Selçuk AKTURAN, Bilge TUNCEL, Aybeniz ŞENAY, Hatice Gizem ÇADIRCI, Göksu AÇABAY, Arif Caner ERDOĞAN

ERZİNCAN'A YERLEŞTİRİLMİŞ AHISKA TÜRKÜ GÖÇMENLERİN SAĞLIK İHTİYAÇLARININ BELİRLENMESİ; KESİTSEL BİR ÇALIŞMA

Amaç: Bu çalışmanın amacı, Erzincan'ın Üzümlü ilçesine yerleştirilen Ahıska Türkü göçmenlerin sağlık durumlarını ve sağlık ihtiyaçlarını belirlemek, elde edilen veriler ışığında sağlık politikalarını iyileştirmektir. Materyal ve Metot: Kesitsel tipte bir çalışmadır. Çalışmanın evrenini Üzümlü'de yaşayan 1231 Ahıska Türkü oluşturmaktaydı. Örneklem büyüklüğü en az 233 olarak hesaplanmış, örneklemi belirlemek için sistematik örneklem metodu kullanılmıştır. Araştırma 1 Nisan ile 30 Eylül 2017 tarihleri arasında demografik bilgilerin yer aldığı, sağlık durumuna ve sağlık ihtiyaçlarına yönelik 41 soru içeren bir anket aracılığıyla uygulanmıştır. Tanımlayıcı istatistiksel analizler için SPSS 23 istatistik programı kullanılmıştır. Bulgular: 237 katılımcı çalışmaya dahil edilmiştir. Kronik hastalık oranı %47.00 olup, bu hastaların %54.00'ı kronik hastalıklarının kontrol altında olmadığını belirtmişlerdir. Ortalama hekim ziyareti sayısı 3,56 olarak saptanmıştır. Katılımcılar en çok ziyaret ettikleri sağlık profesyonelini ‘aile hekimi’ olarak belirtmişlerdir. Katılımcıların %17.50'si kısa depresyon tarama ölçeğinin iki sorusuna da olumlu cevap vermiştir. Katılımcıların %60,10'u sağlık hizmeti alırken sorun yaşadıklarını belirtmişlerdir. En çok ifade edilen sorunlar: iletişim (% 34.00), özensiz bakım (% 18.50) ve ayrımcılık (% 8.40) idi. Sonuç: Kronik hastalık prevalanslarının Türk popülasyonundan daha düşük olduğu söylenebilir. Göçmenlerin destek almak için sağlık profesyoneli olarak akıllarına ilk gelen aile hekimleriydi. Ayrımcılığın azaltılması amacıyla “çeşitlilik yönetimi” politikasının uygulanması, aile hekimlerinin göçmenlere yönelik etkili sağlık hizmeti sunmaları için bu doğrultuda eğitilmeleri önerilebilir

THE DETERMINATION OF HEALTH NEEDS OF AHISKA TURK IMMIGRANTS RESETTLED IN ERZINCAN; A CROSS-SECTIONAL STUDY

Objectives: The aim of this study was to determine health status and health needs of Ahiska Turks immigrantssettled in Uzumlu district of Erzincan, and to improve health policies in the light of data obtained.Materials and Methods: This is a cross-sectional study. Targeted population of study was 1231 Ahiska Turkswho lived in Uzumlu. Sample size was calculated as at least 233. Systematic sample method was used fordetermining sample. Researches applied a questionairre, which was including 41 questions for demographicinformation, health status and health needs between April 1 to September 30, 2017. SPSS 23 statistical programwas used for descriptive statistical analyses.Results: 237 participants were included in the study. The rate of chronic diseases (CDs) was 47.00%, and54.00% of chronic disease patients indicated that their chronic disease had not been under control. The meannumber of physician visits was 3.56, and the most visited physician was primary care physician (PCP). The17.50% of participants answered positively to the two questions of short depression screening scale. The60.10% of participants stated that they have problems during getting health care. The mostly stated problemswere communication (34.00%), inattentive care (18.50%), and discrimination (8.40%).Conclusion: It can be emphasized that our CDs prevalences are lower than Turkish population. The firsthealthcare profession came to immigrants’ mind for getting support was PCPs. For the purpose of decreasingdiscrimination, ‘diversity management’ policy should be implemented, and PCPs should be trained for efficienthealthcare service.

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