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Research Article
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Palyatif bakım hastalarında semptom ve mobil hizmetlerin değerlendirilmesi

Year 2021, Volume: 6 Issue: 2, 70 - 76, 05.05.2021

Mahcube Cubukcu , Ahmet Şen , Eda Türe

https://doi.org/10.22391/fppc.814339

Abstract

Giriş: Palyatif Gezici Sağlık Birimi, Şubat 2019'da Sağlık Bilimleri Üniversitesi Samsun Eğitim ve Araştırma Hastanesi'nde hizmet vermeye başladı. Çalışmamızda kayıtlı hastaların semptomları ve devam eden durumlarının palyatif bakım biriminin gezici sağlık hizmetleri ile değerlendirilmesi amaçlanmıştır.

Yöntem: Tanımlayıcı, kesitsel tipteki bu çalışmanın evreni, Samsun Eğitim ve Araştırma Hastanesi palyatif mobil birimine kayıtlı, palyatif servisten taburcu olmuş kişilerden oluşmaktadır. Çalışmamızda, mobil hizmete kayıtlı olan tüm hastalar değerlendirilmiştir. Veriler bilgisayar kayıtlarından elde edilmiştir. Verilerin değerlendirilmesinde Pearson ki-kare ve Mann-Whitney U testi kullanılmıştır. p<0,05 istatistiksel olarak anlamlı kabul edilmiştir.

Bulgular: Hastanemizde, taburcu olan hastalar için palyatif mobil hizmetleri verilmeye başlandığından itibaren 112 hastaya ulaşılmıştır. Bu çalışmanın yapıldığı zamanda bu hastaların halen %46,42’sine palyatif mobil hizmeti verilmektedir. Katılımcıların yaş ortalaması 65,60±16,34 yıl ve hastaların %54,35’i kadındır. Hastaların %64,20’si yatağa tam bağımlıdır. En sık (%64,24) gördüğümüz hastalar onkoloji tanılı hastalardır. Foley sonda, invaziv girişim olarak en çok yapılmış işlemdir.

Sonuç: Palyatif mobil birimine kayıtlı hastalarımız en çok yatağa tam bağımlı ve onkoloji hastalarıydı. Palyatif mobil hizmetleri ile taburcu sonrası yaşamı tehdit eden hastalıklardan kaynaklanan problemler ile karşılaşan hastaların yaşam kalitesini artırmak, semptom yönetimini değerlendirmek hedeflenmektedir. Palyatif mobil hizmetlerinin sonuçlarını değerlendirmek suretiyle ülke genelinde yaygınlaştırılması uygun olabilir.

Keywords

palyatif bakım hareketli sağlık üniteleri tıbbi onkoloji kateterler

References

  • 1. Kabalak AA, Ozturk AA, Cagil H. [End of life care organization; palliative care] (in Turkish). J Turk Soc Intens Care 2013;11(2):56-70.
  • 2. Sarman A. [Historical development process, principles, and nursing care of palliative/pediatric palliative care] (in Turkish). BAUN Health Sci J 2019;8(3):153-60.
  • 3. Yildirim NK, Kacmaz N, Ozkan M. [unmet care needs in advanced stage cancer patients] (in Turkish). J of Psy Nurs 2013;4(3):153-8. https://doi.org/10.5505/phd.2013.63825
  • 4. Sutradhar R, Barbera L, Seow HY. Palliative home care is associated with reduced high- and low-acuity emergency department visits at the end of life: a population-based cohort study of cancer decedents. Palliat Med 2016;31(5):448-55. https://doi.org/10.1177/0269216316663508
  • 5. Directive on application procedures and principles of palliative care services. Ministry of Health. https://khgmsaglikhizmetleridb.saglik.gov.tr/TR,42938/palyatif-bakim-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-yonerge.html Access Date: May 19, 2020
  • 6. Isikhan V. [The place and future of social work in palliative care services in Turkey] (in Turkish). Social Work Public Health 2016;27(2):97-113. http://dx.doi.org/10.1080/19371918.2016.1230080
  • 7. Arikan DG. [Definition and philosophy of palliative care] (in Turkish). Clin Med Fam Med 2016; 8(3):1-5.
  • 8. Bektas G, Simsek F. [Importance of mobile health services on old age tourism] (in Turkish). Health Care Aced J 2016;3(4):179-85. https://doi.org/10.5455/sad.13-1483621208
  • 9. Tanriverdi O, Komorcu S, ed. [Structuring in palliative care units. supportive therapy in lung cancer] (in Turkish). Istanbul, Probiz Publishing, 2016, p.391-407.
  • 10. Cubukcu M, Yazicioglu B. [Evaluation of the patients registered to Samsun Education and Research Hospital home care service unit] (in Turkish). Ankara Med J 2016;(4):325-31. https://doi.org/10.17098/amj.70290
  • 11. Tekin N. [palliative care practices in old age] (in Turkish). Izbirak G, ed. Ankara, Turk Clin 2019, p.130-6.
  • 12. Uysal N, Senel G, Karaca S, Kadiogulları N, Kocak N, Oguz G. [Symptoms seen in inpatients in palliative care clinic and effects of palliative care on symptom control] (in Turkish). AGRI 2015;27(2):104-10. https://doi.org/10.16899/jcm.624878
  • 13. Miniksar OH, Aydin A. [Retrospective analysis of hospitalized patients in our palliative care unit] (in Turkish). J Contemp Med 2020;10(3):429-33. https://doi.org/10.16899/jcm.624878
  • 14. Cinar H, Kaya Y, Enginyurt O. [Effects of nutritional status on quality of life in palliative care patients] (in Turkish). Bozok Med J 2017;7(4):1-7.
  • 15. Piot E, Leheup B, Losson S. Intervention o mobile palliative care team on nursing homes: retrospective study. Geriatr Psychol Neuropsychiatr Vieil.2014;12(4):347-53. https://doi.org/10.1684/pnv.2014.0507
  • 16. Enginyurt O. [Disease prevalence of patients hospitalized in palliative care service] (in Turkish). Clin Med Fam Med 2019;11(1):11-3.
  • 17. Murtagh F, Bausewein C, Verne J, Greneveld EI, Kaloki EY, Higginson JI. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med 2014;28(1) 49-58. https://doi.org/10.1177%2F0269216313489367
  • 18. Benli AR, Sunay D. [A model of collaboration between palliative care unit and home health care service: Karabuk] (in Turkish). Ankara Med J 2017;(3):143-50. https://doi.org/10.17098/amj.339333
  • 19. Al-Jamal Y, Soysal P. [The evaluation of Bezmialem Vakif University Dragos Hospital palliative care unit data] (in Turkish). J Geriatr Sci 2019;2(3):86-9.
  • 20. Virik K, Glare P. Profile and evaluation of a palliative medicine consultation service within tertiary teaching hospital in Sydney, Australia. J Pain Symptom Manage 2002;23(1):17-25. https://doi.org/10.1016/s0885-3924(01)00371-2
  • 21. Yennurajalingam S, Zhang T, Bruera E. The impact of the palliative care mobile team on symptom assessment and medication profiles in patients admitted to a comprehensive cancer center. Support Care Cancer 2007;15(5):471-75. . https://doi.org/10.1007/s00520-006-0172-0
  • 22. Saygili M, Celik Y. [An evaluation of palliative care service effect in patients with cancer diagnosis: comparison in terms of the symptom level and care satisfaction] (in Turkish). Agri 2020;32(2):61-71. https://doi.org/10.14744/agri.2019.95770
  • 23. Yeniceri EN. [Home care and palliative care] (in Turkish). Turkiye Klinikleri J Fam Med-Special Topics 2017;8(4):277-81.

Evaluation of symptoms and mobile services in palliative care patients

Year 2021, Volume: 6 Issue: 2, 70 - 76, 05.05.2021

Mahcube Cubukcu , Ahmet Şen , Eda Türe

https://doi.org/10.22391/fppc.814339

Abstract

Introduction: Palliative Mobile Health Unit started to serve in in February 2019 at University of Health Sciences Samsun Training and Research Hospital. In our study, it is aimed to evaluate the symptoms and ongoing status of the registered patients by mobile health services of palliative care unit.

Methods: The population of this descriptive, cross-sectional study consists of individuals who are registered in Samsun Training and Research Hospital's palliative mobile unit and discharged from the palliative service. In our study, all patients enrolled in mobile services were evaluated. The data were obtained from computer records. Pearson chi-square and Mann-Whitney U tests were used to evaluate the data. p <0.05 was considered statistically significant.

Results: Since the introduction of palliative mobile services for discharged patients in our hospital, 112 patients have been reached. At the time of this study, 46.42% of these patients are still provided with palliative mobile service. The average age of the participants is 65.60 ± 16.34 years, and 54.35% of the patients are women. 64.20% of the patients are fully bedridden. The patients we see most frequently (64.24%) are patients with a diagnosis of oncology. Foley catheter is the most performed procedure as an invasive procedure.

Conclusion: Our patients enrolled in the palliative mobile unit were mostly bedridden and oncology patients. With palliative mobile services, it is aimed to improve the quality of life of patients who encounter problems arising from life-threatening diseases after discharge and to evaluate symptom management. It may be appropriate to disseminate palliative mobile services across the country by evaluating the results.

Keywords

Palliative care mobile health units medical oncology catheters

References

  • 1. Kabalak AA, Ozturk AA, Cagil H. [End of life care organization; palliative care] (in Turkish). J Turk Soc Intens Care 2013;11(2):56-70.
  • 2. Sarman A. [Historical development process, principles, and nursing care of palliative/pediatric palliative care] (in Turkish). BAUN Health Sci J 2019;8(3):153-60.
  • 3. Yildirim NK, Kacmaz N, Ozkan M. [unmet care needs in advanced stage cancer patients] (in Turkish). J of Psy Nurs 2013;4(3):153-8. https://doi.org/10.5505/phd.2013.63825
  • 4. Sutradhar R, Barbera L, Seow HY. Palliative home care is associated with reduced high- and low-acuity emergency department visits at the end of life: a population-based cohort study of cancer decedents. Palliat Med 2016;31(5):448-55. https://doi.org/10.1177/0269216316663508
  • 5. Directive on application procedures and principles of palliative care services. Ministry of Health. https://khgmsaglikhizmetleridb.saglik.gov.tr/TR,42938/palyatif-bakim-hizmetlerinin-uygulama-usul-ve-esaslari-hakkinda-yonerge.html Access Date: May 19, 2020
  • 6. Isikhan V. [The place and future of social work in palliative care services in Turkey] (in Turkish). Social Work Public Health 2016;27(2):97-113. http://dx.doi.org/10.1080/19371918.2016.1230080
  • 7. Arikan DG. [Definition and philosophy of palliative care] (in Turkish). Clin Med Fam Med 2016; 8(3):1-5.
  • 8. Bektas G, Simsek F. [Importance of mobile health services on old age tourism] (in Turkish). Health Care Aced J 2016;3(4):179-85. https://doi.org/10.5455/sad.13-1483621208
  • 9. Tanriverdi O, Komorcu S, ed. [Structuring in palliative care units. supportive therapy in lung cancer] (in Turkish). Istanbul, Probiz Publishing, 2016, p.391-407.
  • 10. Cubukcu M, Yazicioglu B. [Evaluation of the patients registered to Samsun Education and Research Hospital home care service unit] (in Turkish). Ankara Med J 2016;(4):325-31. https://doi.org/10.17098/amj.70290
  • 11. Tekin N. [palliative care practices in old age] (in Turkish). Izbirak G, ed. Ankara, Turk Clin 2019, p.130-6.
  • 12. Uysal N, Senel G, Karaca S, Kadiogulları N, Kocak N, Oguz G. [Symptoms seen in inpatients in palliative care clinic and effects of palliative care on symptom control] (in Turkish). AGRI 2015;27(2):104-10. https://doi.org/10.16899/jcm.624878
  • 13. Miniksar OH, Aydin A. [Retrospective analysis of hospitalized patients in our palliative care unit] (in Turkish). J Contemp Med 2020;10(3):429-33. https://doi.org/10.16899/jcm.624878
  • 14. Cinar H, Kaya Y, Enginyurt O. [Effects of nutritional status on quality of life in palliative care patients] (in Turkish). Bozok Med J 2017;7(4):1-7.
  • 15. Piot E, Leheup B, Losson S. Intervention o mobile palliative care team on nursing homes: retrospective study. Geriatr Psychol Neuropsychiatr Vieil.2014;12(4):347-53. https://doi.org/10.1684/pnv.2014.0507
  • 16. Enginyurt O. [Disease prevalence of patients hospitalized in palliative care service] (in Turkish). Clin Med Fam Med 2019;11(1):11-3.
  • 17. Murtagh F, Bausewein C, Verne J, Greneveld EI, Kaloki EY, Higginson JI. How many people need palliative care? A study developing and comparing methods for population-based estimates. Palliat Med 2014;28(1) 49-58. https://doi.org/10.1177%2F0269216313489367
  • 18. Benli AR, Sunay D. [A model of collaboration between palliative care unit and home health care service: Karabuk] (in Turkish). Ankara Med J 2017;(3):143-50. https://doi.org/10.17098/amj.339333
  • 19. Al-Jamal Y, Soysal P. [The evaluation of Bezmialem Vakif University Dragos Hospital palliative care unit data] (in Turkish). J Geriatr Sci 2019;2(3):86-9.
  • 20. Virik K, Glare P. Profile and evaluation of a palliative medicine consultation service within tertiary teaching hospital in Sydney, Australia. J Pain Symptom Manage 2002;23(1):17-25. https://doi.org/10.1016/s0885-3924(01)00371-2
  • 21. Yennurajalingam S, Zhang T, Bruera E. The impact of the palliative care mobile team on symptom assessment and medication profiles in patients admitted to a comprehensive cancer center. Support Care Cancer 2007;15(5):471-75. . https://doi.org/10.1007/s00520-006-0172-0
  • 22. Saygili M, Celik Y. [An evaluation of palliative care service effect in patients with cancer diagnosis: comparison in terms of the symptom level and care satisfaction] (in Turkish). Agri 2020;32(2):61-71. https://doi.org/10.14744/agri.2019.95770
  • 23. Yeniceri EN. [Home care and palliative care] (in Turkish). Turkiye Klinikleri J Fam Med-Special Topics 2017;8(4):277-81.
There are 23 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research
Authors

Mahcube Cubukcu 0000-0003-4799-6848

Ahmet Şen 0000-0001-8981-6871

Eda Türe 0000-0003-0124-8721

Publication Date May 5, 2021
Submission Date October 21, 2020
Acceptance Date March 16, 2021
Published in Issue Year 2021 Volume: 6 Issue: 2

Cite

APA Cubukcu, M., Şen, A., & Türe, E. (2021). Evaluation of symptoms and mobile services in palliative care patients. Family Practice and Palliative Care, 6(2), 70-76. https://doi.org/10.22391/fppc.814339
AMA Cubukcu M, Şen A, Türe E. Evaluation of symptoms and mobile services in palliative care patients. Fam Pract Palliat Care. May 2021;6(2):70-76. doi:10.22391/fppc.814339
Chicago Cubukcu, Mahcube, Ahmet Şen, and Eda Türe. “Evaluation of Symptoms and Mobile Services in Palliative Care Patients”. Family Practice and Palliative Care 6, no. 2 (May 2021): 70-76. https://doi.org/10.22391/fppc.814339.
EndNote Cubukcu M, Şen A, Türe E (May 1, 2021) Evaluation of symptoms and mobile services in palliative care patients. Family Practice and Palliative Care 6 2 70–76.
IEEE M. Cubukcu, A. Şen, and E. Türe, “Evaluation of symptoms and mobile services in palliative care patients”, Fam Pract Palliat Care, vol. 6, no. 2, pp. 70–76, 2021, doi: 10.22391/fppc.814339.
ISNAD Cubukcu, Mahcube et al. “Evaluation of Symptoms and Mobile Services in Palliative Care Patients”. Family Practice and Palliative Care 6/2 (May2021), 70-76. https://doi.org/10.22391/fppc.814339.
JAMA Cubukcu M, Şen A, Türe E. Evaluation of symptoms and mobile services in palliative care patients. Fam Pract Palliat Care. 2021;6:70–76.
MLA Cubukcu, Mahcube et al. “Evaluation of Symptoms and Mobile Services in Palliative Care Patients”. Family Practice and Palliative Care, vol. 6, no. 2, 2021, pp. 70-76, doi:10.22391/fppc.814339.
Vancouver Cubukcu M, Şen A, Türe E. Evaluation of symptoms and mobile services in palliative care patients. Fam Pract Palliat Care. 2021;6(2):70-6.

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