BİRİNCİ BASAMAKTA SAĞLIK HİZMETİ VERİRKEN ÇEVRE ÖYKÜSÜ ALMA: FARKINDALIK, TUTUM VE DAVRANIŞ; KESİTSEL BİR ÇALIŞMA

Yıl 2022, , 280 - 290, 04.06.2022

Yağmur Köksal Yasin , Mehmet Oğuz Türkmen , Aysima Bulca Acar , Emine Didem Evci Kiraz

https://doi.org/10.35232/estudamhsd.1030507

Cited By: 1

Öz

Çevrenin insan sağlığı üzerindeki etkisinin değerlendirilebilmesi için kapsamlı bir çevre öyküsünün alınması gerekmektedir. Bu yöntemlerinin tüm hekimlerce, özellikle birinci basamak hekimleri tarafından öğrenilmesi ve uygulanması çok önemlidir. Bu çalışmanın amacı çevre öyküsü ile ilgili birinci basamakta primer görev alan aile hekimlerinin farkındalık, tutum ve davranışlarını incelemektir. Çalışma kesitsel bir çalışma olup Aralık 2018-Aralık 2019 tarihleri arasında gerçekleştirilmiştir. Aydın ili merkez ilçesinde 84 aile hekimi çalışmaktadır. Çalışmada evrenin tümüne ulaşılması hedeflenmiş, %90,5’i (n=76) çalışmaya katılmıştır. Hekimlere yapılandırılmış görüşme formu yüz yüze yöntemle uygulanmıştır. Hekimlerin çevre öyküsü farkındalık puan ortalaması 14,26±4,41 olarak tespit edilmiştir. Hekimlerin %47,8’inin çevre öyküsü aldığı saptanmıştır. Hekimlerin %7,9’u çevre öyküsü ile ilgili özel bir eğitim aldıklarını belirtmiştir. Hekimlik yılı 30 yılın üzerinde olanların hekimlik yılı 30 yıldan daha az olanlara göre, çevre öyküsü hakkında eğitim alanların çevre öyküsü hakkında eğitim almayanlara göre ve çevre öyküsü alma sıklığı çoğunlukla/her zaman olan hekimlerin çevre öyküsü alma sıklığı daha az olan hekimlere göre çevre öyküsü ortalama farkındalık puanlarının daha yüksek olduğu bulunmuştur. Hekimlere, hasta muayeneleri ile ilgili yeterli süre ve koşulların sağlanması ve çevre öyküsü almanın neden önemli olduğu konusunda eğitimler verilmesi ile hekimlerin üzerindeki bu baskının azaltılması, bunun sonucunda da hekimlerin bu hizmeti sağlamaları kolaylaştırılabilir.

Anahtar Kelimeler

Tıbbi öykü, tıbbi öykü alımı, aile hekimliği, çevre sağlığı, halk sağlığı

TAKING ENVIRONMENTAL HISTORY WHILE PROVIDING PRIMARY HEALTH CARE: AWARENESS, ATTITUDE AND BEHAVIOR; A CROSS-SECTIONAL STUDY

Öz

To evaluate the impact of the environment on human health, it is necessary to take a comprehensive environmental history. It is very important that these methods are learned and applied by all physicians, especially primary care physicians. The aim of this study is to examine the awareness, attitudes, and behaviors of family physicians who take primary duties in primary care regarding environmental history. The study is a cross-sectional study and was carried out between December 2018 and December 2019. There are 84 family physicians working in the central district of Aydın. It was aimed to reach the entire study population, and 90.5% (n=76) participated in the study. The structured interview form was applied face-to-face method. The mean environmental story awareness score of the physicians was determined as 14.26±4.41. It was determined that 47.8% of the physicians took environmental history. 7.9% of the physicians stated that they received special training on environmental history. Average awareness of environmental history among those with more than 30 years of practice compared to those with less than 30 years of practice, those who received education about environmental history compared to those who did not receive education about environmental history, and physicians who frequently/always take environmental history compared to those with less environmental history were found to have higher scores. By providing the physicians with adequate time and conditions for patient examinations and providing training on why taking environmental history is important, this pressure on physicians can be reduced, and as a result, physicians' provision of this service can be facilitated.

Anahtar Kelimeler

Medical history, medical history taking, family practice, environmental health, public health

Kaynakça

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