Turkiye Klinikleri Journal of Internal Medicine

.: ORIGINAL RESEARCH
Kronik Hepatit B Tanılı Hastaların Hekim Tarafından Bilgilendirilmesinin Hasta Bilgi Düzeyine Etkisi
The Impact of Being Informed by Physician on Chronic Hepatitis B Patients' Level of Knowledge
Ezgi GÜLTENa, Cansu ÇİMENb
aBalıkesir Atatürk Şehir Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Balıkesir, TÜRKİYE
bArdahan Devlet Hastanesi, Enfeksiyon Hastalıkları ve Klinik Mikrobiyoloji Kliniği, Ardahan, TÜRKİYE
Turkiye Klinikleri J Intern Med. 2021;6(1):14-21
doi: 10.5336/intermed.2020-78066
Article Language: TR
Full Text
ÖZET
 Amaç: Kronik hepatit B (KHB) hastalarının bilgi düzeyi arttıkça, takip ve tedavi uyumları da artmaktadır. Bu çalışmada, hekim/hekimler tarafından bilgilendirilmelerinin KHB hastalarının hastalıklarıyla ilgili bilgi düzeyine etkilerini değerlendirmek amaçlanmıştır. Gereç ve Yöntemler: Çalışma 1 Ocak ve 1 Şubat 2019 tarihleri arasında gerçekleştirilmiştir. Erişkin KHB hastalarına hastalıklarıyla ilgili sorular katılan merkezlerdeki birer araştırmacı tarafından sorulmuştur. Bulgular: Ankete katılan 111 hastanın 59 (%53,2)'u kadın ve 58 (%52,3)'i ilkokul mezunuydu. 35 (%31,5) hasta HBV ile enfekte olduğunu operasyon öncesi istenen tetkiklerle öğrenmişti. Katılımcıların 44 (%39,6)'ü hepatit B kontrolü için hekime düzenli bir biçimde başvurmamaktaydı. Sırasıyla;7 (%6,3) ve 11 (%9,9) katılımcı hepatit B'nin hiçbir bulaş yolunu ve neden olabileceği klinik sonuçları doğru tanımlayamadı. KHB tedavisi alan katılımcıların 22 (%51,2)'si, ilaçları kullanma şekli ve yan etkileri hakkında bilgilendirilmemişti. Katılımcıların hiçbiri hepatit D hakkında bilgilendirilmemişti. Eğitim seviyesi ve bulaş yollarını doğru tanımlama sıklığı doğru orantılıydı (p=0,003). Hekim tarafından bilgilendirilmiş olan katılımcıların HBV enfeksiyonunun bulaş yollarını ve karaciğer dışı doku ve organ hasarı dışındaki klinik sonuçları (p=0,013, p=0,029) daha doğru tanımladıkları, hekime daha düzenli başvurdukları (p=0,014) ve eş ve/veya çocuklarının hepatit B için tetkik edilme ve aşılanma (p<0,001, p<0,001) sıklıklarının daha fazla olduğu tespit edildi. Sonuç: KHB hastalarının hastalıklarının takip ve tedavisi için başvurdukları hekim/hekimler tarafından bilgilendirilmelerinin hastanın ve toplumun sağlığını olumlu yönde etkileyen değiştirilebilir bir faktör olduğu ortaya konmuştur.

Anahtar Kelimeler: Kronik hepatit B; sağlık anketleri
ABSTRACT
 Objective: As the level of knowledge of chronic hepatitis B (CHB) patients increases, their complicance to follow-up and treatment increases, too. In this study, it was aimed to evaluate the impact of being informed by physicians on the level of knowledge of CHB patients. Material and Methods: The study was conducted between 1st January-1st February 2019. Adult CHB patients were questioned about their disease by two researchers in attending centres. Results: Of 111 participants, 59 (53.2%) were female and the educational background of 58 (52.3%) of them were primary school. 35 (31.5%) patients learned their infected status via preoperative tests. 44 (39.6%) participants weren't consulting a physician for hepatitis B, regularly. Respectively, 7 (6.3%) and 11 (9.9%) patients couldn't identify any of the transmission routes and clinical consequenses of hepatitis B, properly. 22 (51.2%) of the participants treated for CHB weren't informed about the use and the side effects of the drugs. None of the participants were informed about hepatitis D. The level of education and the frequency of defining transmission routes properly were directly proportional (p=0.003). It was detected that the participants informed by physician were defining transmission routes and extrahepatic clinical consequences more accurately (p=0.013, p=0.029), consulting physician regularly (p=0.014) and their partners and/or children were tested and vaccinated against hepatitis B more frequently (p<0.001, p<0.001). Conclusion: It was revealed that the status of being informed of CHB patients by their consulting physician( s) is a changeable coefficient which influences patient's and community health in a favorable manner.

Keywords: Chronic hepatitis B; health surveys
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