AI Summary & Key Takeaways
AI InsightThe evaluation of elderly patientsreceiving home care services in terms of anemia is important to give appropriate treatment that will positively affect their quality of life and it will also hinderthe complications associated with anemia
📌 3 Key Takeaways
Abstract
Aim: This study aims to investigate the frequency and morphologic distribution of anemia and the relationship of anemia with socio-demographic variables,the state of chronic disease, and drug use in the patients at the age of 65 and older who have been receiving home care service. Method: This cross-sectionalwas carried out between August 2011 and September 2012 and the study population involved 194 patients aged 65 years or older without a terminal disease.Socio-demographic data form, which was standardized for home care services by the Ministry of Health was employed and laboratory data were investigatedby patient files. The presence of Anemia was evaluated in accordance with the definition of WHO. Results: Total 194 persons, 121 women and 73 men withages ranging from 65 to 104 were included in the study. The mean age is 75,0±16,0 years. 58.2% (113) of the cases involved in the study were diagnosed withanemia. Of the anemic cases 18.6%(n=21) were hypochromic, 78.8% (n=89) were normochromic, and 2.7% (n=3) macrocytic anemia. Sedimentation rate andCRP level of the patients with anemia were significantly higher than those of without anemia (p>0.05). The rate of being bedridden and of using a bed withan air-bearing pad of the anemic cases were also statistically significantly higher than that of without anemia (p0.05). Conclusion: Anemiais quite common in the elderly benefitting from home health care services and the vast majority has the anemia of chronic disease, inflammation inducedanemia or unexplained anemia. Iron deficiency is the most important and the most frequent one among nutritional anemias. The evaluation of elderly patientsreceiving home care services in terms of anemia is important to give appropriate treatment that will positively affect their quality of life and it will also hinderthe complications associated with anemia
Özet
Amaç: Evde sağlık hizmeti almakta olan 65 yaş ve üstü hastalarda anemi sıklığı ve morfolojik dağılımı ile anemi ilişkisinin sosyodemografik değişkenler, kronik hastalık durumu ve ilaç kullanımı ile ilişkisi araştırılması. Bu kesitsel çalışma, Ağustos 2011 ile Eylül 2012 arasında gerçekleştirildi. Çalışma popülasyonu, 65 yaş ve üzeri, terminal hastalığı olmayan Evde sağlık birimine kayıtlı 194 hasta ile yapıldı. Sağlık Bakanlığı tarafından evde sağlık hizmetleri için standardize edilen sosyo-demografik veri formu ve laboratuvar verileri kullanıldı. Anemi varlığı WHO'nun tanımına göre değerlendirildi. Bulgular: Çalışmaya toplam 194 kişi, yaşları 65 ile 104 arasında değişen 121 kadın ve 73 erkek alındı. Yaş ortalaması 75,0 ± 16,0'dır. Çalışmaya dahil edilen kişilerin % 58.2'si (113) anemiyle teşhis edildi. Anemik olguların%18.6'sı (n = 21) hipokrom, %78.8'i (n = 89) normokrom, %2.7'si (n = 3) makrositik anemi idi. Anemili hastaların sedimentasyon hızı ve CRP düzeyi anemisi olmayanlara göre daha yüksek bulundu (p> 0.05). Anemik olguların hava yastığı ile yatak yatağı kullanma ve yatak başı olma oranı da anemi olmaksızın istatistiksel olarak anlamlı derecede yüksekti (p