ROJAN GÜMÜŞ, MEHMET UFUK ALUÇLU, Seyfettin SARIBAŞ

Diyarbakır'da 2010-2015 Yılları Arasında Sağlık Bakanlığı Hastaneleri Tarafından Evde Bakılan Çocuk ve Gençlerin Sağlık Durumları Üzerine Bir Araştırma

Amaç: Bu çalışmanın amacı Diyarbakır ilinde son beş yılda Sağlık Bakanlığı hastaneleri tarafından verilen evde bakım hizmetlerinden yararlanan çocuk ve gençlerin sağlık durumlarının araştırılmasıdır. Yöntemler: Araştırmaya hastanelerin ilgili birimleri tarafından 2010-2015 yılları arasında izlenen ve kaydı tutulan 576 hasta dahil edildi. Bu hastaların 234'ü (%40.63) kız, 342'si (%59.37) erkektir. Çocuk ve gençler 93'ü (%16,15) 0-6 yaş, 219'u (%38,02) 7-14 yaş ve 364'ü (45.83) 15-22 yaş olmak üzere üç gruba ayrıldı. Bulgular: Yaş grupları arasında kız ve erkek hastaların sayıları arasında bir fark bulunamadı (?2=1.077, p>0.05). 2015'te tüm yaş gruplarında evde bakım hizmetlerinden faydalanma açısından belirgin bir artış görüldü (?2=38.734, p

Health Status of Disabled Children and Youth Receiving Public Home Care

Objective: The aim of this study was to provide information on utilization of home health care services provided by government and determine health status of children and young people who received this medical care. Methods: Data for 576 patients who were followed and recorded by the health staff of the Ministry of Health between 2010 and 2015 were used in this study. Of these patients 234 (40.63 %) were female and 342 (59.37%) were male. The patients were divided into three age groups: 0-6 years of age: 93(16.15%), 7-14 years of age:219 (38.02%), and 15-22 years of age: 264 (45.83%). Results: There was no significant difference in gender between the age groups (?2=1.077, p>0.05). In 2015, there was an increase in the prevalence of home care services across all age groups (?2=38.734, p<0.01). Diyarbakir Children Hospital was more efficient than other hospitals (?2=42.230, p<0.01) in providing this medical care. The most common diseases seen among these young patients were central nervous system diseases, neurodevelopmental diseases, and acquired brain injuries. In addition, epilepsy, SSPE, and cerebral palsy were also widely prevalent among this group of children and youth. The prevalence of cerebral palsy was larger in the 0-6 and 15-22 age groups (?2=6.491, p<0.05). A prevalence of central nervous system diseases was seen most in the 0-6 age group (?2=11.937, p<0.01). Apart from these, there were no other significance diseases observed by gender or age groups. Conclusion: After favorable adjustments to public home care services, an increase was seen in the utilization of services in recent years. As disabled patients need health care in their homes, this service has to be a primary goal for governments in order to provide them with a higher quality of life.

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