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Burdur’da Evde Sağlık Hizmeti Alan Yaşlı Hastaların Profili ve Evde Verilen Sağlık Hizmetleri

2012; Turkish Society of Public Health Specialists; Volume: 10; Issue: 1 Linguagem: Inglês

10.20518/thsd.22940

1304-1088

Binali Çatak, Ahmet Selçuk Kılınç, Okan Badıllıoğlu, Sevinç Sütlü, Afife Erkan Sofuoğlu, Dilek Aslan,

Environmental and Sediment Control

Amac : 2011 yilinda ulkemizde kamusal duzeyde evde saglik hizmeti verilmesi fiili olarak baslatilmistir. Calismada; Burdur’da evde saglik hizmeti kullanan 65 yas ve uzeri yasli hastalarin profilini ve evde verilen saglik hizmetlerini tanimlamak amaclanmistir. Yontem : Tanimlayici tipteki bu arastirmanin evrenini, Nisan 2011 tarihinde Burdur Il Saglik Mudurlugu Evde Saglik Hizmeti Koordinasyon Merkezi’ne kayitli 65 yas ve uzeri 140 kisi olusturmaktadir. Calismada orneklem secilmemis olup, evrenin tumune ulasilmasi hedeflenmistir. Veriler anket yontemiyle, yuz yuze gorusme teknigi kullanilarak toplanmis ve SPSS paket programi kullanilarak analizler tamamlanmistir. Bulgular : Yas ortalamasi 79.6 olan yaslilarin %67.6’si kadin, %53.7’sinin esi olmus, %52.8’i okuryazar degil, %47.2’sinin sosyal guvencesi bulunmamakta ve %25.9’unun saglik guvencesi yesil karttir. Yaslilarda en cok bulunan hastaliklar hipertansiyon (%48.1) ve inmedir (%39.8). Yaslilarin kolaylikla yapabildikleri eylemlerin basinda yemek yeme gelirken (%30.6); fatura yatirma, hastaneye gitme vb. gibi aktivitelerde hemen hemen tamamen bagimlidirlar (%99.1). Yaslilara evde verilen tibbi hizmetler %46.3 muayene ve ilacla tedavi, %26.9 muayene, tetkik ve ilacla tedavi, %14.8 enjeksiyon, sonda takma ve yara bakimidir. Yaslilara evde verilen saglik hizmetlerinin %87.0’sini sadece devlet hastanesi, %3.7’sini ise aile hekimi vermistir. Evde saglik hizmeti verenlerin buyuk kismini (%92.6) hekimler olusturmustur. Sonuc : Evde saglik hizmeti sunulan yaslilarin sosyodemografik ozellikleri, hastalik oruntuleri ve bagimlilik durumu toplumdaki yasli populasyonundan farklidir. Saglik hizmet sunumuna birden fazla saglik kurumu dâhil olmaktadir, sunulan saglik hizmeti kapsamli degildir ve multidisipliner ekip anlayisindan yoksundur. Yasli nufusun gittikce artacagi goz onunde bulunduruldugunda, kamusal duzeyde “evde saglik hizmeti” birimleri degil, evde saglik hizmetlerini de icerecek bicimde “evde bakim hizmeti” birimlerinin olusturulmasi gerekmektedir. Anahtar Kelimeler : Saglik Hizmeti, evde bakim, yaslilik Profile of Elderly Patients Who Use Health Services in their Homes and in-Home Care Objective : The actual delivery of public healthcare in the home was initiated in our country in 2011. This study defines the profile of elderly patients over 65 years who use home health services and home care provided in Burdur. Method : 140 people aged 65 and over, who registered in the Burdur Province Directorate of Health Service Coordination Center for Home Care in April 2011 constitute the population of this descriptive study. The sample for the study was not selected; it was targeted to include the total relevant population. A survey method was used to collect data by face-to-face interviews and the analysis was completed by using SPSS packaged software. Results: Of the elderly studied, whose mean age was 79.6, 67.6% were women, 53.7% of them were widowed, 52.8% of them were illiterate, 47.2% did not have social security and 25.9% of them had a green card as health insurance. The most common diseases in the elderly are hypertension (48.1%), and stroke (39.8%). While main action which elderly can carry out easily is eating (30.6%) . they are almost totally dependent on help for certain activities such as bill payments, going to the hospital and so on (99.1%). Home care services provided to the elderly include medical examination and treatment (46.3%), examination, investigation and treatment (26.9%), injection, catheter insertion and wound care (14.8%). Of the home care services given to the elderly, 87.0% t was provided by the/a state hospital and 3.7% of it was provided by a family doctor. Conclusion : The sociodemographic qualities, disease patterns and addiction case of elderly to whom homecare service provided are different from the elderly population in the society. More than one health institute involve into the presentation of health service, the provided health service is not extensive and lacks multi – disciplinary team approach. Considering that the elderly population will gradually increase, it is required that not home health service units at public level but home care service which will include home health service units are to be formed. Key Words: Health services, home care, elderly