A Self-Care Deficiency Syndrome: Self-Neglect

Year 2023, Volume: 15 Issue: 4, 622 - 630, 25.12.2023

Cansu Güler , Esra Engin

https://doi.org/10.18863/pgy.1224990

Cited By: 1

Abstract

Self-neglect is the individual's failure to show the necessary attention and care in his own care. Self-neglect manifests itself as non-adherence to treatment, failure to maintain personal and environmental hygiene, and maladaptive health behaviours. At the global level, although self-neglect is frequently seen especially in the elderly population, it is seen in all age groups and especially in disease groups where disability is in question and their caregivers. Self-neglect, which is divided into two categories as intentional and unintentional, is an important cause of morbidity and mortality. Failure to maintain accepted self-care standards caused by self-neglect threatens not only personal but also public health and well-being and increases the burden of health services and health care costs. Self-neglect is difficult to detect because individuals are isolated and do not have the risk of directly harming themselves. Due to reasons such as non-compliance with current treatment, ineffective health management, these individuals' access to the health system is disrupted and the diagnosis and intervention of self-neglect is delayed because they only apply to health services in emergencies. Health professionals working in the field of public health and mental health, especially community mental health professionals, have important responsibilities for the diagnosis and intervention of self-neglect.

Keywords

self-care, self-neglect, mental health, intervention

Bir Öz Bakım Eksikliği Sendromu: Öz-İhmal

Abstract

Öz-ihmal, bireyin kendi bakımında gerekli dikkat ve özeni göstermemesidir. Öz-ihmal tedaviye uyumsuzluk, kişisel ve çevresel hijyeni sürdürememe, uyumsuz sağlık davranışları şeklinde kendini göstermektedir. Küresel düzeyde, öz-ihmal özellikle yaşlı nüfusta sıklıkla görülmekle birlikte her yaş grubunda ve özellikle yeti yitiminin söz konusu olduğu hastalık grupları ve bakım verenlerinde karşılaşılmaktadır. İstemli ve istemsiz olarak iki kategoriye ayrılan öz-ihmal önemli bir morbidite ve mortalite nedenidir. Öz-ihmalin neden olduğu kabul gören öz-bakım standartlarının sürdürülememesi yalnızca kişisel değil toplum sağlığı ve refahını tehdit etmekte ve sağlık hizmetlerinin yükünü ve sağlık bakım maliyetlerini de arttırmaktadır. Bireylerin izole ve doğrudan kendilerine zarar verme riski taşımamaları nedeniyle öz-ihmalin tespiti güçtür. Mevcut tedaviye uyumsuzluk, sağlığı etkisiz yönetme gibi nedenlerle bu bireylerin sağlık sistemine girişleri aksamakta ve yalnızca acil durumlarda sağlık hizmetlerine başvurmaları nedeniyle öz-ihmalin tanılanması ve müdahalesi gecikmektedir. Öz-ihmalin tanılanması ve müdahalesi için özellikle toplum ruh sağlığı profesyonelleri başta olmak üzere halk sağlığı ve ruh sağlığı alanında çalışan sağlık profesyonellerine önemli sorumluluklar düşmektedir.

Keywords

öz bakım, öz-ihmal, ruh sağlığı, müdahale

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