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Preoperatif değerlendirme konusunda birinci basamakta çalışan hekimlerin bilgi ve tutumlarının değerlendirilmesi

Yıl 2019, Cilt: 2 Sayı: 2, 150 - 168, 31.08.2019

Öz






Amaç:
Preoperatif de
ğerlendirme,
hastayı bütünüyle iyile
ştirmekten
ziyade hastaya ait riskleri, t
ıbbi koşulları
ve t
ıbbi
bak
ımı
optimize etme planını ortaya koymaya yönelik, hastanın kapsamlı bir
şekilde
de
ğerlendirmesini
yapmakt
ır.
Preoperatif de
ğerlendirme
multidisipliner bir olay olup d
ünyada geçerliliği
olan birka
ç
modelden biri de birinci basamak hekim modelidir. Bu modelde cerrahi bran
şın
kons
ültasyonu
do
ğrultusunda
preoperatif de
ğerlendirme
aile hekimi, dahiliye doktoru veya kardiyolog tarafından gerçekle
ştirilir.
Bu çalı
şmada
birinci basamak aile hekimlerinin preoperatif de
ğerlendirme
konusundaki bilgi d
üzeyleri
anket
çalışması
ile
ölçülmek
istenmi
ştir.


Materyal ve
Metot
: Adana il merkezi görev yapan aile hekimliği
uzmanlar
ına
online anket formu üzerinden, sosyodemografik özellikleri ve Preoperatif de
ğerlendirme
konusunda bilgi, tutum ve uygulamalar
ını
sorgulayan Avrupa Anesteziyoloji Derne
ği (ESA)'nin
kardiyak olmayan cerrahi giri
şim geçiren yetişkinlerin
preoperatif de
ğerlendirilmesine
ili
şkin
2011 y
ılı
k
ılavuzunda
yer alan tavsiyelerin 2018 y
ılında
yapılan güncellemesinden uyarlanmı
ş standart anket
uyguland
ı.


Bulgular:
Katılımcıların %62,50’si aile hekimlerinin
hastalarının preoperatif de
ğerlendirilmesinden
sorumlu olmas
ı gerektiğini
d
üşündüklerini
belirttiler.
Aile hekimleri uygulanan ankette düşük
bilgi d
üzeyi
skoru olan kategorileri koagülasyon bozuklukları(%50,01), kardiyo vasküler
hastalık(%61,87) ve renal hastalık(%67,19) iken yüksek skor alan kategoriler
obezite(%87,51), anemi(%87,51) ve respiratuar hastalık(%75,01) olarak
bulundu. Anket do
ğru
yan
ıt
ortalamas
ı
%71,40 olarak bulundu.


Sonuç:
Bu çalı
şma
birinci basamak hekimlerinin preoperatif haz
ırlık
konusunda bilgili olmas
ına
ra
ğmen,
birinci basamak hekim e
ğitim
programlar
ında
daha iyi tan
ımlanmış
bir perioperatif t
ıp
m
üfredatına
ihtiya
ç
duyuldu
ğunu
ve birinci basamakta hizmet veren hekimlere bu konuda daha fazla e
ğitim
verilmesinin gerekli oldu
ğunu göstermiştir.


Anahtar
kelimeler
: Aile hekimliği, birinci
basamak, Preoperatif de
ğerlendirme



Kaynakça

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Toplam 79 adet kaynakça vardır.

Ayrıntılar

Birincil Dil Türkçe
Konular Anesteziyoloji
Bölüm Makaleler
Yazarlar

Demet Laflı Tunay 0000-0002-7984-1800

Yayımlanma Tarihi 31 Ağustos 2019
Kabul Tarihi 31 Ağustos 2019
Yayımlandığı Sayı Yıl 2019 Cilt: 2 Sayı: 2

Kaynak Göster

APA Laflı Tunay, D. (2019). Preoperatif değerlendirme konusunda birinci basamakta çalışan hekimlerin bilgi ve tutumlarının değerlendirilmesi. Journal of Cukurova Anesthesia and Surgical Sciences, 2(2), 150-168.
https://dergipark.org.tr/tr/download/journal-file/11303