Research Article
Year 2020,
Volume: 42 Issue: 3, 390 - 395, 27.10.2020
Abstract
References
- 1. Bağ B. Almanya örneğinde sağlık sisteminde palyatif bakım uygulamaları. Turkish Journal of Oncology/Türk Onkoloji Dergisi. 2012;27(3). 2. World HealthOrganisation (WHO). Definition of palliativecare. Erişim Linki: Adres: Adres: https://www.who.int/cancer/palliative/definition/en/. Son Erişim Tarihi: 01.01.2020. 3. Erbaycu AE. Terminal Hastalar ve Destek Tedavisi. Adres: Adres:http://ghs.asyod.org/konular/2013-3-15.pdf. Erişim tarihi: 01.01.2020. 4. Uslu FŞ, Terzioğlu F. Dünyada ve Türkiye’de Palyatif Bakim Eğitimi ve Örgütlenmesi. Cumhuriyet Hemşirelik Dergisi. 2015;4(2):81-90. 5. Kabalak AA. Türkiye'de Palyatif Bakım Çalışmaları. Turkiye Klinikleri Anesthesiology Reanimation-Special Topics. 2017;10(1):7-12. 6. Taş SŞ, Kahveci K. Uzun Süreli Yoğun Bakım Ünitesi ve Palyatif Bakım Merkezinde Hastane Enfeksiyonlarının Sürveyansı; 3 Yıllık Analiz. Çağdaş Tıp Dergisi. 2018;8(1):55-9. 7. Adres: https://khgmozellikli.saglik.gov.tr/svg/palyatif.php erişim tarihi: 14.01.2020. 8. WHO Definition Of Palliative Care. Adres: http://www.who.int/cancer/palliative/definition/en/. Erişim tarihi: 01.01.2020. 9. Elçigil A. Palyatif bakım hemşireliği. Gulhane Medical Journal. 2012;54(4). 10. Field MJ, Behrman RE. Patterns of childhood death In America. When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families: National Academies Press (US); 2003. 11. Benli AR, Sunay D. Palyatif Bakım Merkezi ve Evde Sağlık Hizmetlerinin Birlikte Çalışması Örneği: Karabük. Ankara Medical Journal. 2017;17(3):143-50. 12. Adres: http://tuik.gov.tr/PreTablo.do?alt_id=1059 erişim tarihi: 01.01.2020. 13. Adres: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=30712 erişim tarihi: 01.01.2020. 14. Dincer M, Kahveci K, Doger C. An examination of factors affecting the length of stay in a palliative care center. Journal of palliative medicine. 2018;21(1):11-5. 15. Do Shoemaker LK, Estfan B, Induru R, Walsh TD. Symptom management: an important part of cancer care. Cleveland Clinic journal of medicine. 2011;78(1):25. 16. Al-Jamal Y , Soysal P . Bezmialem Vakıf Üniversitesi Dragos Hastanesi Palyatif Bakım Ünitesi Verileri. Geriatrik Bilimler Dergisi. 2019; 2(3): 89-86. 17. Yürüyen M, Tevetoğlu IÖ, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Palyatif Bakım Hastalarında Klinik Özellikler ve Prognostik Faktörler. Konuralp Tıp Dergisi. 2018;10(1):74-80. 18. Bülbül Y, Ozlu T, Arinc S, Ozyurek B, Gunbatar H, Senturk A, et al. Assessment of palliative care in lung cancer in Turkey. Medical Principles and Practice. 2017;26(1):50-6. 19. Hacıkamiloglu E, Utku ES, Cukurova Z, Keskinkilic B, Topcu I, Gultekin M, et al. Community palliative care in Turkey: A collaborative promoter to a new concept in the Middle East. Journal of Public Health Management and Practice. 2016;22(1):81-8. 20. Özalp GŞ, Uysal N, Oğuz G, Koçak N, Karaca Ş, Kadıoğulları N. Identification of symptom clusters in cancer patients at palliative care clinic. Asia-Pacific journal of oncology nursing. 2017;4(3):259. 21. Şenel G, Oğuz G, Koçak N, Karaca Ş, Kaya M, Kadıoğulları N. Opioid use and the management of cancer patient pain in palliative care clinic. Ağrı-The Journal of The Turkish Society of Algology. 2016;28(4):171-6. 22. Uysal N, Şenel G, Karaca Ş, Kadıoğulları N, Koçak N, Oğuz G. Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control. 2015. 23. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clinics in geriatric medicine. 1997;13(3):421-36. 24. Emanuel EJ, Ash A, Yu W, Gazelle G, Levinsky NG, Saynina O, et al. Managed care, hospice use, site of death, and medical expenditures in the last year of life. Archives of internal medicine. 2002;162(15):1722-8. 25. Riley GF, Lubitz JD. Long‐term trends in Medicare payments in the last year of life. Health services research. 2010;45(2):565-76. 26. Kabalak AA, Öztürk H, Çağıl H. Yaşam sonu bakım organizasyonu: Palyatif bakım. Yoğun Bakım Dergisi. 2013;11(2):56-70. 27. Borasio GD. Translating the World Health Organization definition of palliative care into scientific practice. Palliative & supportive care. 2011;9(1):1-2.
Year 2020,
Volume: 42 Issue: 3, 390 - 395, 27.10.2020
Abstract
Objective: As in many parts of the world, palliative healthcare systems were initially established for the care of cancer patients, but expanded in time to cover other patients, as well. The aim of this study was to compare cancer and non-cancer patients receiving palliative care in the city of Çanakkale, Turkey, in terms of their clinical and demographic data, treatment times, and costs.
Method: All patients hospitalized in Çanakkale State Hospital Palliative Care Unit between December 01, 2016 and December 01, 2017 were included in our study. Their demographic data, diagnoses, lengths of stay, mortality rates, and treatment costs were recorded retrospectively.
Results: The study included a total of 415 patients, of which 187 (45.1%) were female. Mean age was 76.54 and the range of distribution was 24-100. Mortality developed in 162 (39%) of all patients and 253 (61%) were discharged. A comparison of cancer and non-cancer patients showed that mean age of the former group was significantly lower. Hospital stay and treatment costs of patients hospitalized for diseases other than cancer were found to be significantly higher than those of cancer patients.
Conclusions: Palliative care is an approach that improves the quality of life of patients and their families. As the costs of healthcare in intensive care units kept increasing, palliative care centers started to spread worldwide. Palliative care service includes cancer patients as well as those suffering from chronic neurological diseases and geriatric patients. Palliative care services are expected to increase and expand gradually as the average life increases. Therefore, it deserves better attention as a discipline.
Keywords
References
- 1. Bağ B. Almanya örneğinde sağlık sisteminde palyatif bakım uygulamaları. Turkish Journal of Oncology/Türk Onkoloji Dergisi. 2012;27(3). 2. World HealthOrganisation (WHO). Definition of palliativecare. Erişim Linki: Adres: Adres: https://www.who.int/cancer/palliative/definition/en/. Son Erişim Tarihi: 01.01.2020. 3. Erbaycu AE. Terminal Hastalar ve Destek Tedavisi. Adres: Adres:http://ghs.asyod.org/konular/2013-3-15.pdf. Erişim tarihi: 01.01.2020. 4. Uslu FŞ, Terzioğlu F. Dünyada ve Türkiye’de Palyatif Bakim Eğitimi ve Örgütlenmesi. Cumhuriyet Hemşirelik Dergisi. 2015;4(2):81-90. 5. Kabalak AA. Türkiye'de Palyatif Bakım Çalışmaları. Turkiye Klinikleri Anesthesiology Reanimation-Special Topics. 2017;10(1):7-12. 6. Taş SŞ, Kahveci K. Uzun Süreli Yoğun Bakım Ünitesi ve Palyatif Bakım Merkezinde Hastane Enfeksiyonlarının Sürveyansı; 3 Yıllık Analiz. Çağdaş Tıp Dergisi. 2018;8(1):55-9. 7. Adres: https://khgmozellikli.saglik.gov.tr/svg/palyatif.php erişim tarihi: 14.01.2020. 8. WHO Definition Of Palliative Care. Adres: http://www.who.int/cancer/palliative/definition/en/. Erişim tarihi: 01.01.2020. 9. Elçigil A. Palyatif bakım hemşireliği. Gulhane Medical Journal. 2012;54(4). 10. Field MJ, Behrman RE. Patterns of childhood death In America. When Children Die: Improving Palliative and End-of-Life Care for Children and Their Families: National Academies Press (US); 2003. 11. Benli AR, Sunay D. Palyatif Bakım Merkezi ve Evde Sağlık Hizmetlerinin Birlikte Çalışması Örneği: Karabük. Ankara Medical Journal. 2017;17(3):143-50. 12. Adres: http://tuik.gov.tr/PreTablo.do?alt_id=1059 erişim tarihi: 01.01.2020. 13. Adres: http://www.tuik.gov.tr/PreHaberBultenleri.do?id=30712 erişim tarihi: 01.01.2020. 14. Dincer M, Kahveci K, Doger C. An examination of factors affecting the length of stay in a palliative care center. Journal of palliative medicine. 2018;21(1):11-5. 15. Do Shoemaker LK, Estfan B, Induru R, Walsh TD. Symptom management: an important part of cancer care. Cleveland Clinic journal of medicine. 2011;78(1):25. 16. Al-Jamal Y , Soysal P . Bezmialem Vakıf Üniversitesi Dragos Hastanesi Palyatif Bakım Ünitesi Verileri. Geriatrik Bilimler Dergisi. 2019; 2(3): 89-86. 17. Yürüyen M, Tevetoğlu IÖ, Tekmen Y, Polat Ö, Arslan İ, Okuturlar Y. Palyatif Bakım Hastalarında Klinik Özellikler ve Prognostik Faktörler. Konuralp Tıp Dergisi. 2018;10(1):74-80. 18. Bülbül Y, Ozlu T, Arinc S, Ozyurek B, Gunbatar H, Senturk A, et al. Assessment of palliative care in lung cancer in Turkey. Medical Principles and Practice. 2017;26(1):50-6. 19. Hacıkamiloglu E, Utku ES, Cukurova Z, Keskinkilic B, Topcu I, Gultekin M, et al. Community palliative care in Turkey: A collaborative promoter to a new concept in the Middle East. Journal of Public Health Management and Practice. 2016;22(1):81-8. 20. Özalp GŞ, Uysal N, Oğuz G, Koçak N, Karaca Ş, Kadıoğulları N. Identification of symptom clusters in cancer patients at palliative care clinic. Asia-Pacific journal of oncology nursing. 2017;4(3):259. 21. Şenel G, Oğuz G, Koçak N, Karaca Ş, Kaya M, Kadıoğulları N. Opioid use and the management of cancer patient pain in palliative care clinic. Ağrı-The Journal of The Turkish Society of Algology. 2016;28(4):171-6. 22. Uysal N, Şenel G, Karaca Ş, Kadıoğulları N, Koçak N, Oğuz G. Symptoms seen in inpatient palliative care and impact of palliative care unit on symptom control. 2015. 23. Allman RM. Pressure ulcer prevalence, incidence, risk factors, and impact. Clinics in geriatric medicine. 1997;13(3):421-36. 24. Emanuel EJ, Ash A, Yu W, Gazelle G, Levinsky NG, Saynina O, et al. Managed care, hospice use, site of death, and medical expenditures in the last year of life. Archives of internal medicine. 2002;162(15):1722-8. 25. Riley GF, Lubitz JD. Long‐term trends in Medicare payments in the last year of life. Health services research. 2010;45(2):565-76. 26. Kabalak AA, Öztürk H, Çağıl H. Yaşam sonu bakım organizasyonu: Palyatif bakım. Yoğun Bakım Dergisi. 2013;11(2):56-70. 27. Borasio GD. Translating the World Health Organization definition of palliative care into scientific practice. Palliative & supportive care. 2011;9(1):1-2.
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Details
| Primary Language | English |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | Surgical Science Research Articles |
| Authors | |
| Publication Date | October 27, 2020 |
| Acceptance Date | October 25, 2020 |
| Published in Issue | Year 2020Volume: 42 Issue: 3 |