Çelik Şimşek, Çelik Pelin
Department of Emergency, Faculty of Medicine, Sivas Cumhuriyet University, Sivas, Turkey.
Department of Health Programs, Vocational School of Health Services, Sivas Cumhuriyet University, Sivas, Turkey.
Eur Geriatr Med. 2024 Oct;15(5):1267-1275. doi: 10.1007/s41999-024-01022-w. Epub 2024 Jul 20.
This study aims to determine the availability of geriatrics-friendly protocols, pieces of equipment, and physical environments alongside potential opportunities of improvement in the emergency departments of our country.
This prospective, cross-sectional study was conducted between the 1 and 29 of February, in the year 2024, within the AI, AII, B group- and university hospitals in Turkey. A questionnaire form consisting of three subdivisions in which general pieces of information, information regarding appropriate personnel/management for geriatrics-friendly emergency departments, equipment/materials, and the presence of physical environments was presented online to the participants and the responses that were provided online were evaluated.
The study was conducted with a total of 175 participants from hospital emergency departments. The number of hospitals with monthly older patient application amounts of 500 and above was 133 (76.0%). It was observed that personnel/management knowledge was, relative to guideline suggestions, at low levels. When the appropriateness of personnel/management knowledge and total equipment/materials were compared to hospital roles, it was determined that university hospitals adhered closest to the guideline and that inter-group differences were significant (p < 0.001).
It was determined that the compliance of emergency departments in Turkey with the criteria specified in the geriatric emergency department guidelines is at very low levels.
本研究旨在确定我国急诊科中适合老年人的诊疗方案、设备及物理环境的可用性,以及潜在的改进机会。
本前瞻性横断面研究于2024年2月1日至29日在土耳其的人工智能、AII、B组和大学医院进行。一份问卷由三个部分组成,其中包括一般信息、关于适合老年人的急诊科的适当人员/管理、设备/材料以及物理环境情况等信息,并在线向参与者发放,对在线提供的回答进行评估。
该研究共纳入了来自医院急诊科的175名参与者。每月老年患者就诊量达500人次及以上的医院有133家(76.0%)。研究发现,与指南建议相比,人员/管理知识水平较低。将人员/管理知识和全部设备/材料的适宜性与医院类型进行比较后发现,大学医院最符合指南要求,且组间差异具有统计学意义(p < 0.001)。
研究确定,土耳其急诊科对老年急诊科指南中规定标准的依从性非常低。