Evaluation of home care services at a training and research hospital in Izmir
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Objectives: To define the demographic characteristics, health and dependence status of patients receiving home care services (HCSs) and the services needed and received by the patients. Patients and Methods: It is a descriptive study including 120 patients that had HCSs from a training and research hospital home care unit, where the files of the patients were evaluated retrospectively between January and August 2010. Results: Most of the patients in need of HCSs were female (61.8%), their mean age was 72.6±16.4 (range: 16-105) and 75.5% were 65 years and above, while 79.2% were bedridden. The personal hygiene and nutritional status were deemed inappropriate in 21.7% and 31.7%, respectively. The most common diseases were hypertension (19.3%), cerebrovascular accidents (13.5%), and Alzheimer’s disease (9.5%). Family members mentioned their training needs’ topics as nutrition (30.3%), sanitation-hygiene (21.2%), and general care (18.2%). Conclusion: The study has shown different aspects of HCSs including medical, nursing, and social welfare problems for all parties, especially family physicians. People applied for HCSs were mostly women, elders with impaired functional status and bedridden. Their caregivers were mostly family members who needed social support not only in economic means but also in training so that they can provide better care for their relatives.