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
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.
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
Details
| Primary Language | English |
|---|---|
| Subjects | Geriatrics and Gerontology |
| Journal Section | Original Research |
| Authors | |
| Publication Date | March 11, 2020 |
| Submission Date | December 20, 2019 |
| Acceptance Date | March 5, 2020 |
| Published in Issue | Year 2020 |