Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Yoğun Bakım ve Palyatif Bakım Ünitelerinde Çalışanların Palyatif Bakıma İlişkin Bilgi ve Görüşlerinin Belirlenmesi: Anket Çalışması
Determination of Knowledge and Opinions on Palliative Care of Workers in Intensive Care and Palliative Care Units: A Survey Study
Ökkeş Hakan MİNİKSARa, Zeliha KORKMAZ DİŞLİb, Zeynep TUNÇc, Leman ACUN DELENb, Mehtap HONCAa
aYozgat Bozok Üniversitesi Tıp Fakültesi, Anesteziyoloji ve Reanimasyon ABD, Yozgat, TÜRKİYE
bMalatya Eğitim ve Araştırma Hastanesi, Anesteziyoloji ve Reanimasyon Bölümü, Malatya, TÜRKİYE
cİnönü Üniversitesi Tıp Fakültesi, Biyoistatistik ve Tıp Bilişimi ABD, Malatya, TÜRKİYE
J Tradit Complem Med. 2020;3(1):61-8
doi: 10.5336/jtracom.2019-72380
Article Language: TR
Full Text
ÖZET
 Amaç: Yoğun bakım (YB) ve palyatif bakım (PB) üniteleri yaşam sonu bakımın uygulandığı kliniklerdir. PB hizmetlerinin optimal düzeyde verilebilmesi için bu ünitelerde çalışanların PB hakkında yeterli düzeyde bilgi sahibi olması gerekmektedir. Bu çalışmanın amacı, YB ve PB ünitelerinde çalışan doktor ve hemşirelerin PB'ye ilişkin bilgi ve görüşlerinin belirlenmesi ve karşılaştırılmasıdır. Gereç ve Yöntemler: Çalışma; Malatya Eğitim ve Araştırma Hastanesi Reanimasyon YB, Dahiliye YB ve PB ünitelerinde çalışan hekim ve hemşireler ile yüz yüze görüşme yöntemi ile yapılmıştır. Çalışmada veriler, sosyodemografik özellikler formu ve literatür bilgileri doğrultusunda hazırlanan, çalışanların PB'ye yönelik mevcut bilgi ve görüşlerini belirleyici anket formu kullanılarak elde edilmiştir. Bulgular: Çalışmaya katılanların (68 hemşire, 12 doktor) yaş ortalaması 34 olup, çoğunluğunu lisans mezunu kadınlar oluşturmaktaydı. Katılımcıların %80'i eğitimleri sırasında PB eğitimi almadıklarını ve %76,3'ü yapılacak eğitim programlarına ihtiyaç duyduklarını belirtti. YB çalışanlarının %37,5'i, PB çalışanlarının %20'si hospis tanımını bilmediklerini ifade etti. PB çalışanlarının çoğu (%85,1) tedavisi biten hastaların taburculuğunda zorlandıklarını ve %85,5'i PB'de tükenmişlik yaşadıklarını belirtti. YB hemşirelerinin %63,8'i 'YB'de PB hizmeti verilmelidir, ifadesine katılmadıklarını ve bu konu hakkında bilgi sahibi olmadıklarını belirtti. Çalışanların tamamına yakını, PB temel eğitiminin üniversite eğitim programlarında zorunlu olması gerektiğini belirtti. Sonuç: YB ve PB ünitesinde çalışan sağlık personelinin 'Palyatif bakım ve hospis' kavramları konusunda yeterli bilgiye sahip olmadıkları, bilgi düzeylerinde farklılıklar olduğu ve bu konuda yapılacak eğitim programlarına ihtiyaç duydukları belirlenmiştir. Bu durumun temel lisans eğitimindeki eksikliklerden kaynaklandığı, eğitim müfredatında zorunlu PB eğitim dersinin yer alması ve sertifikalı eğitim programlarının yaygınlaşması gerektiği düşünülmektedir.

Anahtar Kelimeler: Palyatif bakım; yoğun bakım; sağlık personeli; bilgi
ABSTRACT
 Objective: Intensive care (ICU) and palliative care (PD) units are clinics where end-of-life care is applied. In order for PB services to be provided at an optimal level, employees working in these units should have sufficient knowledge about PB. The aim of this study is to determine and compare the knowledge and opinions of doctors and nurses working in the ICU and PD units about palliative care. Material and Methods: Study; Malatya Training and Research Hospital Reanimation YB, Internal Medicine YB and PB were conducted by face to face interviews with physicians and nurses working in the units. In the study, the data were obtained by using the questionnaire form, which was prepared in line with the socio-demographic characteristics form and the literature information, and which determines the current knowledge and opinions of the employees about PD. Results: The average age of the participants (68 nurses, 12 doctors) was 34, most of whom were undergraduate graduates. 80% of the participants stated that they did not receive PD training during their training and 76.3% of them stated that they needed training programs to be carried out. 37.5% of YB employees and 20% of PD employees stated that they do not know the definition of hospis. Most of the PD staff (85.1%) stated that the patients who had completed their treatment had difficulty in discharge and 85.5% of them experienced burnout in PD. 63.8% of the YB nurses stated that they disagree with the statement 'PB service should be provided in YB' and they do not have any information about this subject. Almost all of the employees stated that PB basic education should be compulsory in university education programs. Conclusion: It was determined that the health personnel working in the YB and PD unit do not have sufficient information about the concepts of 'Palliative care and hospice', there are differences in their knowledge levels and they need training programs to be carried out in this regard. It is thought that this situation is due to the deficiencies in basic undergraduate education, compulsory PB education courses should be included in the education curriculum and certified education programs should become widespread.

Keywords: Palliative care; critical care; health care workers; knowledge
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