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Hekimlerin yaşlılara yönelik tutumlarının değerlendirilmesi

Year 2020, Volume: 5 Issue: 1, 6 - 11, 11.03.2020

Nizameddin Koca , Meral Seferoglu

https://doi.org/10.22391/fppc.661960
Cited By: 2

Abstract

Giriş: Genel nüfusta, sağlık hizmeti almak isteyen yaşlıların oranı artmaktadır. Yaşlılara yönelik olumlu ve olumsuz tutumları belirleyen altta yatan faktörlerin anlaşılması, daha iyi bir sağlık hizmeti sunmak için gereklidir.
Yöntem: Çalışmaya 169 hekim katıldı. Katılımcılardan sosyodemografik bilgileri ve geriatrik popülasyona yönelik tutumlarını değerlendirmek için Kaliforniya Üniversitesi Los Angeles Geriatri Tutum (UCLA-GA) ölçeğini içeren çevrimiçi bir anketi cevaplamaları istendi.
Bulgular: İç hastalıkları uzmanı, nörolog ve psikiyatristlerin yaşlılara yönelik tutumları benzerdi. Yaşlılara karşı olumlu tutum, uzmanlık alanı, cinsiyet, yaş, medeni hal, uzmanlık süresi, geriatri eğitimi ve aylık takipli yaşlı hasta sayıları arasındaki ilişki anlamlı değildi. Yaşlı bir akrabaya sahip olmakla olumlu tutum arasındaki ilişki anlamlıydı.
Sonuç: Çalışmamızda, Nörologlar daha çok geriatri eğitim almalarına, daha çok yatarak ve ayakta tedavi gören yaşlı hasta görmesine rağmen geriatri hastalara karşı tutumlarının psikiyatri ve dahiliye uzmanları ile benzer olduğu görüldü. İlaveten yaşlı hastalarda olumlu tutumun 65 yaşından büyük bir akrabası olmasıyla anlamlı derecede ilişkili olduğunu gözlemledik. Eğitim müfredatı, sağlıklı yaşlı insanlara maruz kalmayı artıran, olumlu tutum oranlarını artırabilecek şekilde düzenlenmelidir. Günlük çalışma programları yaşlıları değerlendirmek için uzun bir zamanın gerekliliği göz önünde bulundurularak programlanmalıdır.

Keywords

Tutum geriatri nöroloji dahiliye psikiyatri geriatri eğitimi

References

  • 1. TUIK (2019) Seniors with statistics, 2018 (İstatistiklerle Yaşlılar, 2018). Ankara, Turkish Statistical Institute; 2019.
  • 2. European Economy (2017) The 2018 Ageing Report - Underlying Assumptions and Projection Methodologies. Publications Office of the European Union. doi: https://doi.org/10.2765/286359
  • 3. McKinlay A, Cowan S (2006) “If You're Frail You've Had It”: A Theory of Planned Behavior Study of Student Nurses' Attitudes Towards Working with Older Patients. Journal of Applied Social Psychology 36 (4):900-17. doi: https://doi.org/10.1111/j.0021-9029.2006.00048.x
  • 4. Gunderson A, Tomkowiak J, Menachemi N, Brooks R (2005) Rural physicians' attitudes toward the elderly: evidence of ageism? Qual Manag Health Care 14 (3):167-76
  • 5. Nelson TD (2002) Ageism: stereotyping and prejudice against older persons. MIT Press, Cambridge, Mass.
  • 6. Reuben DB, Lee M, Davis JW, Jr., Eslami MS, Osterweil DG, Melchiore S et al.(1998) Development and validation of a geriatrics attitudes scale for primary care residents. J Am Geriatr Soc 46 (11):1425-30
  • 7. Sahin S, Mandiracioglu A, Tekin N, Senuzun F, Akcicek F (2012) Attitudes toward the elderly among the health care providers: reliability and validity of Turkish version of the UCLA Geriatrics Attitudes (UCLA-GA) scale. Arch Gerontol Geriatr 55 (1):205-9. doi: https://doi.org/10.1016/j.archger.2011.08.015
  • 8. Leung S, LoGiudice D, Schwarz J, Brand C (2011) Hospital doctors' attitudes towards older people. Internal Medicine Journal 41 (4):308-14. doi: https://doi.org/10.1111/j.1445-5994.2009.02140.x
  • 9. Cankurtaran M, Halil M, Ulger Z, Dagli N, Yavuz BB, Karaca B et al. (2006) Influence of medical education on students' attitudes towards the elderly. J Natl Med Assoc 98 (9):1518-22
  • 10. Chua MP, Tan CH, Merchant R, Soiza RL (2008) Attitudes of first-year medical students in Singapore towards older people and willingness to consider a career in geriatric medicine. Ann Acad Med Singapore 37 (11):947-51
  • 11. Kaempfer D, Wellman NS, Himburg SP (2002) Dietetics students' low knowledge, attitudes, and work preferences toward older adults indicate need for improved education about aging. J Am Diet Assoc 102 (2):197-202
  • 12. Reuben DB, Fullerton JT, Tschann JM, Croughan-Minihane M (1995) Attitudes of beginning medical students toward older persons: a five-campus study. The University of California Academic Geriatric Resource Program Student Survey Research Group. J Am Geriatr Soc 43 (12):1430-6
  • 13. Usta YY, Demir Y, Yonder M, Yildiz A (2012) Nursing students' attitudes toward ageism in Turkey. Arch Gerontol Geriatr 54 (1):90-3. doi: https://doi.org/10.1016/j.archger.2011.02.002
  • 14. Tufan F, Yuruyen M, Kizilarslanoglu MC, Akpinar T, Emiksiye S, Yesil Y et. al. (2015) Geriatrics education is associated with positive attitudes toward older people in internal medicine residents: a multicenter study. Arch Gerontol Geriatr 60 (2):307-10. doi: https://doi.org/10.1016/j.archger.2014.12.004
  • 15. Hweidi IM, Al-Hassan MA (2005) Jordanian nurses' attitudes toward older patients in acute care settings. Int Nurs Rev 52 (3):225-32. doi: https://doi.org/10.1111/j.1466-7657.2005.00434.x
  • 16. Duerson MC, Thomas JW, Chang J, Stevens CB (1992) Medical Students' Knowledge and Misconceptions About Aging: Responses to Palmore's Facts on Aging Quizzes. The Gerontologist 32 (2):171-4. doi: https://doi.org/10.1093/geront/32.2.171

The evaluation of physicians’ attitudes toward the elderly

Year 2020, Volume: 5 Issue: 1, 6 - 11, 11.03.2020

Nizameddin Koca , Meral Seferoglu

https://doi.org/10.22391/fppc.661960
Cited By: 2

Abstract

Introduction: In the general population, the rate of older people seeking healthcare would increase. Understanding underlying factors that determine positive and negative attitudes towards the elderly is essential to give better healthcare.
Methods: One-hundred and sixty-nine physicians participated in the study. Participants answered an online questionnaire consists of sociodemographic information, and the University of California at the Los Angeles Geriatrics Attitude (UCLA-GA) scale to evaluate the attitudes towards the geriatric population.
Results: The attitude towards the elderly by internist, neurologist, and psychiatrist was comparable. Relationship with positive attitude and specialties, gender, age, marital status, duration of specialty expertise, and having geriatrics education and monthly followed-up elderly patients was not significant. The positive attitude was significantly related to having an elderly relative.
Conclusions: In our study, although neurologists received more geriatric education, and mostly seen inpatient and outpatient patients, their attitudes towards geriatric patients were similar to psychiatry and internal medicine specialists. In addition, we observed that positive attitudes in elderly patients were significantly associated with having a relative over 65 years old. Education curriculum should include programs increasing the exposure to healthy older people may increase positive attitude rates. The organization of working programs should be carried out considering the necessity of a long time to evaluate the elderly.

Keywords

geriatrics education Attitude geriatrics neurology internal medicine psychiatry

References

  • 1. TUIK (2019) Seniors with statistics, 2018 (İstatistiklerle Yaşlılar, 2018). Ankara, Turkish Statistical Institute; 2019.
  • 2. European Economy (2017) The 2018 Ageing Report - Underlying Assumptions and Projection Methodologies. Publications Office of the European Union. doi: https://doi.org/10.2765/286359
  • 3. McKinlay A, Cowan S (2006) “If You're Frail You've Had It”: A Theory of Planned Behavior Study of Student Nurses' Attitudes Towards Working with Older Patients. Journal of Applied Social Psychology 36 (4):900-17. doi: https://doi.org/10.1111/j.0021-9029.2006.00048.x
  • 4. Gunderson A, Tomkowiak J, Menachemi N, Brooks R (2005) Rural physicians' attitudes toward the elderly: evidence of ageism? Qual Manag Health Care 14 (3):167-76
  • 5. Nelson TD (2002) Ageism: stereotyping and prejudice against older persons. MIT Press, Cambridge, Mass.
  • 6. Reuben DB, Lee M, Davis JW, Jr., Eslami MS, Osterweil DG, Melchiore S et al.(1998) Development and validation of a geriatrics attitudes scale for primary care residents. J Am Geriatr Soc 46 (11):1425-30
  • 7. Sahin S, Mandiracioglu A, Tekin N, Senuzun F, Akcicek F (2012) Attitudes toward the elderly among the health care providers: reliability and validity of Turkish version of the UCLA Geriatrics Attitudes (UCLA-GA) scale. Arch Gerontol Geriatr 55 (1):205-9. doi: https://doi.org/10.1016/j.archger.2011.08.015
  • 8. Leung S, LoGiudice D, Schwarz J, Brand C (2011) Hospital doctors' attitudes towards older people. Internal Medicine Journal 41 (4):308-14. doi: https://doi.org/10.1111/j.1445-5994.2009.02140.x
  • 9. Cankurtaran M, Halil M, Ulger Z, Dagli N, Yavuz BB, Karaca B et al. (2006) Influence of medical education on students' attitudes towards the elderly. J Natl Med Assoc 98 (9):1518-22
  • 10. Chua MP, Tan CH, Merchant R, Soiza RL (2008) Attitudes of first-year medical students in Singapore towards older people and willingness to consider a career in geriatric medicine. Ann Acad Med Singapore 37 (11):947-51
  • 11. Kaempfer D, Wellman NS, Himburg SP (2002) Dietetics students' low knowledge, attitudes, and work preferences toward older adults indicate need for improved education about aging. J Am Diet Assoc 102 (2):197-202
  • 12. Reuben DB, Fullerton JT, Tschann JM, Croughan-Minihane M (1995) Attitudes of beginning medical students toward older persons: a five-campus study. The University of California Academic Geriatric Resource Program Student Survey Research Group. J Am Geriatr Soc 43 (12):1430-6
  • 13. Usta YY, Demir Y, Yonder M, Yildiz A (2012) Nursing students' attitudes toward ageism in Turkey. Arch Gerontol Geriatr 54 (1):90-3. doi: https://doi.org/10.1016/j.archger.2011.02.002
  • 14. Tufan F, Yuruyen M, Kizilarslanoglu MC, Akpinar T, Emiksiye S, Yesil Y et. al. (2015) Geriatrics education is associated with positive attitudes toward older people in internal medicine residents: a multicenter study. Arch Gerontol Geriatr 60 (2):307-10. doi: https://doi.org/10.1016/j.archger.2014.12.004
  • 15. Hweidi IM, Al-Hassan MA (2005) Jordanian nurses' attitudes toward older patients in acute care settings. Int Nurs Rev 52 (3):225-32. doi: https://doi.org/10.1111/j.1466-7657.2005.00434.x
  • 16. Duerson MC, Thomas JW, Chang J, Stevens CB (1992) Medical Students' Knowledge and Misconceptions About Aging: Responses to Palmore's Facts on Aging Quizzes. The Gerontologist 32 (2):171-4. doi: https://doi.org/10.1093/geront/32.2.171
There are 16 citations in total.

Details

Primary Language English
Subjects Geriatrics and Gerontology
Journal Section Original Research
Authors

Nizameddin Koca 0000-0003-1457-4366

Meral Seferoglu 0000-0003-3858-0306

Publication Date March 11, 2020
Submission Date December 20, 2019
Acceptance Date March 5, 2020
Published in Issue Year 2020 Volume: 5 Issue: 1

Cite

APA Koca, N., & Seferoglu, M. (2020). The evaluation of physicians’ attitudes toward the elderly. Family Practice and Palliative Care, 5(1), 6-11. https://doi.org/10.22391/fppc.661960
AMA Koca N, Seferoglu M. The evaluation of physicians’ attitudes toward the elderly. Fam Pract Palliat Care. April 2020;5(1):6-11. doi:10.22391/fppc.661960
Chicago Koca, Nizameddin, and Meral Seferoglu. “The Evaluation of Physicians’ Attitudes Toward the Elderly”. Family Practice and Palliative Care 5, no. 1 (April 2020): 6-11. https://doi.org/10.22391/fppc.661960.
EndNote Koca N, Seferoglu M (April 1, 2020) The evaluation of physicians’ attitudes toward the elderly. Family Practice and Palliative Care 5 1 6–11.
IEEE N. Koca and M. Seferoglu, “The evaluation of physicians’ attitudes toward the elderly”, Fam Pract Palliat Care, vol. 5, no. 1, pp. 6–11, 2020, doi: 10.22391/fppc.661960.
ISNAD Koca, Nizameddin - Seferoglu, Meral. “The Evaluation of Physicians’ Attitudes Toward the Elderly”. Family Practice and Palliative Care 5/1 (April2020), 6-11. https://doi.org/10.22391/fppc.661960.
JAMA Koca N, Seferoglu M. The evaluation of physicians’ attitudes toward the elderly. Fam Pract Palliat Care. 2020;5:6–11.
MLA Koca, Nizameddin and Meral Seferoglu. “The Evaluation of Physicians’ Attitudes Toward the Elderly”. Family Practice and Palliative Care, vol. 5, no. 1, 2020, pp. 6-11, doi:10.22391/fppc.661960.
Vancouver Koca N, Seferoglu M. The evaluation of physicians’ attitudes toward the elderly. Fam Pract Palliat Care. 2020;5(1):6-11.

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Family Practice and Palliative Care       ISSN 2458-8865       E-ISSN 2459-1505