The Journal of Turkish Family Physician最新文献

{"title":"Utilization of Telemedicine in neurological disorders in primary care","authors":"Genco Görgü, Bilal Durmaz","doi":"10.15511/tjtfp.23.00396","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00396","url":null,"abstract":"The COVID-19 pandemic has accelerated changes in healthcare delivery, notably the adoption of telemedicine and digital health solutions. Telemedicine, specifically teleneurology, has emerged as a solution to improve access to neurological care. This review discusses the principles of conducting neurological assessments remotely in a primary care context. It also addresses challenges such as patient acceptance, technology infrastructure, reimbursement policies, and provider training. Additionally, it explores the role of wearable devices in gathering patient data and emphasizes the importance of standardized legislation and interoperability among telehealth platforms. The integration of telemedicine and digital health solutions in primary care can enhance the management of neurological disorders, particularly in underserved areas. By embracing these innovations and adopting a collaborative approach, primary care providers can contribute to improving patient outcomes and the overall quality of neurological healthcare.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"33 3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332151","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of covid-19 disease perception and attitudes towards vaccine of individuals who have had covid-19 vaccination in a tertiary hospital","authors":"Murat Karatürk, Nurcan Akbaş Güneş","doi":"10.15511/tjtfp.23.00350","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00350","url":null,"abstract":"Objective: It was aimed to evaluate COVID-19 disease perceptions, reasons for getting vaccinated, and attitudes towards COVID-19 vaccine of individuals who have been vaccinated against COVID-19. Methods: In our cross-sectional, descriptive study, people who came to Bolu Abant İzzet Baysal Training and Research Hospital Vaccine Polyclinic between 01.02.2022 and 31.03.2022 and had COVID-19 vaccine were included in our study. Individuals under the age of 18, healthcare workers, people with active mental illness and those who could not communicate verbally were excluded from the study. Results: Of the personnel participating in our study, 282 (47.9%) were male and 307 (52.1%) were female.The results of the Scale of Attitudes Towards COVID-19 Vaccination, age, gender, education status, reasons for vaccination, next COVID-19 vaccination a statistically significant relationship was found between the variables of thinking about getting the vaccine and thinking that they have enough information about the COVID-19 vaccine (p=0.044, p=0.001, p=0.021, p<0.001, p<0.001, p<0.001). With the COVID-19 disease perception scale, education status, getting influenza vaccination, thinking about getting the next COVID-19 vaccine, thinking that they have enough information about the COVID-19 vaccine, There was a significant difference in the reasons for being vaccinated (p=0.021, p=0,031, p=0.015, p=0.017, p<0.001). A statistically significant relationship was found between the Attitudes towards the COVID-19 Vaccine Scale and the COVID-19 disease perception scale (p<0.001). Conclusion: As a result of our study, we found that individuals who vaccinated on a voluntary basis had positive COVID-19 vaccine attitudes and higher perceptions of COVID-19 contagion. In addition, we have shown that the attitude towards the vaccine and the perception of the disease affect the desire to have the next dose of vaccination. We think that the reasons for the negative attitude towards the vaccine and the inadequacy in the perception of the disease in the society should be determined and the necessary training should be given.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"44 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332818","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Well-being of undergraduate medical students in COVID-19 pandemic; mixed method design","authors":"Selçuk Akturan, İnanç Sümbüloğlu","doi":"10.15511/tjtfp.23.00364","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00364","url":null,"abstract":"Introduction and Aim: The COVID-19 pandemic had many effects on the undergraduate medical education. The aim of our study was to determine the well-being of undergraduate medical students during pandemic, and to make future implications for institutions to support their medical students’ well-being. Methods: This is a mixed-method study. The population of the research consists of from 1st to 5th year medical students. The research process was carried out in 3 steps, which are respectively: ‘focus group interviews’ via Zoom with a group of 6-8 volunteer students from each year; the formation of ‘Student Information Form’ based on content analysis of focus group interviews; online application of ‘Student Information Form (SIF)’ and ‘Wellness Star Scale (WSS)’ to volunteer students. Results: The mean scores of the WSS sub-dimensions were: Intellectual = 8.5 (¯X_ND); Spiritual = 7.5 (¯X_ND); Physical = 5.8 (¯X_ND); Social = 7.7 (¯X_ND); Emotional = 6.6 (¯X_ND). A significant difference in favor of positive emotions was observed between the well-being spiritual score average of the students in the negative emotions group and the positive emotions group [p < 0.05]. A significant difference was found in favor of men between the female and male students’ well-being intellectual point average [p < 0.05]. The themes of emotions, learning process, well-being, difficulties and problems, achievements, coping methods, career planning, and suggestions emerged from qualitative data. Conclusion: Among the ways of coping with the pandemic, healthy lifestyle behaviors such as nutrition and physical activity seem to come to the fore. Among the difficulties brought by the pandemic, “health concerns” were more due to the ignorance/inadequacy of preventive and therapeutic health services, especially in the early stages of the pandemic, and continued due to uncertainties after vaccination. Medical faculties should offer solutions that will ensure the continuity of social interaction and the preservation of the learning climate, which is interrupted in pandemic and similar situations.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139333551","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approach to individuals with alcohol and drug use in primary health services","authors":"Pınar Şen Gökçeimam","doi":"10.15511/tjtfp.23.00390","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00390","url":null,"abstract":"Alcohol and substance use disorders are preventable and chronic diseases. Since serious damage can occur in almost every system in the body, alcohol and substance-related conditions threaten the individual and society as an important public health problem, beyond being a psychiatric disease. It is known that individuals with alcohol and substance use disorders have many comorbid medical diseases, and this association negatively affects the prognosis. Individuals with alcohol and substance use; especially specific risk groups such as adolescents, elderly, women and pregnant people often avoid expressing their use and seeking treatment from the relevant specialist due to many individual, familial, judicial and sociocultural concerns and/or obstacles when addiction develops. The service area of primary healthcare professionals covers risky individuals of all ages, genders and symptoms. Individuals are enrolled in primary health care with their families. Individuals are more likely to apply to primary care for any reason compared to other health care levels. From these perspectives, preventive, supportive and therapeutic approaches are of indisputable importance in primary care for individuals with alcohol and substance use problems. It is necessary to know the risky use of alcohol and substances, the processes leading to addiction, possible accompanying medical conditions, to be aware of the authority and effectiveness of primary care, and to have a stigma-free approach. In this review, the approaches of primary healthcare professionals to the problem of alcohol-substance use in their professional practices; It is aimed to provide practical information about what they can do within the scope of primary and secondary protection services.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139333852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Caregivers’ views on taraditional and complementary medicine practices in palliative care","authors":"Canan Tuz Yilmaz, Alis Özçakır","doi":"10.15511/tjtfp.23.00375","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00375","url":null,"abstract":"Introduction and Aim: The goal of palliative care is to enhance the quality of life for patients and caregivers, focusing on symptom management for patients with conditions where treatment may not be possible. The burden of common symptoms in patients with incurable diseases is increasing, and traditional and complementary medicine (GETAT) practices are being used as a part of palliative care in many countries around the world. The aim of this study is to determine caregivers’ perceptions of traditional and complementary medicine practices and to investigate the factors influencing the demand for GETAT applications in palliative care, considering the conditions of the service. Methods: This cross-sectional, descriptive study’s population consists of caregivers of patients receiving treatment in a palliative care service conducted by family physician specialists. A mixed-method approach was utilized, employing face-to-face surveys with Likert-type questions and adding open-ended questions to the survey. Results: During the study period, 67 out of 72 caregivers who were providing care to patients were included. The average age of caregivers was 46.4 ± 13.7, and 55.2% (n=37) were female. As for education, 62.7% (n=42) had completed primary education. When inquired about GETAT knowledge, 56.7% had awareness, with the most common source of knowledge being acquaintances, neighbors, spouses, friends, and relatives at 31.3%, followed by social media at 16.4%. Among the participants who were knowledgeable about GETAT applications, the proportion of those who had previously applied it to a palliative care patient was determined to be 28.9% (n=11). Caregivers’ perspectives on GETAT applications included concerns about causing harm to the patient, individual patient-related factors, and inadequate or incorrect information about GETAT practices.When comparing GETAT knowledge based on gender, it was determined that women had a 24% higher awareness of the applications compared to men. In the group with lower education levels, the primary source of GETAT knowledge was found to be acquaintances, spouses, friends, and relatives (p<0.05). When the caregivers’ knowledge levels of GETAT were compared with the diagnoses of the patients they were caring for, a statistically significant result could not be found. Conclusion: In our study, sociodemographic information and awareness of GETAT applications were found to be similar to the literature. In a study conducted in 2020 with cancer patients receiving palliative care, a usage rate of 30% for GETAT was identified, with herbal therapy being the most frequently applied method. In our study, even though our palliative care service included not only cancer patients but also all patient groups, the rate of GETAT application was found to be 28.9%. The low rate can be interpreted as stemming from the severity of the health conditions of palliative care patients. In Turkey, caregivers have concerns about GETAT applications in","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"124 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139332971","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Hand Hygiene Practices of İnegöl State Hospital Health care professionals","authors":"Serap Bayrakdar, Demet Büyük Akbaş","doi":"10.15511/tjtfp.23.00254","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00254","url":null,"abstract":"Introduction and Aim: Hand hygiene is the cheapest and easiest method to prevent health-related infections. Determining the beliefs and practices related to hand hygiene is very important to increase compliance. In this study, it is aimed to determine the beliefs and practices of healthcare professionals towards hand hygiene, to determine the factors affecting them and the current hand hygiene compliance rates. Methods: This descriptive and cross-sectional study was conducted with 437 people working in İnegöl State hospital between January 10 and December 31, 2022. Data were collected with Personal Information Form, Hand Hygiene Observation Form, Hand Hygiene Belief Scale and Hand Hygiene Practices Inventory form. The data of the variables were shown with frequency and percentage. Pearson correlation analysis was used to evaluate the relationship between hand hygiene practice inventory and belief score averages. Results: The hand hygiene practice inventory and hand hygiene belief scores of the healthcare professionals participating in the study were 63.45±6.35 and 85.32±8.25, respectively. It was determined that there was a weak positive and significant correlation between the two scales (r=0.307, p<0.001). Considering the compliance rates by indication, it was 89.6% before the patient, 82% before the aseptic procedures, and 98.7% after the patient. Hand hygiene compliance was determined as 92.3% in the nurse group, 83.9% in the doctor group, 97.6% in the surgical units, and hospital-wide compliance was determined as 90.3%. Conclusion: The answers given by the people to the inventory and the observation results were found to be directly proportional. It was determined that the belief in hand hygiene affects the practice of hand hygiene and the informed observation increases the general hand hygiene compliance. Of the five indications; It was thought that hand hygiene compliance was higher after the patient and this was due to the desire of people to protect themselves.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"11 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364369","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Recurrent bloody diarrhea in an adult male COVID-19 patient – A Case report","authors":"Egemen Tural, Işık Gönenç","doi":"10.15511/tjtfp.23.00282","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00282","url":null,"abstract":"Ulcerative colitis is an inflammatory bowel disease presenting with symptoms such as abdominal pain, bloody diarrhea and weight loss. Following courses like COVID-19 infection, respiratory diseases, surgical operations, etc., the duration and severity of symptoms may increase. Although the exact relationship between exacerbation of ulcerative colitis and COVID-19 is not fully understood, and there is scarce literature demonstrating that factors such as local immune deregulation, psychological stress, and the initiation of autoimmunity may play a role. In this case report, we aimed to present a patient with ulcerative colitis complaining of recurrent bloody diarrhea, tenesmus, and abdominal pain after COVID-19 infection.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364394","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Epilepsy and Family Medicine","authors":"Özla Çelik, Çiğdem Apaydın Kaya","doi":"10.15511/tjtfp.23.00264","DOIUrl":"https://doi.org/10.15511/tjtfp.23.00264","url":null,"abstract":"Family physicians are specialist physicians trained in line with the principles of the discipline. Essentially, they are personal physicians responsible for providing comprehensive and ongoing service to every individual seeking medical care, regardless of age, gender, or condition. Being able to manage the first contact with patients by dealing with unselected problems, deal with all health conditions, provide coordinated service with other staff and other specialists in primary care, provide effective and appropriate healthcare delivery and use of healthcare services, make appropriate services within the healthcare system accessible to the patient, advocate for the patient includes the ability to be Family physicians are also the first point of contact for patients with epilepsy. In addition, being in contact with the people registered to them when they are healthy or their illness is stable, being easily accessible, having the chance to see the patients in their own environment/home are advantages that family physicians can use in the care of patients with epilepsy. Therefore, family physicians should be able to recognize and manage a patient with epilepsy and deal with all health problems.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"48 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139364393","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approach to underwater accidents and diseases – Part 1","authors":"Tolga Taymaz","doi":"10.15511/TJTFP.21.00342","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00342","url":null,"abstract":"Türkiye bir yarımadadır, deniz kıyıları ve iç suların çevreleri çok büyük bir alan oluşturur. Hem kendi halkımız hem de turistler, bu potansiyelden, her yıl gittikçe artan oranda faydalanmaktadır. Buna paralel olarak su altı sporlarına artan ilgi de, sağlık çalışanlarının bu konuda yaşanacak sağlık sorunlarına daha yakın olmasını gerektirmektedir. Bu yazıda su altı kazaları oluş evrelerine göre anlatılmıştır. Konu oldukça kapsamlı olduğundan, önce su altındaki fizik kuralları aktarıldıktan sonra yüzeyde veya dalışın herhangi bir anında yaşanan sağlık problemleri anlatılacak, derginin izleyen sayısında ise su altına inerken, dipteyken veya yüzeye çıkarken oluşabilecek sorunlar ile dalışın uzun dönemdeki komplikasyonları tartışılacaktır.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"1 1","pages":"142-152"},"PeriodicalIF":0.0,"publicationDate":"2021-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82839653","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Kaposi’s sarcoma in a HIV-negative patient: A case report","authors":"Işık Gönenç, Ş. Yaşar, Zeynep Vural Tuzcular","doi":"10.15511/TJTFP.21.00353","DOIUrl":"https://doi.org/10.15511/TJTFP.21.00353","url":null,"abstract":"Kaposi sarkomu (KS) klasik tip, endemik tip, iyatrojenik tip ve epidemik tip KS olmak üzere dört farklı klinik grupta sınıflandırılmaktadır. Kimi zaman lenfatik ve hematojen yayılım ile sistemik yayılım gösterebilen, KS herpes virüsü (KSHV) olarak da adlandırılan Human Herpes Virüs 8 (HHV8)’in sebep olduğu, genellikle deriyi tutan malign vasküler kaynaklı bir tümördür. KS hiçbir belirti ve bulgu vermeyebilir. Mor, kırmızı renkli lezyonlar özellikle yaşlılarda gözden kaçabilir veya hemanjiom gibi selim lezyonlarla karışabilir. Aile hekimleri özellikle immünsuprese hastalarda alt ekstremiteye yerleşmiş mor renkte lezyonlarda KS’yi akla getirmelidir. Bu olgu sunumunda özellikle yaşlı hastalarda inspeksiyonun muayenenin önemli bir parçası olduğunu hatırlatmayı ve 81 yaşındaki hastada tesadüfen fark edilen KS olgusuna dikkat çekmeyi amaçladık.","PeriodicalId":22867,"journal":{"name":"The Journal of Turkish Family Physician","volume":"2 1","pages":"153-159"},"PeriodicalIF":0.0,"publicationDate":"2021-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88843110","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}