Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
Determination of Health Care Needs in Older Individuals Visited at Home
Ev Ziyareti Yapılan Yaşlı Bireylerde Sağlık Bakım Gereksinimlerinin Belirlenmesi
Ayşegül ÖZCANa, Kamuran ÖZDİLa, Gülhan KÜÇÜK ÖZTÜRKa
aDepartment of Nursing, Nevşehir Hacı Bektaş Veli University School of Health, Nevşehir, TURKEY
Turkiye Klinikleri J Health Sci. 2019;4(3):300-5
doi: 10.5336/healthsci.2018-64372
Article Language: EN
Full Text
ABSTRACT
 Objective: Health care needs determined via home visits to individuals >65 years within the scope of public health nursing courses are presented. Materials and Methods: The population in this descriptive study comprised 110 individuals aged ≥65 years who were living in central neighborhoods of Avanos district in the province of Nevsehir and regularly visited during one semester within the scope of the public health nursing course. This was conducted 16 h a week for 12 weeks under the supervision of instructors. Students conducted home visits to designated families at least once a week for 45 min. Descriptive characteristics of elderly individuals, identified problems, and status of students utilizing their roles as a nurse were identified through home visit files. Data were analyzed using number and percentage distributions. Results: Fifty-nine nursing students conducted 601 home visits and provided home nursing services for 110 patients. Totally, 67.3% of the elderly were females and 68.18% were in the 65-74-year age group. The three most common chronic diseases were hypertension (46.6%), diabetes (24.6%), and cardiovascular diseases (13.3%). Moreover, 52.7% of the elderly were using multiple medications and 24.5% did not use their medications regularly. The most common problems identified were lack of information on chronic diseases (26.4%) and inadequate fluid intake (20%). The students stated that they solved problems by utilizing their education, research, care providing and counseling roles as a nurse. Conclusion: Home visits are important for determining health care needs of the elderly and planning services to be offered.

Keywords: Elderly; health care; nursing care; home visit
ÖZET
 Amaç: Çalışmada halk sağlığı hemşireliği dersi uygulamaları kapsamında 65 yaş üstü bireylere ev ziyareti yapılarak belirlenen sağlık bakım gereksinimleri sunulmuştur. Gereç ve Yöntemler: Tanımlayıcı tipteki araştırmanın evrenini, Nevşehir'in Avanos ilçesinde merkez mahallelerde yaşayan ve Halk Sağlığı Hemşireliği Dersi Uygulaması kapsamında, bir yarıyıl boyunca düzenli olarak ziyaret edilen 65 yaş ve üstü 110 birey oluşturmaktadır. Uygulama öğretim elemanları danışmanlığında bir yarıyılda haftada 16 saat ve 12 hafta olmak üzere yürütülmektedir. Öğrenciler sorumlu oldukları ailelere haftada en az 1 kez ve 45 dk ev ziyareti yapmaktadır. Çalışmada ziyaret dosyalarından 65 yaş üstü bakım verdikleri bireylere ait tanıtıcı özellikler, saptadıkları sorunlar, hemşirelik rollerini kullanma durumları saptanmıştır. Verilerin analizinde sayı ve yüzde dağılımları kullanılmıştır. Bulgular: 59 öğrenci hemşire 65 yaş üstü 110 bireye toplam 601 kez ev ziyareti yaparak hemşirelik hizmeti sunmuştur. Yaşlıların %607,3'ü kadın, % 68,18'i 65-74 yaş, grubundadır. İlk üç sırada görülen kronik hastalıklar hipertansiyon (%46,6), diyabet (%24,6), kardiyo vasküler hastalıklardır (%13,3). Yaşlıların %52.7'sinin çoklu ilaç kullanımı olduğu ve %24,5'inin ilaçlarını düzenli kullanmadığı belirlenmiştir. Yaşlılarda sırayla en fazla saptana sorunlar: kronik hastalıklarda bilgi eksikliği (%26,4) ve sıvı tüketiminde yetersizlikdir (%20). Öğrenciler hemşirelik rollerinden eğitim, araştırma, bakım ve danışmanlık rollerini kullanarak sorunları çözdüklerini ifade etmiştir. Sonuç: Sonuç olarak yaşlı bireylerin sağlık bakım gereksinimlerinin belirlenmesinde ve bu doğrultuda sunulacak hizmetlerin planlanmasında ziyaretleri önemli yer tutmaktadır.

Anahtar Kelimeler: Yaşlı; sağlık bakım gereksinimi; hemşirelik bakımı; ev ziyareti
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