Fizik Tedavi ve Rehabilitasyon Hastanesi Polikliniklerine Başvuran 65 Yaş ve Üstü Hastaların Aile Hekimliği Bakış Açısıyla Değerlendirilmesi

Year 2018, Volume: 10 Issue: 1, 120 - 125, 28.03.2018

Mehmet Kayhan Erdal Dilekçi Sebahat Gücük

https://doi.org/10.18521/ktd.362261

Abstract

Evaluation of Patients Aged 65 Years and Over Who Apply To Physiotherapy and Rehabilitation Polyclinics from a Family Medicine Perspective

Abstract

Aim:
The aim of this
study was to evaluate the diagnosis of patients aged 65 years and over in
applying to physiotherapy hospitals and to make an evaluation in terms of
primary health care delivery.

Methods: Our study was carried out by retrospectively reviewing
the electronic records of patients aged 65 years and over who applied to the Physiotherapy
and Rehabilitation Hospital outpatient clinics between 01 January - 31 December
2016.

Results: A total of 3920 patients were included in the study.
Of these patients, 2392 (61%) were female and 1528 (39%) were male. According
to the diagnoses of patients who received physiotherapy treatment, lumbar
diseases were found to be the most common with 17% among physical therapy and
rehabilitation diseases. Similarly, the rate of diagnosis with a knee disease
was 15.8%, while this rate was 46.4% in all patients. Based on the groups
defined in the physiotherapy and rehabilitation diagnosis groups list specified
by the health practice communiqué, the rate of diagnosis of group A was 7.5%
(n: 522), the rate of diagnosis of group B was 1.5% (n: 107), and the rate of
diagnosis of group C was 22.5% (n: 1556).

Conclusion:
In primary
health care provision, patients should be made aware of their skeletal system
complaints. During this process, we think that it is important for family
physicians to support the patients to struggle with pain, in terms of raising
the quality of life of the patients in this age group.

Keywords

Primary care, musculoskeletal disorders

References

• 1. Ergun GO, Bozdemir N, Uguz S, et al. Evaluation of the medical and social characterıstics of theelderly living at the community residence of Adana and those applying to the famıly medicine outpatıent clinic. Turkish Journal of Geriatrics 2003; 6( 3): 89-94. 2. Bryg RJ, Williams GA, Labovitz AJ. Effect of aging on left ventricular diastolic filling in normal subjects. Am J Cardiol 1987;59(9): 971-74. 3. İstatistiklerle Yaşlılar 2016. http://www.tuik.gov.tr/PreHaberBultenleri.do?id= 24644. (Erişim: 16.03.2017) 4. Kutsal YG. Yaşlanan dünyanın yaşlanan insanları. Hacettepe Toplum Hekimliği Bülteni 2003; 24:1-6. 5. Durmuş D, Ünal M. Diz Osteoartritinde Kapsaisin Fonoforezin Etkisi ve Birinci Basamakta Erken Kullanılabilirliği: Randomize Kontrollü Bir Çalısma. Konuralp Tıp Dergisi 2016;8(3) 173-80. 6. Turaman C. Yaşlı sağlığı hizmetlerinin birinci basamakta planlanması. Türk Geriatri Dergisi 2001;4(1): 22-7. 7. Uncu Y, Özçakır A. Yaşlı hastaya birinci basamakta yaklaşım. Türk Geriatri Dergisi 2003;6(1):31-7. 8. Podichetty VK, Mazanec D, Biscup R. Chronic non-malignant musculoskeletal pain in older adults: clinical issues and opioid intervention. Postgrad Med J. 2003;79(937):627-33. 9. Kelsey JL, Ira B. Influence of musculoskeletal conditions on oral health among older adults. Am J of PublicHealth. 2008;8(7): 1177-1183. 10. Faulkner JA, Larkin LM, Claflin DR, Brooks SV. Age-related changes in the structure and function of skeletalmuscles. Clin Exp Pharmacol Physiol. 2007; 34(11):1091-6. 11. Weiner DK. Improving pain management for older adults: an urgent agenda for the educator, investigator, and practitioner. Pain 2002;97(1-2):1-4. 12. Sofaer B, Moore AP, Holloway I, et al. Chronic pain as perceived by olderpeople: a qualitative study. Age Ageing 2005; 34(5): 462-66. 13. http://www.sgk.gov.tr/wps/portal/sgk/tr/kurumsal/merkez-teskilati/ana_hizmet_birimleri/gss_genel_mudurlugu/anasayfa_duyurular/duyuru_14072016_degisiklik_tebligi_islenmis_guncel_sut ( Erişim tarihi:12.11.2017) 14. Grant JT. The epidemiology of chronic generalized musculoskeletal pain. Best Pract Res Clin Rheumatol 2003 ;17(4):547-61. 15. Harter M, Reuter K, Weisser B, et al. Adescriptive study of psychiatricdisorders and psychosocial burden in rehabilitation patients with musculoskeletal diseases. Archives of Physical Medicine and Rehabilitation. 2002;83: 461–68. 16. Woolf AD, Pfleger B. Burden of major musculoskeletal conditions. Bull World Health Organ 2003; 81(9): 646–56. 17. Loeser RF, Delbono O. Aging of the muscles and joints. In: Halter JB, Ouslander JG, Tinetti ME, Studenski S, High KP, Asthana S, Hazzard WR, Wollard NF, ed. Hazzard's geriatric medicine and gerontology. 6thed. New York: McGraw Hill Medical, 2009;1355-68. 18. Tanyıldızı İ, Mevsim V. Kronik bel ağrısı olan hastalara aile hekimliği yaklaşımı: Ne kadar etkili? Türk Aile Hek Derg 2015;19 (2): 54-62. 19. Neogi T, Zhang Y. Osteoarthritis prevention. Curr Opin Rheumatol 2011; 23(2): 185-91. 20. Felson DT. Osteoarthritis of the knee clinical practice. N Engl J Med 2006; 354(8): 841-48. 21. Page CJ, Hinman RS, Bennell KL. Physiotherapy management of knee osteoarthritis. Int J Rheum Dis 2011; 14(2): 145-51. 22. Messier SP, Royer TD, Craven TE, et al. Long-term exercise and its effect on balance in older, osteoarthritic adults: Results from the fitness, arthritis, and seniors trial (FAST). J Am Geriatr Soc 2000;48 (2):131-8. 23. Ravaud P, Flipo RM, Boutron I, et al. ARTIST (osteoarthritis intervention standardized) study of standardised consultation versus usual care for patients with osteoarthritis of the knee in primary care in France: pragmatic randomised controlled trial. BMJ 2009;338:b421. 24. Sindel D. Osteoartritte disiplinlerarası ilişki ve hastaya yaklaşım nasıl olmalı?. Türk Geriatri Dergisi 2011;14 (Suppl 1): 89-94. 25. Juni P, Reichenbach S, Dieppe P. Osteoarthritis: rational approach to treating the individual. Best Pract Res Clin Rheumatol 2006;20(4):721-40. 26. Cameron ID, Crotty M, Currie C, et al. Geriatric rehabilitation following fractures in older people: a systematic review. Health Technol Asses 2000;4(2):i-iv,1-111.