Cerrahpaşa Tıp Fakültesi, aile hekimliği polikliniğine başvuran hastaların 3 yıllık profili

Kasım 2003’den geriye doğru Cerrahpaşa Tıp Fakültesi Aile Hekimliği Polikliniği’ne başvuran hastalar arasından rastlantısal yöntemle seçilen 285 hasta incelenerek en sık karşılaşılan hastalıklar ile bunların cinsiyet ve yaş-la ilgileri araştırıldı. Polikliniğe kayıtlı 185 kadın, 100 erkek hastada cinsiyete göre en sık karşılaşılan hastalıklar, birlikte görülme durumları ve yaşla ilgileri tanımlayıcı yöntemler, cluster analizi, korelasyon ve faktör analizi yöntemleri kullanılarak araştırıldı. İki grubun yaş ortalaması arasında fark yoktu. Her iki cinste de en sık karşılaşılan hastalık hipertansi-yondu. Kadınlarda anemi, osteoporoz, romatizmal sorunlar daha fazla görülürken, erkeklerde venöz yetersizlik (varis) ve üst solunum yolu enfeksiyonları daha sıktı. Diğer hastalıklar her iki cinste benzer dağılım gösteriyordu. Kadınlarda yaşla beraber gastrointestinal şikayetler azalırken, hipertansiyon, osteoporoz, hiperkolesterolemi ve iskemik kalp hastalıkları ile aritmi sıklığı artıyordu. Erkeklerde ise üst solunum yolu enfeksiyonları yaşla düşüş gösterirken hipertansiyon, prostat hastalıkları, diyabet ve iskemik kalp hastalıkları ile aritmi artıyordu. Yine her iki cinste de bazı hastalıkların bir arada bulunma eğilimi gösterdiği saptandı.Araştırmamızda hipertansiyon her iki cinste de en sık görülen ve toplum sağlığını tehdit eden hastalık olarak öne çıkmaktadır.

A three years profile of patients referring to family medicine outpatient clinics

Background and Design.- 285 randomly selected patients referring to family medicine policlinic back from November 2003 were analyzed in terms of most frequent illnesses and their relation with age and gender. The frequencies and coincidences of illnesses as well as their relation with age and gender were detected in enrolled patients of whom 185 were females and 100 were males by using statistical methods like descriptive study, cluster analysis, correlation and factor analysis Results.- There was no difference between the mean age of 2 groups. The most frequent disease in both gender was hypertension. In women, anemia, osteoporosis and rheumatic complaints were more common while in men upper respiratory tract infections and venous insufficiency were more frequent. The other diseases displayed a similar distribution in both gender. In women, gastrointestinal problems decreased with age whereas hypertension, osteoporosis, hypercholesterolemia and ischemic heart disease with arrythmias increased. In men, upper respiratory tract infections declined with aging while hypertension, prosthatic complaints, diabetes and ischemic heart disease with arrythmias showed an increase. Also, some diseases tended to occur together in both gender. Conclusion.- In this research, hypertension appeared to be the most common and public health threating disease in both men and woman

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