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Birinci basamak hekimleri yaşam tarzı değişikliklerinde ne kadar kararlı?

How much are primary care physicians determined regarding lifestyle changes?

Journal Name:

  • Türkiye Aile Hekimliği Dergisi

Publication Year:

  • 2011
DOI: 
doi:10.2399/tahd.11.043

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Objective: To explore attitudes, behaviors and thoughts of primary care physicians regarding healthy life style changes (HLSC) in which they have a critical role in its implementation. Methods: A questionnaire consisting of 14 questions related with attitudes, behaviors and thoughts regarding HLSC, was applied to 291 primary care physicians practicing in family health centers in Izmir. Results: Of the participants, 60.5% felt that they are responsible from HLSC more than any other physicians. The ratio of physicians who stated that they especially emphasized HLSC in case of a chronic condition such as HT or DM was 87.5%. Among the physi¬cians who choose to use medication instead of HLSC, 73.5% also thought that their patients preferred to use drugs instead of HLSC (p=0.000). Physicians who thought that their patients comply with their recommendations were more likely to state that they provide accurate information on each visit. On the other hand physicians who thought that they provida a accurate information on each visit were not likely to think that their patients complied with their rec¬ommendations. Conclusions: Although primary care physicians believe that HLSC are important, this thought does not reflect to their practice. Reasons of this gap between thought and practice should be investigated.
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Abstract (Original Language): 
Amaç: Sağlıklı yaşam tarzı değişikliklerinin (SYTD) hayata geçirilmesinde kilit önem taşıyan birinci basamak hekimlerinin bu konudaki tutum, düşünce ve davranışlarının saptanması amaçlanmıştır. Yöntem: izmir'de aile sağlığı merkezlerinde çalışan 291 hekime SYTD ile ilgili tutum, davranış ve düşüncelerini araştıran 14 soruluk bir anket uygulandı. Bulgular: Katılımcıların %60.5'i SYTD danışmanlığının öncelikli görevleri olduğunu düşünürken % 87.5'i HT, DM gibi kronik bir hastalık durumunda SYTD ile ilgili daha fazla bilgi verdiğini ifade etti. Pratikte ilaç kullanmayı daha çok tercih eden hekimlerin %73.5'i, hastaların da SYTD yerine ilaç kullanmayı tercih ettiğini düşünmekte idi (p=0.000). Hastaların önerilerine tümüyle uyduğu¬nu ifade eden hekimlerin %68,6'sı her hastasına gerekli bilgileri eksiksiz olarak verdiğini (p=0.002), %71.4'ü hastaları ile her karşılaşmasında SYTD ile ilgili konuştuklarını (p=0.004), %40.0'ı SYTD için yeterli zaman ayırabildiklerini (p=0.006) belirttiler. Öte yandan hastalarına eksiksiz bilgi verdiklerini ifade eden hekimlerin %16.0'sı, hastaları ile her karşılaşmasında SYTD hakkında konuş¬tuklarını ifade eden hekimlerin %19.2'si ve hastalarına SYTD ko¬nuşabilmek için yeterli zaman ayırdığını ifade edenlerin %18.9'u hastaların SYTD önerilerine uyduklarını düşünmektedir. Sonuç: SYTD birinci basamak hekimleri tarafından önemli bulunmasına rağmen kronik hastalıklar dışında yeterince davranışa yan-sımamaktadır. Bu konudaki engeller saptanmalı ve giderilmelidir.
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  • Turkish

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