Research Article
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Laboratory Features of Home Health Care Patients

Year 2019, , 16 - 22, 30.04.2019
https://doi.org/10.26650/experimed.2019.19003

Abstract

DOI:
10.26650/experimed.2019.19003


Objective: The increasing need for home
health care services is essential for the elderly population and also for
people with disabilities, chronic illness, or terminal-phase disease in Turkey
and around the world. The aim of this study was to statistically analyze the
laboratory data of patients who were followed up by the Home Health Care Units
of Haseki Training and Research Hospital.

Materials and Methods: The study population
included 575 patients who registered for home health care services at Istanbul
Haseki Training and Research Hospital between 2011 and 2013. The patients
database
records were analyzed according to sex, age group, types of disease, and
laboratory findings.

Results: Our results are consistent with
the literature in that the patients aged 65 years or over and being followed up
by a home care unit had high C-reactive protein but low albumin levels, and the
prevalence of anemia was common among these patients (p<0.05).







Conclusion: The results of the study can be
used to support the introduction by health policy makers and health
professionals of home care as an alternative delivery system in the Turkish
health sector.

Cite this article as: Karaali Z, Tacal
Aslan B, Aktuğlu MB, Koldaş M, İplik ES, Çakmakoğlu B. Laboratory Features of
Home Health Care Patients. Experimed 2019; 9(1): 16-22.

References

  • 1. Tasdelen P, Ates M. The Needs of Home Care Patients and the Burdens of their Caregivers. HEAD 2012; 9: 22-9. 2. Montauk SL. Home Health Care. Am Fam Physician 1998; 58: 1608-14. 3. Murkofsky RL, Alston K. The past, present, and future of skilled home health agency care. Clin Geriatr Med 2009; 25: 1-17. 4. Jones AL, Harris-Kojetin L, Valverde R. Characteristics and use of home health care by men and women aged 65 and over. Natl Health Stat Report 2012; 52: 1-7. 5. Kisa S. Turkish nurses’ concerns about home health care in Turkey. Aust J Adv Nurs 2008; 25: 97-106. 6. Turkish Prime Ministry. Socialization of Medical Services, No. 224, January 5, 1961. http://www.mevzuat.adalet.gov.tr/ html/1047.html. Accessed October 11, 2011. 7. Cho S. Older people’s willingness to use home care nursing services. J Adv Nurs 2005; 51: 166-73. 8. Hoye R, Sparatt J, Kolf J. Home health care: a physician’s perspective. In: J. Sparatt, R. Hawley and R. Hoye (eds) Home health care: principles and practices. GR/St Lucie Pres Std: Florida, USA, 1997; 1-17. 9. Freeman S. Chambers K. Home health care: clinical pathways and quality integration. J Nurs Manag 1997; 28: 45-8. 10. Caffery C, Sengupta M, Moss A, Harris-Kojetin L, Valverde R. Home health care and discharged hospice care patients: United States, 2000 and 2007. Natl Health Stat Rep 2011; 1-27. 11. Mergen H, Unluoglu I, Elcioglu O. Contemporary Home Care Service and Family Medicine in Turkey. Home Health Care Manag Pract 2013; 25: 104-9. 12. Leff B, Burton L, Mader SL, Naughton B, Burl J, Inouye SK, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med 2005; 143: 798-808. 14. Soylemez Z. Elderly Care and Elderly Structures in Turkey. Wuppertal: First Transnational Conference. 2006. 15. Turkish Statistical Institute-Elderly statistics 2014. 16. Saka O, Varol N. Institutional and community care for older people in Turkey. Eurohealth 2007; 13: 20-2. 18. Kim EY, Cho E, June KJ. Factors influencing use of home care and nursing homes. J Adv Nurs 2006; 54: 511-7. 19. Sackley C, Brittle N, Patel S, Ellins J, Scott M, Wright C, et al. The prevalance of joint contractures, pressure sores, paintful shoulder, other pain, falls and depression in the year after a severely disabling stroke. Stroke 2008; 39: 3329-34. 20. Vischer UM, Safar ME, Safar H, Iaria P, Dudal KL, Henry O, et al. Cardiometabolic determinants of mortality in a geriatric population: is there a “reverse metabolic syndrome”? Diabetes Metab 2009; 35: 108-14. 21. Ponzetto M, Maero B, Maina P, Rosato R, Ciccone G, Merletti F, et al. Risk factors for early and late mortality in hospitalized older patients: the continuing importance of functional status. J Gerontol A Biol Sci Med Sci 2003; 58: 1049-54. 22. Silva A, Jerussalmy CS, Farfel JM, Curiati JAE, Jacob-Filho JAE. Predictors of in-hospital mortality among older patients. Clinics. 2009; 64: 613-8. 23. Garg AX, Papaiannou A, Ferko N, Campbell G, Clarke J, Ray JG. Estimating the prevalence of renal insufficiency in seniors requiring long term care. Kidney Int 2004; 65: 649-53. 24. Funk GC, Lindner G, Druml P, Metnitz B, Schwarz C, Bauer P, et al. Incidence and prognosis of dysnatremias present on ICU admission. Intensive Care Med 2010; 36: 304-11. 25. Fontana L, Addante F, Copetti M, Paroni G, Fontana A, Sancarlo D, et al. Identification of a metabolic signature for multidimensional impairment and mortality risk in hospitalized older patients. Aging Cell 2013; 12: 459-66. 26. Ayaz T, Sahin SB, Sahin OZ, Bilir O, Rakıcı H. Factors Affecting Mortality in Elderly Patients Hospitalized for Nonmalignant Reasons. J Aging Res 2014; 2014: 584315. 27. Grundy SM, Cleeman JI, Rifkind BM, Kuller LH. Cholesterol lowering in the elderly population. Coordinating Committee of the National Cholesterol Education Program. Arch Intern Med 1999; 159: 1670-8. 28. National Lipid Education Council. Treating dyslipidemia in the elderly: Are we doing enough? Lipid Management Newsletter 1999; 4: 1. 29. Samos LF, Roos BA. Diabetes Mellitus in older persons. Med Celin N Am 1998; 82: 791-803. 30. Harris MJ. Epidemiology of diabetes mellitus among elderly in the US. Clin Geriat Med 1990; 6: 703-19. 31. Morrow LA, Halter JB. Treatment of the elderly with diabetes. In; KAHN CR, Weir GC. Eds. Joslin’s diabetes mellitus. Waverly Int 1996; 552-9. 32. Parker CR, Blackwell PJ, Pairburn KJ, Roskin DJ. Alenduronate in the treatment of primary hyperparathyroid-related osteoporozis: a 2-year study. J Clin Endocrinol Metab 2002; 87: 4482-9. 33. Smith DL. Anemia in the elderly. Am Fam Physician 2000; 62: 1565-72. 34. Fischbach FT. A manual of laboratory and diagnostic tests (7th ed). Philadelphia: Lippincott. 2004. 35. Chernetsky A, Sofer O, Rafael C, Ben-Israel J. Prevalence and etiology of anemia in an institutionalized geriatric population. Harefuah 2002; 141: 591-4. 36. Sahadevan S, Choo PW, Jayaratnam FJ. Anemia in the hospitalized elderly. Singapore Med J 1995; 36: 375-8. 37. Smieja MJ, Cook DJ, Hunt DL, Ali MA, Guyatt GH. Recognizing and investigating iron-deficiency anemia in hospitalized elderly people. CMAJ 1996; 155: 691-6. 38. Guralnik JM, Eisenstaedt RS, Ferrucci l, Klein HG, Woodman RC, et al. Prevalence of anemia in persons 65 years and older in United States: evidence for a high rate of unexplained anemia. Blood 2004; 104: 2263-8. 39. Choi CW, Lee J, Park KH, Yoon SY, Choi IK, Oh SC, et al. Prevalence and characteristics of anemia in the elderly. Cross-Sectional Study of Three Urban Korean Population Samples. Am J Hematol 2004; 77: 26-30. 40. Inelmen EM, D’Alessio M, Gatto MR, Baggio MB, Jimenez G, Bizzotto MG, et al. Descriptive analysis of the prevalence of anemia in a randomly selected sample of elderly people living at home: some results of an Italian multicentric study. Aging 1994; 6: 81-9.

Evde Bakım Hastalarının Laboratuvar Özellikleri

Year 2019, , 16 - 22, 30.04.2019
https://doi.org/10.26650/experimed.2019.19003

Abstract

DOI:
10.26650/experimed.2019.19003


Amaç: Evde sağlık hizmetleri, yaşlı popülasyonu
engelli insanlar, kronik hastalığı olan insanlar terminal dönemdeki hastalardan
dolayı Türkiye ve dünyada artış göstermektedir. Bu çalışmanın amacı, Haseki Eğitim
ve Araştırma Hastanesi Ev Sağlık Birimleri tarafından takip edilen hastaların
laboratuvar verilerini istatistiksel olarak analiz etmektir.

Yöntemler: Çalışmaya, 2011-2013 yılları
arasında İstanbul Haseki Eğitim ve Araştırma Hastanesi evde sağlık hizmetinden
yararlanan 575 hasta dahil edilmiştir. Hastaların veri tabanı kayıtları
cinsiyet, yaş grubu, hastalık tipleri ve laboratuvar bulgularına göre analiz
edilmiştir.

Bulgular: Elde ettiğimiz sonuçlara göre,
literatürle uyumlu olarak, evde bakım ünitesinde izlenen 65 yaş ve üzeri
hastaların yüksek C-reaktif proteinleri, ancak düşük albümin seviyelerine sahip
oldukları ve anemi prevalansının bu hastalar arasında yaygın olduğu görülmüştür
(p<0.05).







Sonuç: Çalışma sonuçları, sağlık
politikalarını düzenleyenler ve sağlık uzmanları tarafından Türk sağlık sektöründe
alternatif bir sistem olarak, evde bakım ünitelerinin kullanılabileceğini düşündürmüştür. 

Cite this article as: Karaali Z, Tacal
Aslan B, Aktuğlu MB, Koldaş M, İplik ES, Çakmakoğlu B. Laboratory Features of
Home Health Care Patients. Experimed 2019; 9(1): 16-22.

References

  • 1. Tasdelen P, Ates M. The Needs of Home Care Patients and the Burdens of their Caregivers. HEAD 2012; 9: 22-9. 2. Montauk SL. Home Health Care. Am Fam Physician 1998; 58: 1608-14. 3. Murkofsky RL, Alston K. The past, present, and future of skilled home health agency care. Clin Geriatr Med 2009; 25: 1-17. 4. Jones AL, Harris-Kojetin L, Valverde R. Characteristics and use of home health care by men and women aged 65 and over. Natl Health Stat Report 2012; 52: 1-7. 5. Kisa S. Turkish nurses’ concerns about home health care in Turkey. Aust J Adv Nurs 2008; 25: 97-106. 6. Turkish Prime Ministry. Socialization of Medical Services, No. 224, January 5, 1961. http://www.mevzuat.adalet.gov.tr/ html/1047.html. Accessed October 11, 2011. 7. Cho S. Older people’s willingness to use home care nursing services. J Adv Nurs 2005; 51: 166-73. 8. Hoye R, Sparatt J, Kolf J. Home health care: a physician’s perspective. In: J. Sparatt, R. Hawley and R. Hoye (eds) Home health care: principles and practices. GR/St Lucie Pres Std: Florida, USA, 1997; 1-17. 9. Freeman S. Chambers K. Home health care: clinical pathways and quality integration. J Nurs Manag 1997; 28: 45-8. 10. Caffery C, Sengupta M, Moss A, Harris-Kojetin L, Valverde R. Home health care and discharged hospice care patients: United States, 2000 and 2007. Natl Health Stat Rep 2011; 1-27. 11. Mergen H, Unluoglu I, Elcioglu O. Contemporary Home Care Service and Family Medicine in Turkey. Home Health Care Manag Pract 2013; 25: 104-9. 12. Leff B, Burton L, Mader SL, Naughton B, Burl J, Inouye SK, et al. Hospital at home: feasibility and outcomes of a program to provide hospital-level care at home for acutely ill older patients. Ann Intern Med 2005; 143: 798-808. 14. Soylemez Z. Elderly Care and Elderly Structures in Turkey. Wuppertal: First Transnational Conference. 2006. 15. Turkish Statistical Institute-Elderly statistics 2014. 16. Saka O, Varol N. Institutional and community care for older people in Turkey. Eurohealth 2007; 13: 20-2. 18. Kim EY, Cho E, June KJ. Factors influencing use of home care and nursing homes. J Adv Nurs 2006; 54: 511-7. 19. Sackley C, Brittle N, Patel S, Ellins J, Scott M, Wright C, et al. The prevalance of joint contractures, pressure sores, paintful shoulder, other pain, falls and depression in the year after a severely disabling stroke. Stroke 2008; 39: 3329-34. 20. Vischer UM, Safar ME, Safar H, Iaria P, Dudal KL, Henry O, et al. Cardiometabolic determinants of mortality in a geriatric population: is there a “reverse metabolic syndrome”? Diabetes Metab 2009; 35: 108-14. 21. Ponzetto M, Maero B, Maina P, Rosato R, Ciccone G, Merletti F, et al. Risk factors for early and late mortality in hospitalized older patients: the continuing importance of functional status. J Gerontol A Biol Sci Med Sci 2003; 58: 1049-54. 22. Silva A, Jerussalmy CS, Farfel JM, Curiati JAE, Jacob-Filho JAE. Predictors of in-hospital mortality among older patients. Clinics. 2009; 64: 613-8. 23. Garg AX, Papaiannou A, Ferko N, Campbell G, Clarke J, Ray JG. Estimating the prevalence of renal insufficiency in seniors requiring long term care. Kidney Int 2004; 65: 649-53. 24. Funk GC, Lindner G, Druml P, Metnitz B, Schwarz C, Bauer P, et al. Incidence and prognosis of dysnatremias present on ICU admission. Intensive Care Med 2010; 36: 304-11. 25. Fontana L, Addante F, Copetti M, Paroni G, Fontana A, Sancarlo D, et al. Identification of a metabolic signature for multidimensional impairment and mortality risk in hospitalized older patients. Aging Cell 2013; 12: 459-66. 26. Ayaz T, Sahin SB, Sahin OZ, Bilir O, Rakıcı H. Factors Affecting Mortality in Elderly Patients Hospitalized for Nonmalignant Reasons. J Aging Res 2014; 2014: 584315. 27. Grundy SM, Cleeman JI, Rifkind BM, Kuller LH. Cholesterol lowering in the elderly population. Coordinating Committee of the National Cholesterol Education Program. Arch Intern Med 1999; 159: 1670-8. 28. National Lipid Education Council. Treating dyslipidemia in the elderly: Are we doing enough? Lipid Management Newsletter 1999; 4: 1. 29. Samos LF, Roos BA. Diabetes Mellitus in older persons. Med Celin N Am 1998; 82: 791-803. 30. Harris MJ. Epidemiology of diabetes mellitus among elderly in the US. Clin Geriat Med 1990; 6: 703-19. 31. Morrow LA, Halter JB. Treatment of the elderly with diabetes. In; KAHN CR, Weir GC. Eds. Joslin’s diabetes mellitus. Waverly Int 1996; 552-9. 32. Parker CR, Blackwell PJ, Pairburn KJ, Roskin DJ. Alenduronate in the treatment of primary hyperparathyroid-related osteoporozis: a 2-year study. J Clin Endocrinol Metab 2002; 87: 4482-9. 33. Smith DL. Anemia in the elderly. Am Fam Physician 2000; 62: 1565-72. 34. Fischbach FT. A manual of laboratory and diagnostic tests (7th ed). Philadelphia: Lippincott. 2004. 35. Chernetsky A, Sofer O, Rafael C, Ben-Israel J. Prevalence and etiology of anemia in an institutionalized geriatric population. Harefuah 2002; 141: 591-4. 36. Sahadevan S, Choo PW, Jayaratnam FJ. Anemia in the hospitalized elderly. Singapore Med J 1995; 36: 375-8. 37. Smieja MJ, Cook DJ, Hunt DL, Ali MA, Guyatt GH. Recognizing and investigating iron-deficiency anemia in hospitalized elderly people. CMAJ 1996; 155: 691-6. 38. Guralnik JM, Eisenstaedt RS, Ferrucci l, Klein HG, Woodman RC, et al. Prevalence of anemia in persons 65 years and older in United States: evidence for a high rate of unexplained anemia. Blood 2004; 104: 2263-8. 39. Choi CW, Lee J, Park KH, Yoon SY, Choi IK, Oh SC, et al. Prevalence and characteristics of anemia in the elderly. Cross-Sectional Study of Three Urban Korean Population Samples. Am J Hematol 2004; 77: 26-30. 40. Inelmen EM, D’Alessio M, Gatto MR, Baggio MB, Jimenez G, Bizzotto MG, et al. Descriptive analysis of the prevalence of anemia in a randomly selected sample of elderly people living at home: some results of an Italian multicentric study. Aging 1994; 6: 81-9.
There are 1 citations in total.

Details

Primary Language English
Subjects Clinical Sciences
Journal Section Research Article
Authors

Zeynep Karaali

Beste Tacal Aslan This is me

Mehmet Burak Aktuğlu This is me

Macit Koldaş This is me

Elif Sinem İplik This is me

Bedia Çakmakoğlu This is me

Publication Date April 30, 2019
Submission Date February 12, 2019
Published in Issue Year 2019

Cite

Vancouver Karaali Z, Tacal Aslan B, Aktuğlu MB, Koldaş M, İplik ES, Çakmakoğlu B. Laboratory Features of Home Health Care Patients. Experimed. 2019;9(1):16-22.