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Aile Hekimlerinde Kronik Böbrek Yetmezliği Farkındalığının Belirlenmesi

Investigating Awareness in Chronic Renal Failure Among Family Physicians

Journal Name:

  • Türk Nefroloji, Diyaliz ve Transplantasyon Dergisi

Publication Year:

  • 2014
DOI: 
10.5262/tndt.2014.1002.04

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
OBJECTIVE: The conditions underlying chronic renal failure have become epidemics in the world. The aim of this study was to reveal the degree of awareness of chronic renal failure among family physicians. MATERIAL and METHODS: Using data collected with a structured questionnaire and considering physicians’ socio-demographic features and their education on nephrology, we evaluated physicians’ awareness of the definition, frequency and clinical features of chronic renal failure. The questionnaire was filled in by volunteering family medicine specialists (FMS), family medicine assistants (FMA) and family physicians (FP) during a family medicine meeting. RESUL TS: Out of 310 physicians, 25.2% (n=78) were FMS, 27.7% (n=86) FMA and 47.1% (n=146) FP. %35,2 of physicians (n=109) (FMS: % 62,8 (n=49), FMA: %52.3 (n=45), FP: %10.3 (n=15), p<0,05), after the graduate, have studied in Nephrology and Internal Medicine Clinic that treat renal disesases. There was no significant difference in the rate of encountering patients with chronic renal failure between the groups (80%) (p>0.05). However, less than 15% of the physicians reported that they felt competent enough to follow patients with chronic renal failure. The rate of the physicians who felt the need to refer these patients to health institutions was high. However, the Fps did not like the patient care style of internal medicine specialists and thought that patients faced financial problems to access the nephrologist. CONCLU SION: Appropriate care and management of referrals are life-saving for patients with chronic renal failure. New strategies should be developed to increase awareness concerning chronic renal failure and the management of this condition.
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Abstract (Original Language): 
AMAÇ: Kronik böbrek hastalığı (KBH)’nın altında yatan etiyolojik faktörler dünyada epidemi halini almıştır. Bu çalışmada, aile hekimliği hizmeti veren hekimler (AHDR) arasında KBH’nın farkındalık düzeyinin belirlenmesi amaçlanmıştır. GEREÇ ve YÖNTEML ER: Yapılandırılmış olan anketimiz ile hekimlerin; sosyodemografik özellikleri, Nefroloji rotasyon ve eğitim durumları ile KBH’nın; tanımı, sıklığı, klinik özellikleri ve sonuçlarına olan farkındalıkları değerlendirildi. Anket, Aile Hekimliği Toplantısı sırasında; gönüllü aile hekimliği uzmanları (AHU), aile hekimliği asistanları (AHAS) ve aile hekimleri (AH)’ne uygulandı. BUL GUL AR: Ankete toplam 310 hekim yanıt verdi. Bunların %25,2’si (n=78) AHU, %27,7’si (n=86) AHAS, %47,1’i (n=146) AH idi. Toplam hekimlerin %35,2’si (n=109) (AHU: % 62,8 (n=49), AHAS: %52.3 (n=45), AH: %10.3 (n=15), p<0,05), Tıp Fakültesi mezuniyet sonrası böbrek hastalarının takip edildiği bir Dahiliye veya Nefroloji kliniğinde eğitim almıştı. Hekim gruplarının KBH’lı hasta ile karşılaşma oranları benzerdi (%80) (p>0,05). Bununla birlikte bu hastaların izleminde yeterli olduğunu düşünen hekim oranı <%15 idi. Sevketme gereksinimi hisseden hekim oranı yüksekti. Ancak AHDR, İç Hastalıkları uzmanlarının hasta bakım ve yönetim tarzını beğenmiyor ve hastaların Nefrologlara ulaşması konusunda maddi sorunlarla karşılaştığını düşünüyor. SONUÇ: Sonuç olarak, KBH’lı hastanın uygun bakım ve sevk yönetimi hayat kurtarıcıdır. KBH farkındalığı ve yönetim kalitesini arttırmak için yeni stratejiler geliştirilmelidir.
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  • Turkish

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