Characteristics of Patients Receiving Home Care Services from A Tertiary Care Facility and Examination of Provided Medical Services

Yıl 2024, Cilt: 34 Sayı: 4, 472 - 475, 31.08.2024

Ceyhun Yurtsever , Volkan Atasoy , Burcu Aykanat Yurtsever

https://doi.org/10.54005/geneltip.1445201

Öz

Aim: It is important to know patient characteristics and medical needs in the planning and operation of home care services (HCS). In this study, the descriptive characteristics of patients who received HCS and the medical services provided were evaluated.
Materials and Methods: Patients receiving HCS for at least one-year were included this cross-sectional study. Patient records were examined and in addition to descriptive features, the number of visits made by the HCS unit in the last year for each patient, the reasons for these visits and the procedures performed was recorded.
Results: While 60.4% of the patients were female, 83.6% were ≥65 years. It was determined that 72.6% of the patients were bedridden, 30.5% used a urinary catheter and 32.9% had pressure ulcer. A total of 2774 (median=16) home visits were made, and the most common medical procedures were blood test and wound dressing. Functional bed use and pressure ulcer for wound dressing, rural location and diabetes for blood test and rural location, urinary catheter use and history of pulmonary embolism for urinalysis were determined as risk factors.
Conclusion: The characteristics of the patients receiving HCS, and the services provided were determined and it was seen that they were related to each other.

Anahtar Kelimeler

Home care services, patient care planning, elderly population

Üçüncü Basamak Bir Bakım Kuruluşundan Evde Bakım Hizmeti Alan Hastaların Özellikleri ve Sunulan Sağlık Hizmetlerinin İncelenmesi

Öz

Amaç: Evde sağlık hizmetlerinin (ESH) planlanması ve yürütülmesinde, hasta özelliklerinin ve tıbbi ihtiyaçların bilinmesi önem arz etmektedir. Bu çalışmada ESH alan hastaların tanımlayıcı özellikleri ve sunulan tıbbi hizmetler değerlendirildi.
Gereç ve Yöntem: Bu kesitsel çalışmaya en az bir yıl boyunca ESH alan hastalar dahil edildi. Hasta kayıtları incelenerek tanımlayıcı özelliklerin yanı sıra ESH biriminin her hasta için son bir yılda yaptığı ziyaret sayısı, bu ziyaretlerin nedenleri ve yapılan işlemler kaydedildi.
Bulgular: Hastaların %60,4'ü kadın, %83,6'sı 65 yaş ve üzeriydi. Hastaların %72,6'sının yatağa tam bağımlı olduğu, %30,5'inin idrar sondası kullandığı ve %32,9'unun bası ülseri olduğu belirlendi. Toplam 2774 (ortanca=16) ev ziyareti yapıldı ve en sık uygulanan tıbbi prosedürler kan tetkiki ve yara pansumanıydı. Yara pansumanı için; fonksiyonel yatak kullanımı ve bası yarası, kan tahlili için; kırsal yerleşim ve diyabet, idrar tahlili için; kırsal yerleşim, idrar sondası kullanımı ve pulmoner emboli öyküsünün olması risk faktörleri olarak belirlendi.
Sonuç: ESH alan hastaların özellikleri ve sunulan hizmetler belirlendi ve bu iki olgunun birbirleriyle ilişkili oldukları görüldü.

Anahtar Kelimeler

Evde sağlık hizmetleri, hasta bakım planı, yaşlı nüfus

Kaynakça

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