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

Yıl 2022, Cilt 7, Sayı 2, 280 - 290, 04.06.2022
https://doi.org/10.35232/estudamhsd.1030507

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.

Kaynakça

  • 1. İlaslan N, Çakar M Yıldırım Şişman Y. One Health approach and nursing during the pandemic. J Educ Res Nurs J Educ Res Nurs. 2021;18(1):36-8.
  • 2. Frank A. Approach to The Patient with An Occupational or Environmental Illness. Occup Environ Med. 2000;27(4):877-93. doi:10.1016/s0095-4543(05)70182-2.
  • 3. Kara F, Öztürk İ. Comparative analysis of primary health care services (Benchmarking): The case of Turkey and Spain. Med J West Black Sea. 2021;5(1):7-18.
  • 4. WHO. ICD-11 for Mortality and Morbidity Statistics Version 05/21. [cited 2021 June 14] Available from: https://icd.who.int/browse11/l-m/en. Published 2021.
  • 5. Masic I, Begic Z, Naser N, Begic E. Pediatric cardiac anamnesis. Prev Addit Diagnostic Tests Int J Prev Med. 2018;9(5).
  • 6. Massaquoi LD, Edwards NC. A scoping review of maternal and child health clinicians attitudes, beliefs, practice, training and perceived self-competence in environmental health. Int J Environ Res Public Health. 2015;12(12):15769-81. doi:10.3390/ijerph121215018.
  • 7. Sevencan F, Yavuz CI, Acar Vaizoglu S. Environmental consciousness of students from secondary and high schools in Bodrum, Turkey. Environ Sci Pollut Res. 2017;(24):3045-53. doi:10.1007/s11356-016-7969-2.
  • 8. Yaman H, Akdeniz M, Howe J. The Concept of GeroFam: A solution proposal for the upcoming demographic change. GeroFam. 2010. doi:10.5490/gerofam.2010.1.1.2.
  • 9. TUIK. Address Based Population Registration System results. Available from: https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr. 2018. [cited 2021 June 14]
  • 10. Karagulle D, Evci Kiraz ED, Ergin F, Gursoy Turan S, Okur O. Physicians awareness about the importance of environmental history in medical diagnosis. J Environ Prot Ecol. 2014;15(3):1164-71.
  • 11. Papal A, Hines SE. Evaluation of the patient with an exposure-related disease: the occupational and environmental history. Curr Opin Pulm Med. 2015;21(2):155-62. doi:10.1097/MCP.00000000000000138.
  • 12. Arnaud S, Cabut S, Viau A, Souville M, Verger P. Different reporting patterns for occupational diseases among physicians: a study of French general practitioners, pulmonologists and rheumatologists. Int Arch Occup Environ Health. 2010;(83):251-8. doi:10.1007/s00420-009-0457-y.
  • 13. Kilpatrick N, Frumkin H, Trowbridge J, Escoffery C, Geller R, Rubin L, Teague G. Nodvin J. The environmental history in pediatric practice: a study of pediatricians' attitudes, beliefs, and practices. Env Heal Perspect. 2002;110:823-7. doi:10.1289/ehp.02110823.
  • 14. Sanborn MD, Scott EA. Environmental health concerns in urban and rural family practice. Can Fam Physician. 1998;44:1466-72.
  • 15. Abbas RA, Alghobashy AA. Effect of an environmental health educational program for paediatricians in an Egyptian University Hospital: before and after study. JR Soc Med. 2012;3(86). doi:10.1258/shorts.2012.012093.
  • 16. TC Aydın Governorship. Our districts. 2021 [cited 2021 June 14]. Available from: http://www.aydin.gov.tr/ilceyiz.

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

Yıl 2022, Cilt 7, Sayı 2, 280 - 290, 04.06.2022
https://doi.org/10.35232/estudamhsd.1030507

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.

Kaynakça

  • 1. İlaslan N, Çakar M Yıldırım Şişman Y. One Health approach and nursing during the pandemic. J Educ Res Nurs J Educ Res Nurs. 2021;18(1):36-8.
  • 2. Frank A. Approach to The Patient with An Occupational or Environmental Illness. Occup Environ Med. 2000;27(4):877-93. doi:10.1016/s0095-4543(05)70182-2.
  • 3. Kara F, Öztürk İ. Comparative analysis of primary health care services (Benchmarking): The case of Turkey and Spain. Med J West Black Sea. 2021;5(1):7-18.
  • 4. WHO. ICD-11 for Mortality and Morbidity Statistics Version 05/21. [cited 2021 June 14] Available from: https://icd.who.int/browse11/l-m/en. Published 2021.
  • 5. Masic I, Begic Z, Naser N, Begic E. Pediatric cardiac anamnesis. Prev Addit Diagnostic Tests Int J Prev Med. 2018;9(5).
  • 6. Massaquoi LD, Edwards NC. A scoping review of maternal and child health clinicians attitudes, beliefs, practice, training and perceived self-competence in environmental health. Int J Environ Res Public Health. 2015;12(12):15769-81. doi:10.3390/ijerph121215018.
  • 7. Sevencan F, Yavuz CI, Acar Vaizoglu S. Environmental consciousness of students from secondary and high schools in Bodrum, Turkey. Environ Sci Pollut Res. 2017;(24):3045-53. doi:10.1007/s11356-016-7969-2.
  • 8. Yaman H, Akdeniz M, Howe J. The Concept of GeroFam: A solution proposal for the upcoming demographic change. GeroFam. 2010. doi:10.5490/gerofam.2010.1.1.2.
  • 9. TUIK. Address Based Population Registration System results. Available from: https://biruni.tuik.gov.tr/medas/?kn=95&locale=tr. 2018. [cited 2021 June 14]
  • 10. Karagulle D, Evci Kiraz ED, Ergin F, Gursoy Turan S, Okur O. Physicians awareness about the importance of environmental history in medical diagnosis. J Environ Prot Ecol. 2014;15(3):1164-71.
  • 11. Papal A, Hines SE. Evaluation of the patient with an exposure-related disease: the occupational and environmental history. Curr Opin Pulm Med. 2015;21(2):155-62. doi:10.1097/MCP.00000000000000138.
  • 12. Arnaud S, Cabut S, Viau A, Souville M, Verger P. Different reporting patterns for occupational diseases among physicians: a study of French general practitioners, pulmonologists and rheumatologists. Int Arch Occup Environ Health. 2010;(83):251-8. doi:10.1007/s00420-009-0457-y.
  • 13. Kilpatrick N, Frumkin H, Trowbridge J, Escoffery C, Geller R, Rubin L, Teague G. Nodvin J. The environmental history in pediatric practice: a study of pediatricians' attitudes, beliefs, and practices. Env Heal Perspect. 2002;110:823-7. doi:10.1289/ehp.02110823.
  • 14. Sanborn MD, Scott EA. Environmental health concerns in urban and rural family practice. Can Fam Physician. 1998;44:1466-72.
  • 15. Abbas RA, Alghobashy AA. Effect of an environmental health educational program for paediatricians in an Egyptian University Hospital: before and after study. JR Soc Med. 2012;3(86). doi:10.1258/shorts.2012.012093.
  • 16. TC Aydın Governorship. Our districts. 2021 [cited 2021 June 14]. Available from: http://www.aydin.gov.tr/ilceyiz.

Ayrıntılar

Birincil Dil İngilizce
Konular Halk ve Çevre Sağlığı
Bölüm Araştırma Makalesi
Yazarlar

Yağmur KÖKSAL YASİN> (Sorumlu Yazar)
Hatay Dörtyol District Health Directoriate, Hatay, Turkey
0000-0002-6024-5443
Türkiye


Mehmet Oğuz TÜRKMEN>
Aydın Adnan Menderes University Department of Public Health, Aydın, Turkey
0000-0002-6480-2024
Türkiye


Aysima BULCA ACAR>
Antalya University of Health Sciences Department of Family Medicine, Antalya, Turkey
0000-0001-9136-654X
Türkiye


Emine Didem EVCİ KİRAZ>
Aydın Adnan Menderes University Department of Public Health, Aydın, Turkey
0000-0003-0090-5590
Türkiye

Yayımlanma Tarihi 4 Haziran 2022
Başvuru Tarihi 30 Kasım 2021
Kabul Tarihi 18 Mart 2022
Yayınlandığı Sayı Yıl 2022, Cilt 7, Sayı 2

Kaynak Göster

Vancouver Köksal Yasin Y. , Türkmen M. O. , Bulca Acar A. , Evci Kiraz E. D. TAKING ENVIRONMENTAL HISTORY WHILE PROVIDING PRIMARY HEALTH CARE: AWARENESS, ATTITUDE AND BEHAVIOR; A CROSS-SECTIONAL STUDY. ESTÜDAM Halk Sağlığı Dergisi. 2022; 7(2): 280-290.

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