Trakya Üniversitesi Tıp Fakültesi Araştırma görevlilerinin yaşlı ayrımcılığı tutumları ve etkileyen faktörler
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Dosyalar
Tarih
2021
Yazarlar
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Yayıncı
Trakya Üniversitesi Tıp Fakültesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Dünyada yaşlı nüfus giderek çoğalmaktadır ve 2050 yılında 1,5 milyara ulaşacağı öngörülmektedir. Yaşlılığın etkisi ile sağlık kuruluşlarına başvuru artmakta ve gündeme yaşlı ayrımcılığı gelmektedir. Bu çalışma hekimlerin “yaşlı ayrımcılığı” tutum düzeylerini belirlemek, yaşlı hastaya karşı tutumda etkili olabilecek faktörleri tespit etmek amacıyla yapılmıştır. Kesitsel tipte planlanan araştırmamız 23 Aralık 2021-11 Nisan 2022 tarihleri arasından Trakya Üniversitesi Tıp Fakültesi’nde çalışan asistan hekimler ile yapılmıştır. Veriler anket yardımı ile toplanmıştır. 59 sorudan oluşan anketin içerisinde sosyodemografik veri formu (36 soru) ve Yaşlı Ayrımcılığı Tutum Ölçeği (23 soru) yer almaktadır. Verilerin analizinde tanımlayıcı istatistikler, t-testi, Mann Whitney U, Kruskal Wallis ve Spearman korelasyon analizi kullanılmıştır. Analizlerde p<0,05 anlamlı olarak kabul edilmiştir. Çalışmamız, dahil edilme kriterlerini karşılayan 250 katılımcı ile gerçekleştirilmiştir. Katılımcıların %43,6’sı erkek, %56,4’i kadındır. Araştırma görevlilerinin Yaşlı Ayrımcılığı Tutum Ölçeği’nden elde ettikleri puanların ortalaması 85,11±9,75 olarak bulunmuştur. Kadınların yaşlılara yönelik tutumları erkeklere göre daha olumludur. Katılımcılar, uzmanlık eğitimi öncesinde ve sürecinde yaşlılara karşı tutumlarının genel olarak olumlu olduğunu belirtmişlerdir. Tıp fakültesi eğitim programındaki yaşlı bakım ile ilgili eğitimi katılımcıların %25,6’sı yeterli bulmuştur. Yaşlılara yönelik tutuma etki eden faktörlerden cinsiyet, gelir durumu, aile tipi, yaşlı ile birlikte yaşama, yaşlı bakımında rol alma, huzurevi ziyareti durumu istatistiksel olarak anlamlı tespit edilmiştir. Çalıs?mamıza katılan hekimlerin büyük çog?unlug?u hasta kaynaklı fiziksel, psikolojik, sosyal özelliklerin ve özellikle çalıs?ma ortamı kaynaklı faktörlerin doktorların yas?lı hastaya kars?ı tutumunu etkiledig?ini belirtmektedir. Yaşlı bireylere sunulan sağlık hizmet kalitesinin arttırılması açısından yaşlılara yönelik olumlu tutumun pekis?tirilmesi, olumsuz tutumun ortadan kaldırılması gereklidir. Bunun için, tutumu olumsuz etkileyen faktörlerin ortadan kaldırılması, olumlu tutumu destekleyici müdahalelerin tıp eg?itimi sürecinde verilmesi gereklidir.
The elderly population is increasing in the world and is projected to reach 1.5 billion by 2050. With the effect of old age, the number of applications to health institutions is increasing and elderly ageism is on the agenda. This study was conducted to determine the level of "elderly discrimination" attitudes of physicians and to determine the factors that may be effective in attitudes towards elderly patients. Our cross-sectional study was conducted with residents working at Trakya University Faculty of Medicine between December 23, 2021 and April 11, 2022. Data were collected with the help of a questionnaire. The questionnaire with 59 questions included a sociodemographic data form (36 questions) and the Ageism Attitude Scale (23 questions). Descriptive statistics, t-test, Mann Whitney U, Kruskal Wallis and Spearman correlation analysis were used to analyze the data. In the analyzes, p<0.05 was accepted as statistically significant. Our study was conducted with 250 participants who met the inclusion criteria. 43.6% of the participants were male and 56.4% were female. The mean score of the research assistants obtained from the Ageism Attitude Scale was found to be 85.11±9.75. Women had more positive attitudes towards the elderly than men. The participants stated that their attitudes towards the elderly before and during their residency training were generally positive. 25.6% of the participants found the education on elderly care in the medical faculty program adequate Among the factors affecting attitudes towards the elderly, gender, income status, family type, living with the elderly, taking a role in elderly care, and visiting a nursing home were found to be significant. The majority of the physicians who participated in our study stated that physical, psychological and social characteristics of the patient and especially factors related to the working environment affect the attitude of physicians towards elderly patients. In order to increase the quality of health services provided to elderly individuals, it is necessary to reinforce positive attitudes towards the elderly and eliminate negative attitudes. For this, it is necessary to eliminate the factors that negatively affect attitudes and to provide interventions that support positive attitudes during the medical education process.
The elderly population is increasing in the world and is projected to reach 1.5 billion by 2050. With the effect of old age, the number of applications to health institutions is increasing and elderly ageism is on the agenda. This study was conducted to determine the level of "elderly discrimination" attitudes of physicians and to determine the factors that may be effective in attitudes towards elderly patients. Our cross-sectional study was conducted with residents working at Trakya University Faculty of Medicine between December 23, 2021 and April 11, 2022. Data were collected with the help of a questionnaire. The questionnaire with 59 questions included a sociodemographic data form (36 questions) and the Ageism Attitude Scale (23 questions). Descriptive statistics, t-test, Mann Whitney U, Kruskal Wallis and Spearman correlation analysis were used to analyze the data. In the analyzes, p<0.05 was accepted as statistically significant. Our study was conducted with 250 participants who met the inclusion criteria. 43.6% of the participants were male and 56.4% were female. The mean score of the research assistants obtained from the Ageism Attitude Scale was found to be 85.11±9.75. Women had more positive attitudes towards the elderly than men. The participants stated that their attitudes towards the elderly before and during their residency training were generally positive. 25.6% of the participants found the education on elderly care in the medical faculty program adequate Among the factors affecting attitudes towards the elderly, gender, income status, family type, living with the elderly, taking a role in elderly care, and visiting a nursing home were found to be significant. The majority of the physicians who participated in our study stated that physical, psychological and social characteristics of the patient and especially factors related to the working environment affect the attitude of physicians towards elderly patients. In order to increase the quality of health services provided to elderly individuals, it is necessary to reinforce positive attitudes towards the elderly and eliminate negative attitudes. For this, it is necessary to eliminate the factors that negatively affect attitudes and to provide interventions that support positive attitudes during the medical education process.
Açıklama
Anahtar Kelimeler
Yaşlı ayrımcılığı, Tutum, Aile hekimliği, Ageism, Attitude, Family practice
