Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi

Didem Oktar; Cüneyt Çam; Sevil Akbulut Zencirci; Hatice Aygar; Gökçe Dağtekin; Seval Çalışkan Pala; Muhammed Fatih Önsüz; Selma Metintas

doi:10.20518/tjph.765900

TR EN

Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi

Abstract

Amaç: Kronik hastalık ve multimorbiditenin uzun süreli tedavi ve takip gerektirmesi,hastaların yönetilmesi ve izleminde yaşam kalitesinin değerlendirilmesini gündeme getirmiştir. Çalışmada yetişkinlerde kronik hastalık ve multimorbiditenin yaşam kalitesi ile ilişkisinin değerlendirilmesi amaçlandı.

Yöntem: Çalışma, Eskişehir’de hizmet veren Aile Sağlığı Merkezleri(ASM)’ne başvuran yetişkinde gerçekleştirilen kesitsel tipte araştırmadır. Çalışma verileri, sosyodemografik özellikler, riskli sağlık davranışları ve hekim tanılı kronik hastalık varlığını sorgulayan sorular ile Dünya Sağlık Örgütü Yaşam Kalitesi Anketi-8(EUROHİS-OQL-8) ölçeğinden oluşan anket formuyla elde edildi. Verilerin analizinde Mann-Whitney U, Kruskal Wallis ve Çoklu Lineer Regresyon Analizi kullanıldı.

Bulgular: Çalışmaya katılan 2324 kişi arasında en sık bildirilen hekim tanılı kronik hastalık hipertansiyon (%33.3) idi. Yapılan çoklu lineer regresyon modelinde yaşam kalitesiyle ilişkili faktörler kontrol edildiğinde, yaşam kalitesinin para ve yaşanılan evin koşulları dışındaki alt boyutların kronik hastalık varlığıyla negatif yönde ilişkili olduğu bulundu. Hiperlipidemi dışında belirtilen kronik hastalıkların tümünde, yaşam kalitesinin negatif yönde değişim gösterdiği saptandı.

Sonuç: Kronik hastalık ve multimorbiditenin yaşam kalitesini azaltan önemli bir sorun olduğu bulundu. Aile sağlığı merkezlerinde kronik hastalık yönetim ve takibinde, yaşam kalitesinin de ele alınmasının önemli olduğu sonucuna ulaşıldı.

Keywords

Kronik Hastalık, yaşam kalitesi, multimorbidite, aile sağlığı merkezi

Evaluation of the relationship of chronic disease, multimorbidity and quality of life at primary health care centers

Abstract

Objective: Since chronic diseases and multimorbidity require long-term treatment and follow-up, it brought up the evaluation of the quality of life in the management and follow-up of patients. The aim of the study was to evaluate the relationship between chronic disease and multimorbidity and quality of life in adults.

Method: The study is a cross-sectional type of research conducted in adults who applied to the Family Health Centers (FHC) in Eskisehir. The study data were obtained through questions of sociodemographic characteristics, risky health behaviors and the presence of chronic diseases diagnosed by physicians and a questionnaire consisting of the World Health Organization Quality of Life Questionnaire-8 (EUROHİS-OQL-8) scale. Mann-Whitney U, Kruskal Wallis and Multiple Linear Regression Analysis were used to analyze the data.

Results: Among the 2324 people who participated in the study, the most frequently reported physician-diagnosed chronic disease was hypertension (33.3%). After adjusting for the effect of factors related to the quality of life in the multiple linear regression, it was found that except for the subdomain money and the conditions of the living place the quality of life was negatively related to the presence of chronic disease. The quality of life was also negatively affected in all of the chronic diseases mentioned excluding hyperlipidemia.

Conclusion: It was found that chronic disease and multimorbidity are an important problem that reduces the quality of life. It was concluded that it is important to consider quality of life in chronic disease management and follow-up in primary health care institutions.

Keywords

Chronic disease, quality of life, multimorbidity, primary health care services

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Details

Primary Language

Turkish

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Didem Oktar ^*
0000-0002-7345-0331
Türkiye

Cüneyt Çam
0000-0002-1635-1345
Türkiye

Sevil Akbulut Zencirci
0000-0002-5308-9737
Türkiye

Hatice Aygar This is me
0000-0001-6277-7753
Türkiye

Gökçe Dağtekin
0000-0002-6424-2434
Türkiye

Seval Çalışkan Pala
0000-0002-9815-8425
Türkiye

Muhammed Fatih Önsüz
0000-0001-7234-3385
Türkiye

Selma Metintas
0000-0002-5002-5041
Türkiye

Publication Date

July 23, 2021

Submission Date

July 7, 2020

Acceptance Date

April 19, 2021

Published in Issue

Year 2021 Volume: 19 Number: 2

DOI

https://doi.org/10.20518/tjph.765900

IZ

https://izlik.org/JA53NM35LP

APA

Oktar, D., Çam, C., Akbulut Zencirci, S., Aygar, H., Dağtekin, G., Çalışkan Pala, S., Önsüz, M. F., & Metintas, S. (2021). Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi. Turkish Journal of Public Health, 19(2), 116-128. https://doi.org/10.20518/tjph.765900

AMA

1.Oktar D, Çam C, Akbulut Zencirci S, et al. Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi. TJPH. 2021;19(2):116-128. doi:10.20518/tjph.765900

Chicago

Oktar, Didem, Cüneyt Çam, Sevil Akbulut Zencirci, et al. 2021. “Aile Sağlığı Merkezlerine Başvuran Kişilerde Kronik Hastalık, Multimorbidite Ve Yaşam Kalitesi Ilişkisinin Değerlendirilmesi”. Turkish Journal of Public Health 19 (2): 116-28. https://doi.org/10.20518/tjph.765900.

EndNote

Oktar D, Çam C, Akbulut Zencirci S, Aygar H, Dağtekin G, Çalışkan Pala S, Önsüz MF, Metintas S (July 1, 2021) Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi. Turkish Journal of Public Health 19 2 116–128.

IEEE

[1]D. Oktar et al., “Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi”, TJPH, vol. 19, no. 2, pp. 116–128, July 2021, doi: 10.20518/tjph.765900.

ISNAD

Oktar, Didem - Çam, Cüneyt - Akbulut Zencirci, Sevil - Aygar, Hatice - Dağtekin, Gökçe - Çalışkan Pala, Seval - Önsüz, Muhammed Fatih - Metintas, Selma. “Aile Sağlığı Merkezlerine Başvuran Kişilerde Kronik Hastalık, Multimorbidite Ve Yaşam Kalitesi Ilişkisinin Değerlendirilmesi”. Turkish Journal of Public Health 19/2 (July 1, 2021): 116-128. https://doi.org/10.20518/tjph.765900.

JAMA

1.Oktar D, Çam C, Akbulut Zencirci S, Aygar H, Dağtekin G, Çalışkan Pala S, Önsüz MF, Metintas S. Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi. TJPH. 2021;19:116–128.

MLA

Oktar, Didem, et al. “Aile Sağlığı Merkezlerine Başvuran Kişilerde Kronik Hastalık, Multimorbidite Ve Yaşam Kalitesi Ilişkisinin Değerlendirilmesi”. Turkish Journal of Public Health, vol. 19, no. 2, July 2021, pp. 116-28, doi:10.20518/tjph.765900.

Vancouver

1.Didem Oktar, Cüneyt Çam, Sevil Akbulut Zencirci, Hatice Aygar, Gökçe Dağtekin, Seval Çalışkan Pala, Muhammed Fatih Önsüz, Selma Metintas. Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi. TJPH. 2021 Jul. 1;19(2):116-28. doi:10.20518/tjph.765900

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