TY  - JOUR
TI  - Prevalence of Care Problems in Older Adults in Turkish Hospitals
AB  - Objective: Malnutrition, pressure ulcers, falls, pain, and restraints are important quality of care indicators in healthcare settings. The Landelijke Prevalentiemeting Zorgkwaliteit-National Care Indicators Prevalence Study is an annual international multicenter cross-sectional prevalence measurement of care problems in the institution, department, and patient-level across Europe. This study aimed to measure the prevalence of care problems among older adults in Turkish hospitals. Materials and Methods: A multicenter, cross-sectional study was performed using a standardized and tested questionnaire. Data were collected from older adult patients (65 years and over) in the hospitals. The study was conducted in 12 centers from 6 big cities of the country in November 2017 and 2018. Results: Data from 12 Turkish hospitals were collected in 2017 and 2018. In 2017, pressure ulcer prevalence was 6.4%, malnutrition risk was 30.2%, falls was 9.1%, pain was 53%, and restraint was 22.1%. The prevalence of malnutrition risk, falls, and restraints increased to 32.1%, 10.8%, and 31.1% in 2018, respectively. Completely care-dependent patients’ rate in 2017 and 2018 was 17.4% and 12.8%, respectively. Protocol/ guideline usage for pressure ulcers, malnutrition, and falls were 100%, which were 68.6% and 16.9% for pain and restraints, respectively. The main interventions for pressure ulcer prevention or treatment are pressure-relieving support surfaces and hydration or nutrition; for malnutrition are referral to a dietician and oral nutritional supplements; and for falls are patients or relative education, drug lists evaluation, bedside mattress utilization, and pharmacological pain treatments. Conclusion: Annual measurement of risk or prevalence, preventive measures, and treatment interventions of geriatric syndromes will provide better care plans for older adults.
AU  - BALCI, Cafer
AU  - YAVUZER, Hakan
AU  - TAŞÇI, İlker
AU  - Saka, Bulent
AU  - SEZGİN, Gülbüz
AU  - Öztürk, Zeynel Abidin
AU  - eşme, mert
AU  - Savas, Sumru
AU  - TAŞAR, Pınar Tosun
AU  - Akın, Sibel
AU  - SAYLIK, Fatma Zeynep
AU  - ERDINCLER, DENIZ SUNA
AU  - KARAN, Mehmet Akif
AU  - VARLI, Murat
AU  - ÇİNÇİN, Aslı TUFAN
AU  - nalbant, selim
DO  - 10.4274/ejgg.galenos.2021.460
PY  - 2021
JO  - European journal of geriatrics and gerontology (Online)
VL  - 3
IS  - 3
SN  - 2687-2625
SP  - 149
EP  - 155
DB  - TRDizin
UR  - http://search/yayin/detay/482978
ER  -