Aile sağlığı merkezlerine başvuran kişilerde kronik hastalık, multimorbidite ve yaşam kalitesi ilişkisinin değerlendirilmesi

Year 2021, , 116 - 128, 23.07.2021

Didem Oktar , Cüneyt Çam , Sevil Akbulut Zencirci , Hatice Aygar Gökçe Dağtekin , Seval Çalışkan Pala , Muhammed Fatih Önsüz , Selma Metintas

https://doi.org/10.20518/tjph.765900

Cited By: 3

Abstract

Amaç: Kronik hastalık ve multimorbiditenin uzun süreli tedavi ve takip gerektirmesi,hastaların yönetilmesi ve izleminde yaşam kalitesinin değerlendirilmesini gündeme getirmiştir. Çalışmada yetişkinlerde kronik hastalık ve multimorbiditenin yaşam kalitesi ile ilişkisinin değerlendirilmesi amaçlandı.

Yöntem: Çalışma, Eskişehir’de hizmet veren Aile Sağlığı Merkezleri(ASM)’ne başvuran yetişkinde gerçekleştirilen kesitsel tipte araştırmadır. Çalışma verileri, sosyodemografik özellikler, riskli sağlık davranışları ve hekim tanılı kronik hastalık varlığını sorgulayan sorular ile Dünya Sağlık Örgütü Yaşam Kalitesi Anketi-8(EUROHİS-OQL-8) ölçeğinden oluşan anket formuyla elde edildi. Verilerin analizinde Mann-Whitney U, Kruskal Wallis ve Çoklu Lineer Regresyon Analizi kullanıldı.

Bulgular: Çalışmaya katılan 2324 kişi arasında en sık bildirilen hekim tanılı kronik hastalık hipertansiyon (%33.3) idi. Yapılan çoklu lineer regresyon modelinde yaşam kalitesiyle ilişkili faktörler kontrol edildiğinde, yaşam kalitesinin para ve yaşanılan evin koşulları dışındaki alt boyutların kronik hastalık varlığıyla negatif yönde ilişkili olduğu bulundu. Hiperlipidemi dışında belirtilen kronik hastalıkların tümünde, yaşam kalitesinin negatif yönde değişim gösterdiği saptandı.

Sonuç: Kronik hastalık ve multimorbiditenin yaşam kalitesini azaltan önemli bir sorun olduğu bulundu. Aile sağlığı merkezlerinde kronik hastalık yönetim ve takibinde, yaşam kalitesinin de ele alınmasının önemli olduğu sonucuna ulaşıldı.

Keywords

Kronik Hastalık, yaşam kalitesi, multimorbidite, aile sağlığı merkezi

Evaluation of the relationship of chronic disease, multimorbidity and quality of life at primary health care centers

Abstract

Objective: Since chronic diseases and multimorbidity require long-term treatment and follow-up, it brought up the evaluation of the quality of life in the management and follow-up of patients. The aim of the study was to evaluate the relationship between chronic disease and multimorbidity and quality of life in adults.

Method: The study is a cross-sectional type of research conducted in adults who applied to the Family Health Centers (FHC) in Eskisehir. The study data were obtained through questions of sociodemographic characteristics, risky health behaviors and the presence of chronic diseases diagnosed by physicians and a questionnaire consisting of the World Health Organization Quality of Life Questionnaire-8 (EUROHİS-OQL-8) scale. Mann-Whitney U, Kruskal Wallis and Multiple Linear Regression Analysis were used to analyze the data.

Results: Among the 2324 people who participated in the study, the most frequently reported physician-diagnosed chronic disease was hypertension (33.3%). After adjusting for the effect of factors related to the quality of life in the multiple linear regression, it was found that except for the subdomain money and the conditions of the living place the quality of life was negatively related to the presence of chronic disease. The quality of life was also negatively affected in all of the chronic diseases mentioned excluding hyperlipidemia.

Conclusion: It was found that chronic disease and multimorbidity are an important problem that reduces the quality of life. It was concluded that it is important to consider quality of life in chronic disease management and follow-up in primary health care institutions.

Keywords

Chronic disease, quality of life, multimorbidity, primary health care services

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