Özet:

Introduction: In recent years, advances in technology and developments in medicine have led to an increase in the number of children with continuous illnesses while reducing the mortality rate of children’s patients. This study aimed at evaluating the general characteristics of children’s patients who are receiving health care from our hospital at home and hospitalization. Methods: The study was carried out at the University of Health Sciences, Izmir Dr. Behçet Uz Children's Hospital. Events registered in the home healthcare unit between 2012-2018 were assessed as retrospective. The demographic characteristics, diseases, medical devices and technological dependencies of these patients and infection information have been obtained from the hospital registration system. The data was statistically evaluated by recording on the SPSS program. Results: The average age of 124 patients registered in the home healthcare unit was 8.4 (0.6-17.8) years and 56.5% were men. 71.8% of patients were diagnosed with a primary neurological disease, primarily brain palsy. In 31.5 percent of patients, tracheostomy was present, and 25 percent received respiratory support by mechanical ventilation. In 12.9% of patients there was gastrostomy. The clinical applications for those with primary neurological disease were significantly high (p=0,04) compared to the patient group outside of the neurological disease, while the hospitalization rates were similar (p>0,05) found. The result: in the patients monitored at the home health services unit, a group of neurological patients, including children with medical equipment and technology-dependent patients, is attracted. It is necessary to be able to meet both the medical, psychological and social needs that these patients need, and to open and develop specialized pediatric palliative care services in order to reduce the workload and availability of specialized units such as intensive care.

Anahtar Kelimeler: