Evde sağlık hastalarında D vitamini düzeyleri
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Dosyalar
Tarih
2018
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmada mobilize olamayan, güneş ışığından faydalanamayan ve malnütrisyonun sık görüldüğü evde sağlık hastalarında, serum albümin ve 25-hidroksi D (25[OH]D) vitamini düzeylerini incelenmeyi amaçladık. Gereç ve Yöntem: Bu çalışmaya Ocak 2017 ve Temmuz 2017 tarihleri arasında Bolu ilinde evde sağlık hizmetleri tarafından takipli, evden dışarıya çıkamayan ve tümü aile bireyleri tarafından bakılan yatağa bağımlı 57 evde bakım hastası dahil edildi. Kontrol grubu HBYS’de kayıtlı 42 sağlıklı bireyden oluşturuldu. Kişilerin demografik verileri ve kan değerleri takip dosyalarından retrospektif olarak elde edildi. Tüm hastalarda ve kontrol grubunda serum 25(OH) D, kalsiyum ve albümin düzeyleri incelendi. Bulgular: Evde sağlık hastalarının yaş ortalaması 77.7 ± 14.01 yıl, kontrol grubunun yaş ortalaması 74.2 ± 17.03 yıl idi. Serum 25(OH) D düzeyleri hasta grubunda 11.77 ± 9.07 ng/dL, kontrol grubunda 22.62 ± 7.41 ng/dL idi (p<0.001). Serum kalsiyum ve albümin düzeyleri hasta grubunda kontrol grubuna göre istatistiksel olarak anlamlı derecede daha düşüktü (p<0.001). Sonuç: Evde sağlık hizmeti kapsamında takip edilen hastalar malnütrisyon ve D vitamini eksikliği açısından risk altında olup hastaların bu açıdan takibi ve tedavisi önem teşkil etmektedir. Bu konudaki bulgularımızı doğrulamak için ileri çalışmalara ihtiyaç vardır.
Objective: In this study, we aimed to investigate serum levels of albumin and 25-hydroxyvitamin D (25[OH]D) in home healthcare patients who were immobilized, had lack of sun exposure, and were frequently malnourished. Material and Methods: Fifty-seven bedridden patients who were being cared by family members, and followed by home health care services in Bolu between January 2017 and July 2017 were included in this study. Control group was composed of 42 healthy individuals registered in HBYS (Hospital İnformation Manegement System). Demographic characteristics and blood values of individuals were obtained retrospectively from medical records. Serum 25(OH) D, calcium and albumin levels were examined in all patients and control group. Results: The mean age was 77.7 ± 14.01 years in home healthcare patients and 74.2 ± 17.03 years in the control group. Serum 25(OH) D levels were determined as 11.77 ± 9.07 ng/dL in home healthcare patients and 22.62±7.41 ng/dL in the control group (p<0.001). Serum calcium and albumin levels were statistically significantly lower in the patient group than in the control group. Conclusion: Patients who are being followed by home health care services are at risk for developing Vitamin D deficiency and malnutrition. Therefore it is important to follow up and treat such patients. Larger sample size and better designed prospective studies are needed to confirm our findings for this healtcare problem.
Objective: In this study, we aimed to investigate serum levels of albumin and 25-hydroxyvitamin D (25[OH]D) in home healthcare patients who were immobilized, had lack of sun exposure, and were frequently malnourished. Material and Methods: Fifty-seven bedridden patients who were being cared by family members, and followed by home health care services in Bolu between January 2017 and July 2017 were included in this study. Control group was composed of 42 healthy individuals registered in HBYS (Hospital İnformation Manegement System). Demographic characteristics and blood values of individuals were obtained retrospectively from medical records. Serum 25(OH) D, calcium and albumin levels were examined in all patients and control group. Results: The mean age was 77.7 ± 14.01 years in home healthcare patients and 74.2 ± 17.03 years in the control group. Serum 25(OH) D levels were determined as 11.77 ± 9.07 ng/dL in home healthcare patients and 22.62±7.41 ng/dL in the control group (p<0.001). Serum calcium and albumin levels were statistically significantly lower in the patient group than in the control group. Conclusion: Patients who are being followed by home health care services are at risk for developing Vitamin D deficiency and malnutrition. Therefore it is important to follow up and treat such patients. Larger sample size and better designed prospective studies are needed to confirm our findings for this healtcare problem.
Açıklama
Anahtar Kelimeler
Evde Sağlık Hizmeti, Vitamin D, Albümin, Beslenme, Home Healthcare, Nutrition
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
20
Sayı
2
