KLİNİK PRATİKTE KAPSAMLI GERİATRİK DEĞERLENDİRME: HASTALAR NE DÜŞÜNÜYOR?

Abstract

Amaç: Kapsamlı-Geriatrik-Değerlendirme (KGD) geriatrinin temel taşlarındandır. Bu çalışmada 60 yaş ve üzeri hastaların KGD’nin uygulanmasından ne kadar memnun olduklarını ve geriatrik sendromlar sorgulanmasaydı; bu şikayetleri ifade edip etmeyeceklerini öğrenmeyi amaçladık. Gereç ve Yöntem: Geriatri polikliniğine başvuran hastalar dahil edildi. Geriatri hemşiresi tarafından 18 soruluk memnuniyet anketi uygulandı. Hastaların, hem KGD uygulanmasıyla ilgili hem de KGD’nin bazı alt-alanlarından özgün olarak (idrar-dışkı inkontinansı, düşme, uyku, Mini-Nütrisyonel-Değerlendirme) memnuniyet ve faydalanım beklentileri değerlendirildi. Kendilerine bu sorular sorulmasaydı şikayetlerini ifade edip etmeyecekleri soruldu. Bulgular: Çalışmaya 150 hasta dahil edildi. Ortalama yaş 73,7±7 yıl idi. Yüz-elli hastanın 148’i KGD’nin yapılmasından memnun olduğunu, 139’u kendileri için faydalı olduğunu düşündüklerini belirtti. Yüz elli hastadan 73’ünün (%49) üriner inkontinansı vardı ve 150 hastanın 29’u (%19) bu soru kendilerine sorulmamış olsaydı idrar inkontinansı olsa dahi belirtmeyeceklerini söylediler. On yedi hastanın (%11) fekal-inkontinansı mevcuttu ve tüm hastaların %16’sı bu soru kendilerine sorulmasaydı fekal-inkontinansı olsa dahi belirtmeyeceklerini söylediler. Düşme hikayesi olan 85 hastanın 29’u son bir yıl içinde düşme hikayesi olmasına rağmen bu soru kendilerine sorulmamış olsa bu durumu belirtmeyeceklerini belirtti. Hastaların %93’ü Mini-Mental-Testin yapılmasından memnun olduklarını ve bu testin kendilerine faydası olacağını düşündüklerini belirttiler. Sonuç: Vakit alması ve yorucu olmasına rağmen KGD hastalar için memnuniyet vericidir ve gizli kalabilecek geriatrik sendromların tanınmasını sağlamaktadır.

Keywords

• Kapsamlı geriatrik değerlendirme
• memnuniyet
• geriatrik sendrom
• faydalanım

COMPREHENSIVE GERIATRIC ASSESSMENT IN PRACTICE: WHAT DO PATIENTS SAY?

Abstract

Objective: Comprehensive Geriatric Assessment (CGA) is one of the cornerstones of geriatric medicine. In this study, we aimed to find out how satisfied patients aged 60 and over with the application of CGA and whether they would express these complaints if geriatric-syndromes were not questioned. Materials and Methods: Patients who applied to the geriatric outpatient-clinic were included. An 18-question survey was applied by the geriatric nurse. The satisfaction and benefit expectations of the patients regarding both the application of CGA and specific sub-areas of CGA (urinary- fecal incontinence, falls, sleep, Mini-Nutritional-Assessment, Mini-Mental-State-Examination) were evaluated. They were asked whether they would express their complaints if these questions were not asked. Results: One-hundred-fifty patients were included in the study. The mean-age was 73.7±7 years. One-hundred-forty-eight patients were satisfied with the CGA and 139 of them thought it was beneficial. Seventy-three (49%) patients had urinary-incontinence, and 29 (19%) patients said that they would not report urinary-incontinence if this question had not been asked. Seventeen patients (11%) had fecal-incontinence and 16% of all patients said that they would not report fecal-incontinence if this question had not been asked. Twenty-nine of 85 patients stated that although they had a history of falling within the last year, they would not have stated this situation if this question was not asked. Ninety-three percent of the patients stated that they were satisfied with the Mini-Mental-State-Examination and that they thought this test would be beneficial for them. Conclusion: Although it takes time and is tiring, CGA is satisfactory for patients and enables the recognition of geriatric-syndromes that may remain hidden.

Keywords

• Comprehensive geriatric assessment
• satisfaction
• geriatric syndrome
• benefit

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