Skin Diseases Seen In Kampus Community Health Center Of Selcuk University In Two Year Period: An Educational Perspective

Year 2009, Volume: 16 Issue: 2, 16 - 22, 30.06.2009

Nazan Karaoğlu Fatma Deniz İnci Mevlitoğlu

Abstract

Selçuk Üniversitesi Kampüs Sağlik Merkezinde İki Yillik Bir Süreçte Görülen Deri Hastalıkları: Eğitimsel Bir Perspektif

Amaç: Bütüncül sağlık yaklaşımı ile sağlık hizmetleri hızla değişirken, günlük pratiklerinde deri şikayetleri ile gelen birçok hasta gören birinci basamak hekimlerinin sık görülen deri hastalıklarının bakımını üstlenebilmesi için bu konudaki pratik bilgilerini artırmaları gereklidir. Bu çalışmanın amacı, birinci basamak bir sağlık kuruluşu olan Kampüs Sağlık Merkezi'nde sık karşılaşılan deri hastalıklarını belirleyerek tıp eğitimine ışık tutabilmektir.
Hastalar ve Metotlar: Bu tanımlayıcı çalışmada, Selçuk Üniversitesi Kampüs Sağlık Merkezi'ndeki dermatoloji polikliniğinin geriye dönük olarak hasta dosyaları taranmıştır. Kayıtlardaki demografik bilgiler, tanılar, verilen tedaviler veya dermatoloji kliniğine sevkler kaydedilmiştir.
Bulgular: Çalışma grubunun yaş ortalaması 24,53±8,74 (min:1, max:72) yıldır. Toplam 60 deri problemi saptanmıştır. En sık deri problemi akne vulgaristir (%41,6). İkinci ve üçüncü sıklıkta görülen deri hastalıkları grubu alerjik-pruritik hastalıklar ve mantar enfeksiyonlarıdır (%17,6, %9,6). Hastaların %87,8'ine tedavi verilmiştir.
Sonuç: Hasta kayıtlarının daha düzgün tutulması halen aile hekimi olan veya ileride aile hekimi olacak olan hekimlerin eğitiminde pratik performanslarının ve rollerinin artırılması açısından değerlidir. Birinci basamak hekimlerinin eğitimi en sık görülen cilt hastalıklarının ve bu hekimlerin deri hastalıkları ile baş etmedeki zorluklarının tanınmasını kapsamalıdır.
Anahtar sözcükler: Tıp eğitimi, deri hastalıkları, birinci basamak.

Abstract

Introduction: As health care delivery under managed care is rapidly chancing, primary care physicians (PCPs) who frequently see patients with skin disease in their practice should have the practicing knowledge to handle the most common skin diseases in order to manage of those cases. This study aims to determine the most common dermatologic diseases in primary care and to shed light on medical education.
Patients and Methods: In this descriptive study, a retrospective chart review was performed in Campus Health Center of Selcuk University. Demographic data, diagnosis, laboratory tests, treatments or referrals to dermatology clinic were noted.
Results: The mean age of the study population was 24.53±8.74 (min=1, max=72) years. A total of 60 skin problems were identified. The most common dermatologic problem was acne vulgaris (41.6%). Allergic-pruritic diseases and fungal infections were the second and the third main dermatologic diseases seen in 17.6% and 9.6% of the patients, respectively. Treatment was given to 87.8% of the patients.
Conclusion: An improved record of patients will be valuable for the training of current and future family physicians in order to increase their practical performance and enhance their roles. Education of PCPs should include a definition of the most common diseases and their limitations in dealing with skin problems.
Key words: Medical education, skin diseases, primary care.

Keywords

Týp eðitimi, deri hastalýklarý, birinci basamak

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