Preoperatif değerlendirme konusunda birinci basamakta çalışan hekimlerin bilgi ve tutumlarının değerlendirilmesi

Demet Laflı Tunay

Preoperatif değerlendirme konusunda birinci basamakta çalışan hekimlerin bilgi ve tutumlarının değerlendirilmesi

Öz

Amaç: Preoperatif değerlendirme, hastayı bütünüyle iyileştirmekten ziyade hastaya ait riskleri, tıbbi koşulları ve tıbbi bakımı optimize etme planını ortaya koymaya yönelik, hastanın kapsamlı bir şekilde değerlendirmesini yapmaktır. Preoperatif değerlendirme multidisipliner bir olay olup dünyada geçerliliği olan birkaç modelden biri de birinci basamak hekim modelidir. Bu modelde cerrahi branşın konsültasyonu doğrultusunda preoperatif değerlendirme aile hekimi, dahiliye doktoru veya kardiyolog tarafından gerçekleştirilir. Bu çalışmada birinci basamak aile hekimlerinin preoperatif değerlendirme konusundaki bilgi düzeyleri anket çalışması ile ölçülmek istenmiştir.

Materyal ve Metot: Adana il merkezi görev yapan aile hekimliği uzmanlarına online anket formu üzerinden, sosyodemografik özellikleri ve Preoperatif değerlendirme konusunda bilgi, tutum ve uygulamalarını sorgulayan Avrupa Anesteziyoloji Derneği (ESA)'nin kardiyak olmayan cerrahi girişim geçiren yetişkinlerin preoperatif değerlendirilmesine ilişkin 2011 yılı kılavuzunda yer alan tavsiyelerin 2018 yılında yapılan güncellemesinden uyarlanmış standart anket uygulandı.

Bulgular: Katılımcıların %62,50’si aile hekimlerinin hastalarının preoperatif değerlendirilmesinden sorumlu olması gerektiğini düşündüklerini belirttiler. Aile hekimleri uygulanan ankette düşük bilgi düzeyi skoru olan kategorileri koagülasyon bozuklukları(%50,01), kardiyo vasküler hastalık(%61,87) ve renal hastalık(%67,19) iken yüksek skor alan kategoriler obezite(%87,51), anemi(%87,51) ve respiratuar hastalık(%75,01) olarak bulundu. Anket doğru yanıt ortalaması %71,40 olarak bulundu.

Sonuç: Bu çalışma birinci basamak hekimlerinin preoperatif hazırlık konusunda bilgili olmasına rağmen, birinci basamak hekim eğitim programlarında daha iyi tanımlanmış bir perioperatif tıp müfredatına ihtiyaç duyulduğunu ve birinci basamakta hizmet veren hekimlere bu konuda daha fazla eğitim verilmesinin gerekli olduğunu göstermiştir.

Anahtar kelimeler: Aile hekimliği, birinci basamak, Preoperatif değerlendirme

Anahtar Kelimeler

Birinci Basamak,Preoperatif değerlendirme

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Details

Primary Language

Turkish

Subjects

Anaesthesiology

Journal Section

Research Article

Authors

Demet Laflı Tunay
0000-0002-7984-1800
Türkiye

Publication Date

August 31, 2019

Submission Date

August 30, 2019

Acceptance Date

August 31, 2019

Published in Issue

Year 1970 Volume: 2 Number: 2

IZ

https://izlik.org/JA64NG92HG

Cite

RIS / Bibtex

APA

Laflı Tunay, D. (2019). Preoperatif değerlendirme konusunda birinci basamakta çalışan hekimlerin bilgi ve tutumlarının değerlendirilmesi. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 150-168. https://izlik.org/JA64NG92HG