Hipertansiyon Hastası Yönetimi Konusunda Aile Hekimliği Asistan Eğitiminin Değerlendirilmesi

Yıl 2023, Cilt: 10 Sayı: 2, 127 - 135, 30.06.2023

Olgu Aygün , Ozden Gokdemır , Ediz Yıldırım , Gizem Limnili , Dilek Güldal

https://doi.org/10.34087/cbusbed.1284455

Öz

Giriş ve Amaç: Hipertansiyon (HT), yüksek kan basıncı ile ortaya çıkan sistemik bir hastalık olup, toplumda yaygın olarak görülen ve ciddi komplikasyonlara neden olan büyük bir sağlık sorunudur. Kan basıncı düzeylerinin kontrolü, ortaya çıkan komplikasyonları azaltmada önemli bir adımdır. Bu çalışmanın amacı, aile hekimliği asistanlarının HT bilgi ve farkındalığı üzerinde yüz yüze HT eğitiminin etkisini değerlendirmek ve ihtiyaçlarını anlamaktır.
Gereç ve Yöntemler: Çalışmamız, betimleyici-kesitsel araştırma tasarımında planlandı. Yüz yüze eğitimden hemen önce ve sonra, katılımcılara, Türk Hipertansiyon Konsensus Raporları 2019 ve Türkiye Endokrinoloji ve Metabolizma Derneği tarafından 2022 yılında yayınlanan Hipertansiyon Tanı ve Tedavi Kılavuzu temel alınarak araştırmacılar tarafından oluşturulan bir anket verildi.
Bulgular: Çalışmamızda, yüz yüze eğitimin HT ile ilgili 15 alt kategorideki etkisini müdahale araştırma modeli olarak inceledik. Eğitim sonrası değerlendirmede, 15 alt kategorinin 12'si teorik soruları, üçü ise vaka temelli değerlendirme sorularını içeriyordu. Soruların %50 veya daha fazlasını doğru cevaplamak hedeflenmiş olup, eğitim sonrası, 15 alt kategoriden beşinde bu hedefin genel olarak başarıldığı gözlendi.
Sonuç: Yüz yüze eğitim, birincil sağlık hizmetlerinde HT yönetiminin iki önemli unsuru olan bilgi ve farkındalığı artırmada ve değerlendirme kapasitesinde etkilidir. HT ile ilgili 15 alt kategoriye yapılan ayrıntılı inceleme, etki büyüklüğü açısından daha iyi olan kategorileri ortaya çıkardı. Çalışmamız, HT yönetimi ile ilgili alt kategorilere etkileri de ayrıntılı bir şekilde ele alarak (örneğin, birinci basamak HT yönetimine direnç gibi) ilginç ve biraz beklenmedik sonuçlar ortaya çıkmıştır.

Anahtar Kelimeler

HİPERTANSİYON, AİLE HEKİMLİĞİ UZMANLIK EĞİTİMİ, HASTA YÖNETİMİ

Destekleyen Kurum

YOK

Proje Numarası

YOK

Teşekkür

DOKUZ EYLÜL ÜNİVERSİTESİ AİLE HEKİMLİĞİ ASİSTANLARINA KATILIMLARI İÇİN TEŞEKKÜR EDİYORUZ

Evaluation of Hypertension Patient Management During Family Medicine Trainee Education

Öz

Objective: Hypertension (HT) is a systemic disease manifested by high blood pressure and is a major health problem, common in the community and the cause of serious complications. Control of blood pressure levels is an essential step in reducing omit complications. The aim of the study is to evaluate the impact of face-to-face HT training on the HT knowledge and awareness of the family medicine resident doctors and to understand their needs.
Materials and Methods: Our study was planned in a descriptive-cross-sectional research design. Just before and after the face-to-face training, participants were given a questionnaire developed by researchers based on two documents: the Turkish Hypertension Consensus Reports published in 2019, and the Hypertension Diagnosis and Treatment Guidelines published by the Turkish Endocrinology and Metabolism Society in 2022.
Results: In our study, we observed the effect of face-to-face education on 15 sub-categories of HT as an intervention research model. In the post-training evaluation, 12 of the 15 sub-categories involved theoretical questions, and three were case-based evaluation questions. The goal was to answer 50% or more of the questions correctly, and it was observed that, after the training, in five of the fifteen sub-categories, this target was generally achieved.
Conclusion: Face-to-face training is effective in increasing knowledge and awareness, and evaluation capacity, which are two important elements of HT administration in primary care. A detailed examination of 15 sub-categories related to HT revealed the categories that were better in terms of effect size. Our study also detailed the effects on sub-categories related to HT management (such as resistance to first-stage HT management), which reveal interesting and somewhat unexpected results.

Anahtar Kelimeler

family medicine traininng, patient management, hypertansion

Proje Numarası

YOK

Kaynakça

• [Hypertension-Manual -2022.pdf [Internet]. [quotation 25 February. (2023). https://file.temd.org.tr/Uploads/publications/guides/documents/Hipertansiyon-Kilavuzu-2022.pdf.
• [Hypertension [Internet]. [quotation 25 February. (2023). https://www.who.int/news-room/fact-sheets/detail/hypertension.
• Hypertension [Internet]. [quotation 25 February. (2023). https://www.who.int/health-topics/hypertension.
• Satman I, Omer B, Tutuncu Y, et al.: Twelve-year trends in the prevalence and risk factors of diabetes and prediabetes in Turkish adults. Eur J Epidemiol. 2013, 28:169-80. 10.1007/s10654-013-9771-5
• Li X, Krumholz HM, Yip W, et al.: Quality of primary health care in China: challenges and recommendations. Lancet. 2020, 395:1802-12. 10.1016/S0140-6736(20)30122-7
• Mogueo A, Defo BK: Patients' and family caregivers' experiences and perceptions about factors hampering or facilitating patient empowerment for self-management of hypertension and diabetes in Cameroon. BMC Health Serv Res. 2022, 22:1381. 10.1186/s12913-022-08750-4
• Yan C, Yuan Y, Zhao D, et al.: Family Doctor Contract Services and Awareness of Blood Pressure Measurement Among Hypertension Patients: A Cross-Sectional Study in Rural Shandong, China. Front Public Health. 2022, 10:757481. 10.3389/fpubh.2022.757481
• Rakel AGAIN: Family Medicine Textbook E-Book. Elsevier Health Sciences, 2007.
• İyişenyürek Ö.THE ROLE AND IMPORTANCE OF HYPERTENSION DISEASE OF FAMILY HEALTH CENTERS: https://acikerisim.medipol.edu.tr/xmlui/bitstream/handle/20.500.12511/7420/%C4%B0yisenyurek-Omer-2018.pdf?sequence=1&....
• Primary health care services [Internet]. [excerpt from February 27. (2023). https://www.who.int/news-room/fact-sheets/detail/primary-health-care.
• McClurg C, Powelson S, Lang E, Aghajafari F, Edworthy S: Evaluating effectiveness of small group information literacy instruction for Undergraduate Medical Education students using a pre- and post-survey study design. Health Info Libr J. 2015, 32:120-30. 10.1111/hir.12098
• Henderson A, Heel A, Twentyman M, Lloyd B: Pre-test and post-test evaluation of students' perceptions of a collaborative clinical education model on the learning environment. Aust J Adv Nurs. 2006, 23:8-13.
• Davis P, Kvern B, Donen N, Andrews E, Nixon O Evaluation of a problem-based learning workshop using pre- and post-test objective structured clinical examinations and standardized patients. J Contin Educ Health Prof. 2000, 20:164-70. 10.1002/chp.1340200305
• Lüders S, Schrader J, Schmieder RE, Smolka W, Wegscheider K, Bestehorn K: Improvement of hypertension management by structured physician education and feedback system: cluster randomized trial. Eur J Cardiovasc Prev Rehabil. 2010, 17:271-9. 10.1097/HJR.0b013e328330be62
• Tu K, Davis D Can we alter physician behavior by educational methods? Lessons learned from studies of the management and follow-up of hypertension. J Contin Educ Health Prof. 2002, 22:11-22. 10.1002/chp.1340220103
• Ryan C, Young L, McAllister M The impact of an online learning platform about nursing education on enrolled nurse preceptor teaching capabilities: a pre-post-test evaluation. Contemp Nurse. 2017, 53:335-47. 10.1080/10376178.2017.1347512
• Vander Kaay S, Letts L, Jung B, Moll SE On-line ethics education for occupational therapy clinician-educators: a single-group pre-/post-test study. Disabil Rehabil. 2019, 41:2841-53. 10.1080/09638288.2018.1473510
• Lim SC, Mustapha FI, Aagaard-Hansen J, Calopietro M, Aris T, Bjerre-Christensen U Impact of continuing medical education for primary healthcare providers in Malaysia on diabetes knowledge, attitudes, skills and clinical practices. Med Educ Online. 2020, 25:1710330. 10.1080/10872981.2019.1710330