Aile Hekimi ve Anestezi Hekimlerinin Palyatif Bakım Merkezlerine Hasta Yönlendirme Konusundaki Görüşleri: Anket Çalışması

Amaç: Hastanelerin palyatif bakım merkezlerine (PBM) hastaların yönlendirilmesinde hekimlerin düşünce ve tutumları önemlidir. Çalışmamızda aile hekimi ile anestezi ve reanimasyon uzman he- kimlerinin hasta yönlendirme konusundaki görüşlerini değerlen- dirmeyi amaçladık. Yöntem: Aile hekimleri ile anestezi ve reanimasyon uzman hekimleri arasında yüz yüze veya telefon görüşme yöntemi ile yapılan yazılı formların doldurulması suretiyle yapılan anket çalışmasına verilen yanıtlar analiz edildi. Bulgular: Araştırma 207 katılımcı ile tamamlandı. Hekimlerin pal- yatif bakım (PB) ile ilgili görüşleri; aile hekimleri “Biraz biliyorum”, anestezi ve reanimasyon hekimleri ise “Ne olduğunu biliyorum bunu başkasına açıklayabilirim” yanıtları ile farklı bulunmuştur (p=0,002). Hangi hastaların PBM’ye yönlendirilmesi gerektiği sorusunun yanıtları da anesteziyoloji hekimleri ve aile hekimleri arasında (son dönem kanser hastaları [p=0,018], evde sağlık hizmetleri tarafın- dan yönlendirilen hastalar [p=0,003] ve semptom kontrolü yetersiz kronik hastalar [p=0,004], total parenteral nütrisyon ile beslenen [p=0,001], ileri evre bası yarası olan [p

Investigation of the Attitude and Perceptions of Anesthesiologist and General Practitioners on Referring Patients to Palliative Care Centers: A Survey Study

Objective: Physicians’ approaches are important in refering patients to palliative care centers (PCC). We aimed to evaluate the perceptions and attitudes of general practitioners and anesthesiologist on patient referral. Methods: Anesthesiologist and general practitioners were included in a face to face or telephone interview method survey; predefined written forms were used to collect data and results were analyzed. Results: The research was completed with 207 participants. Groups were different regarding their knowledge about PC, most of the general practitioners responded “I know a litle” and anesthesiologists responded “I know what it is, I can explain it to someone else” (p=0.002). The answers to the question of which patients should be referred to PCC (“End-stage cancer patients” [p=0.018], “Patients referred home care services” [p=0.003] and “Patients having chronic ilness without adequate symptom control” [p=0.004], “Patients having total parenteral nutrition” [p=0.001], “Precence of pressure ulcer” [p

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