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An Education Study on the Medication Compliance of 60 Years and Older Individuals 60岁及以上老年人用药依从性教育研究
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.81300
Müge Yüksel Güner, Melike Kara, Nurtaç Kavukcu, Murat Çevik, Yasemin Gören, Dilber Kocaarslan, T. Şengezer, Dilek Aslan
Background: In old age, taking medications in the desired dosage contributes to health and well- being and is therefore an essential component of the effectiveness of treatments and ultimately the desired impact on public health and reduction of health care budgets. However, it is known that medication compliance among older persons is frequently not at the desired level. Therefore, this study aimed to determine the medication compliance after patient education was applied among 60 years of age and over individuals in two healthcare facilities in Ankara, Turkey. Methods: This study was conducted in two public hospitals between March and July 2019. 315 people aged 60 and over participated in the study. One hundred and sixty-one participants who received regular health services (without medication compliance education) were in Group 1, and 154 participants who received medication compliance education were in Group 2. The education tool was the “teach-back” method. SPSS 23.0 program was used for data entry and analysis. P values less than 0.05 were indicated for statistical significance. Results: Participants who received education showed a statistically significant improvement in their capacity to understand the long-term benefits of drugs, their side effects, and storage conditions, as well as their knowledge of when the drugs should not be taken and their ability to repeat information about the drugs used (p<0,05). Conclusion: This study has revealed that medication compliance among older individuals can be increased with appropriate communication and training method like the “teach-back” method in healthcare settings. Time allocated by health workers in this regard has the potential to respond to compliance-related needs. It is recommended that such techniques be integrated into routine health service models.
背景:在老年人中,服用所需剂量的药物有助于健康和福祉,因此是治疗有效性的重要组成部分,并最终对公共卫生和减少卫生保健预算产生预期影响。然而,众所周知,老年人的服药依从性往往达不到预期水平。因此,本研究旨在确定在土耳其安卡拉的两家医疗机构对60岁及以上的个体进行患者教育后的用药依从性。方法:本研究于2019年3月至7月在两所公立医院进行。315名60岁及以上的人参与了这项研究。接受定期医疗服务(未接受药物依从性教育)的161名受试者为第一组,接受药物依从性教育的154名受试者为第二组。教育手段是“反教”法。采用SPSS 23.0软件进行数据录入和分析。P值小于0.05为有统计学意义。结果:接受教育的参与者在了解药物的长期益处、副作用和储存条件的能力,以及何时不应服用药物的知识和重复使用药物信息的能力方面显示出统计学上显著的提高(p< 0.05)。结论:本研究表明,通过适当的沟通和培训,如医疗机构的“反导”方法,可以提高老年人的用药依从性。卫生工作者在这方面分配的时间有可能满足与遵守有关的需求。建议将这些技术纳入常规保健服务模式。
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引用次数: 0
Turkish Validity and Reliability Study of the Traditional and Complementary Medicine Health Belief Questionnaire 土耳其传统与补充医学健康信念问卷的效度与信度研究
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.83007
S. Görpelioğlu, Fadime Uslu, C. Emiroğlu, C. Aypak
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引用次数: 0
An Important Neglected Topic “Breaking Bad News”: What Do Physicians Know? 一个被忽视的重要话题“突发坏消息”:医生知道什么?
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.36035
H. Akbayram, H. Keten, Beytullah Nariçi
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引用次数: 0
Awareness of Medical Students About Evidence-Based Medicine 医学生对循证医学的认识
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.24008
Mehmet Arslan, Elif Keskin Arslan, Halime Seda Küçükerdem, M. Çakır, E. Koç, M. Sözmen, G. Pamuk, Y. Kaplan
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引用次数: 0
Gebe Okulu Eğitimlerinin Doğum Korkusu Üzerine Etkisi
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.98608
Bahadır Yazıcıoğlu, Erdinç Yavuz
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引用次数: 0
Investigation of The Relationship Between Perceived Social Support and Psychiatric Symptoms In Primary Health Care Delivery 初级卫生保健服务中感知社会支持与精神症状关系的调查
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.83803
F. Şahin, M. Çakmak
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引用次数: 0
Kanser Hastalarında Hepatit B ve Hepatit C Seroprevalansı
Pub Date : 2022-01-01 DOI: 10.54308/tahd.2022.72691
Habibe İnci, Nergiz Aşkın, Fatih İnci̇, Fatih Karataş
Aim: We aimed to determine the seroprevalence of hepatitis B and hepatitis C according to the type of malignancy in cancer patients. Materials and Methods: Patients with malignancy treated between February 2016 and February 2021 were included in our study. HBsAg, Anti HBs and Anti HCV test results of cancer patients determined by chemiluminescence method were compared according to cancer subgroups. Results: Of the 882 cancer patients included in the study, 64.6% were male and 35.4% were female. The mean age of the patients was 65.74±12.94 years. When hepatitis markers were evaluated according to gender, the rate of Anti-HBs seropositivity was higher in males (p<0.001), and there was no significant difference in terms of HBsAg seropositivity (p=0.542) and Anti-HCV seropositivity (p=0.301). In our study, 2.5% of adult cancer patients were HBsAg seropositive, 0.9% were Anti HCV seropositive, and 17.0% were Anti HBs seropositive. There was no difference between cancer groups in terms of Anti HBs seropositivity (p=0.074) and Anti HCV seropositivity (p=0.071) in all cancer patients. HBsAg seropositivity in patients with sarcoma was statistically significantly higher (8.3%) compared to other cancer groups (p=0.015). Conclusion: In our study, higher HBsAg seropositivity was found in patients with sarcoma compared to patients with other cancer types. The viral hepatitis panel must be examined before the use of immunosuppressive treatments and hepatotoxic agents in all cancer types, especially in patients with sarcoma. In addition, the etiopathological significance of this difference according to cancer types should be investigated.
目的:根据肿瘤患者的恶性类型,确定乙型和丙型肝炎的血清患病率。材料和方法:2016年2月至2021年2月期间接受治疗的恶性肿瘤患者纳入我们的研究。化学发光法检测肿瘤患者的HBsAg、Anti - HBs和Anti - HCV检测结果按肿瘤亚组进行比较。结果:纳入研究的882例癌症患者中,男性占64.6%,女性占35.4%。患者平均年龄65.74±12.94岁。按性别评估肝炎标志物时,男性血清中Anti-HBs阳性率较高(p<0.001),而HBsAg和Anti-HCV阳性率差异无统计学意义(p=0.542)。在我们的研究中,2.5%的成人癌症患者HBsAg血清阳性,0.9%的患者抗HCV血清阳性,17.0%的患者抗HBs血清阳性。在所有癌症患者中,抗HBs血清阳性(p=0.074)和抗HCV血清阳性(p=0.071)在癌症组之间没有差异。与其他癌症组相比,肉瘤患者HBsAg血清阳性(8.3%)具有统计学意义(p=0.015)。结论:在我们的研究中,与其他类型的癌症患者相比,肉瘤患者的HBsAg血清阳性水平更高。所有类型的癌症,尤其是肉瘤患者,在使用免疫抑制治疗和肝毒性药物之前,必须检查病毒性肝炎的检查结果。此外,还应根据不同的癌症类型研究这种差异的病因病理学意义。
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引用次数: 1
Cow's Milk and Egg Allergy Presented With Chronic Diarrhea, Case Report 牛奶和鸡蛋过敏引起慢性腹泻,病例报告
Pub Date : 2021-01-01 DOI: 10.5222/tahd.2021.47955
Ş. Şener, Nurten Karataş
Persistent diarrhea in infancy, is one of the most common complaints form of food allergies. When the patient's histories are not detailed, they can be easily overlooked and they are tried to be controlled with general gastroenteritis treatments. In this case report, cow's milk and egg allergy was mentioned which is detected by the symptoms of persistant diarrhea, iron deficiency anemia and growth retardation. In this respect, we aimed to emphasize that primary care physicians should evaluate food allergy in the differential diagnosis when they encounter infants and children with persistent diarrhea and growth retardation.
婴儿持续腹泻是食物过敏最常见的症状之一。当病人的病史不详细时,他们很容易被忽视,他们试图通过一般的肠胃炎治疗来控制。本病例报告以持续腹泻、缺铁性贫血和生长迟缓为表现,对牛奶和鸡蛋过敏。在这方面,我们的目的是强调,当初级保健医生遇到持续腹泻和生长迟缓的婴儿和儿童时,应在鉴别诊断中评估食物过敏。
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引用次数: 0
Adult Immunisation Status and The Affecting Factors In A Tertiary University Hospital Family Medicine Clinic 某大专医院家庭医学门诊成人免疫现状及影响因素分析
Pub Date : 2021-01-01 DOI: 10.54308/tahd.2021.30592
Banu Sarıgül, Başak Korkmazer, Aylin Asa Afyoncu, E. Şahi̇n
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引用次数: 1
Follow-up and Treatment of an Orf Case Diagnosed at a Family Health Center 在家庭保健中心诊断的口疮病例的随访和治疗
Pub Date : 2021-01-01 DOI: 10.5222/tahd.2021.30502
Levent Çevik, Murat Öztürk
Orf is a zoonotic disease transmitted by contact from small ruminants, which is also common in our country, and its causative agent is parapoxvirus. It usually occurs as lesions characterized by nodules on the fingers, and although it is a self-limiting disease that heals without treatment, it can be confused with other zoonotic diseases and cause complications as a result of unnecessary interventions. For this reason, it is important for primary care physicians to recognize orf disease, which does not require a specific treatment, and to distinguish it from other zoonotic skin diseases. In this study, in a 56-year-old male patient who applied to the family health center, after vaccination of ovine animals; A case of orf diagnosed by history and physical examination and treated with symptomatic methods is presented.
口蹄疫是一种由小反刍动物接触传播的人畜共患疾病,在我国也很常见,其病原为副痘病毒。它通常以手指上的结节为特征的病变发生,尽管它是一种自限性疾病,无需治疗即可愈合,但它可能与其他人畜共患疾病混淆,并因不必要的干预而导致并发症。因此,对于初级保健医生来说,重要的是要认识到不需要特殊治疗的口腔疾病,并将其与其他人畜共患皮肤病区分开来。在本研究中,在一名56岁男性患者向家庭保健中心提出申请后,接种了绵羊动物;本文报告1例经病史和体格检查诊断并对症治疗的口蹄疫。
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引用次数: 0
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Turkish Journal of Family Practice
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