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Çalışmada Palyatif bakım ünitesinde yatmakta olan hasta refakatçilerine verilen palyatif bakım eğitimlerinin evde bakım sürecindeki devamlılık durumlarının tespiti amaçlanmıştır. 01.09/31.11.2018 tarihleri arasında ünitede yatan 258 hastanın taburculuk tarihini takiben üç ayın sonundaki verileri çalışmaya dahil edilmiştir. Veri toplama aracı olarak oluşturulan soru formundaki bilgilerin toplanmasında hastane kayıtları ve hasta/hasta yakınları ile yapılan telefon görüşmeleri kullanılmıştır. Ortalama yaşın 77.29±13.64, palyatif bakım ünitesindeki yatış gün sayısı ise 21.37±25,86 olarak belirlendiği çalışmada 116 (%44,97) hastanın vefat ettiği, 70 (%27,13) hastaya iletişim verilerindeki eksik/ hata nedeniyle ulaşılamadığı 72 (%27,90) hastanın ise evde bakım sürecine devam ettiği saptanmıştır. Bu hastaların 60 (83,33) ‘ı palyatif bakım sürecinde eğitim aldıklarını 50 (83,33)’ si bu eğitimi evde bakım sürecinde kullandıklarını ve Palyatif bakım eğitiminden %90 oranında memnun oldukları belirtmişlerdir. Palyatif Bakım sürecinde hastaya refakat eden kişinin yakınlık durumu hastane otamasyon sistemine kaydı yapılmış 244 (%94,57) hasta verisinden elde edilebilmiş olup yatan 175 (%71,72) hastaya akrabalık bağı olan, 69 (%28,27) hastaya ise bakıcı olarak çalışan kişilerin refakat ettiği bulgusuna ulaşılmıştır. Evde bakım süreci geçiren tüm (ex ve yaşayan) hastalara ilişkin refakatçi bilgisi, konuşmak istememe, bilgisizlik, kurum ve çalışanlara tepki, yas süreci gibi nedenlerle 93 (%88,57), hastanede refakatçilik yapan kişinin evde bakım sürecine devamlılığı bilgisi ise 95 (90,47) hasta yakınından elde edilebilmiştir. Bu hastaların evde bakımı akrabalık bağı olan (eş, kızı, oğul, anne, gelin, enişte v.b) 48 (%51,61), bakıcı olarak 45 (%48,38) kişi tarafından sağlandığı bulgusuna ulaşılmıştır. Hastanede hasta refakatçisi olarak bulunup evde bakım sürecinde de devam eden kişilerin 78 (%82,11)’nin aynı kişi, 17 (%17,89)' sinin ise farklı kişiler olduğu tespit edilmiştir. Sonuç olarak taburculuklarından üç ay sonra hastaların %44,97 oranında vefat ettiği, yatış sürecinde palyatif bakım eğitimi alan bireylerin, evde bakım sürecinde de %82,11 oranında aynı kişi olarak bakım devamlılığı sağladığı, %83,33 oranında aldıkları eğitimi evde kullandıklarını ve %90 oranında aldıkları eğitimden memnun kaldıkları ve bu sebeple etkili eğitimin karşılığının bulunduğu sonucuna ulaşıldı
The study aims to identify the continuity of the palliative care training provided to the patient companions in the palliative care unit at home. Data from the end of three months after the expulsion date of 258 patients in the unit between 01.09/31.11.2018 were included in the study. In the collection of information in the questionnaire form created as a data collection tool, hospital records and phone calls with the patient/patient relatives were used. The average age is 77.29±13.64, and the number of days in the palliative care unit is 21. The study, which was determined as 37±25,86, found that 116 (44,97) patients died, 70 (27,13) patients were unaccessible due to the lack/feil in communication data and 72 (27,90) patients continued the care process at home. 60 (83,33) of these patients were trained in the palliative care process and 50 (83,33) said they used this training in the home care process and were 90% satisfied with the palliative care training. The patient’s proximity status in the palliative care process was recorded in the hospital automation system from 244 (94,57) patients’ data and 175 (71,72) patients who were related to family, 69 (28,27) patients who were accompanied by the person who worked as a caregiver. The accompanying information about all (ex and living) patients who have passed the care process at home, the desire to speak, the ignorance, the reaction to the institution and employees, the regret process for reasons such as 93 (88,57%) and the persons who accompany the care process at home, the information about the continuity of the care process at home 95 (90,47) can be obtained from the patient's close proximity. The findings have been found that the care of these patients at home was provided by the relatives (wife, daughter, son, mother, bride, etc.) 48 (51.61%) and 45 (48.38%) as caregivers. The patient was found as a companion in the hospital and 78 (82.11%) of those who continued the care process at home were the same person, and 17 (17.89%) of the brain were different persons. As a result, three months after their expulsions, the result was that 44.97% of patients died, the individuals who received palliative care training in the process of hospitalization, 82.11% provided continuity of care as the same person in the process of hospitalization, 83.33% used the training they received in the home and 90% were satisfied with the training they received and therefore the reward of effective education was achieved.
In this study, it is aimed to determine the continuity of the palliative care trainings given to the accompanying patients in the palliative care unit during the home care process. Data from 258 patients hospitalized in the unit between 01.09 / 31.11.2018 at the end of three months following the discharge date were included in the study. Hospital records and telephone interviews with patient / patient relatives were used to collect the information in the questionnaire which was formed as a data collection tool. The mean age was 77.29 ± 13.64 years and the number of hospitalization days in the palliative care unit was 21.37 ± 25.86 years. It was found that 116 (44.97%) patients died, 70 (27,13%) patients could not be reached due to incomplete / error communication data, and 72 (27,90%) patients continued home care process. 60 (83,33) of these patients received training in the palliative care process, 50 (83,33) stated that they used this training in the home care process, and they were 90% satisfied with the palliative care training. In the palliative care process, degree of affinity of the person accompanying the patient could be obtained from 244 (94.57%) patient data which was registered to the hospital automation system. In the study, it was found that 175 (71.72%) inpatients were accompanied by relatives and 69 (28.27%) were accompanied by caregivers. 93 (88.57%) of all patients (ex and living) undergoing the home care process due to reasons such as companionship, unwillingness to talk, ignorance, reaction to institutions and employees, mourning process, and the attendance of the person performing hospital care to home care process 95 (90) (47). It was found that these patients were provided with home care by 48 (51.61%) people who had kinship bond (spouse, daughter, son, mother, bride, brother-in-law, etc.) and 45 (48.38%) people as careers. It was found that 78 (82.11%) of the people who were in the hospital as a companion and continued in the same way in the home care process were the same person and 17 (17.89%) were different people. As a result, 44.97% of the patients died three months after their discharge, the individuals who received palliative care training during the hospitalization period, maintained the same care as 82.11% in the home care process, 83.33% used the education they received at home and It was concluded that they were satisfied with the training they received at a rate of 90% and therefore effective training was rewarded.
Alan : Sosyal, Beşeri ve İdari Bilimler
Dergi Türü : Uluslararası
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