviews. 2010;24(4):286-94.
  • Bonar RA, Lippi G, Favaloro EJ. Overview of Hemostasis and Thrombosis and Contribution of Laboratory Testing to Diagnosis and Management of Hemostasis and Thrombosis Disorders. Methods in molecular biology. 2017;1646:3-27.
  • Kraaijpoel N, van Es N, Bleker SM, Brekelmans MPA, Eerenberg ES, Middeldorp S, et al. Clinical Impact and Course of Anticoagulant-Related Major Bleeding in Cancer Patients. Thrombosis and haemostasis. 2018;118(1):174-81.
  • Kucher N, Castellanos LR, Quiroz R, Koo S, Fanikos J, Goldhaber SZ. Time trends in warfarin-associated hemorrhage. The American journal of cardiology. 2004;94(3):403- 6.
  • Hunt PJ, Richards AM, Espiner EA, Nicholls MG, Yandle TG. Bioactivity and metabolism of C-type natriuretic peptide in normal man. The Journal of clinical endocrinology and metabolism. 1994;78(6):1428-35.
  • Costantino G, Ruwald MH, Quinn J, Camargo CA, Jr., Dalgaard F, Gislason G, et al. Prevalence of Pulmonary Embolism in Patients With Syncope. JAMA internal medicine. 2008.
There are 9 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Research Articles
Authors

İskender Bülbül

İrfan Şencan This is me

İsmail Kasım This is me

Tarık Eren Yılmaz This is me

Adem Bahadır This is me

Adem Özkara This is me

Publication Date March 22, 2019
Published in Issue Year 2019 Volume: 19 Issue: 1

Cite

APA Bülbül, İ., Şencan, İ., Kasım, İ., Yılmaz, T. E., et al. (2019). An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking. Ankara Medical Journal, 19(1), 187-198. https://doi.org/10.17098/amj.542431
AMA Bülbül İ, Şencan İ, Kasım İ, Yılmaz TE, Bahadır A, Özkara A. An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking. Ankara Med J. March 2019;19(1):187-198. doi:10.17098/amj.542431
Chicago Bülbül, İskender, İrfan Şencan, İsmail Kasım, Tarık Eren Yılmaz, Adem Bahadır, and Adem Özkara. “An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking”. Ankara Medical Journal 19, no. 1 (March 2019): 187-98. https://doi.org/10.17098/amj.542431.
EndNote Bülbül İ, Şencan İ, Kasım İ, Yılmaz TE, Bahadır A, Özkara A (March 1, 2019) An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking. Ankara Medical Journal 19 1 187–198.
IEEE İ. Bülbül, İ. Şencan, İ. Kasım, T. E. Yılmaz, A. Bahadır, and A. Özkara, “An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking”, Ankara Med J, vol. 19, no. 1, pp. 187–198, 2019, doi: 10.17098/amj.542431.
ISNAD Bülbül, İskender et al. “An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking”. Ankara Medical Journal 19/1 (March 2019), 187-198. https://doi.org/10.17098/amj.542431.
JAMA Bülbül İ, Şencan İ, Kasım İ, Yılmaz TE, Bahadır A, Özkara A. An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking. Ankara Med J. 2019;19:187–198.
MLA Bülbül, İskender et al. “An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking”. Ankara Medical Journal, vol. 19, no. 1, 2019, pp. 187-98, doi:10.17098/amj.542431.
Vancouver Bülbül İ, Şencan İ, Kasım İ, Yılmaz TE, Bahadır A, Özkara A. An Evaluation to the Awareness of Family Medicine Residents in Ankara for the Coagulation Testing, Anticoagulation Treatment and Tracking. Ankara Med J. 2019;19(1):187-98.