Objective:To evaluate the relationship between anthropometric measurements and Nursing Home-Acquired Pneumonia (NHAP) risk.Methods:Consecutive patients of 65 years or elderly who were living in the Balikli Rum Hospital Nursing Homes were included in this prospective study. At the beginning of this study, the patients’ anthropometrics values were measured. The patients were followed for one year, and any incidences of pneumonia attacks were recorded. The relationship between the anthropometric measurements and pneumonia occurrences was analyzed.Results:There were 133 inmates at the initial assessments. Of 108 patients who were eligible for the study, 77 (72.2%) were female and 37 (27.8%) were male. The mean age of the group was 79.8±10.5. Patients were assigned to a group according to the presence of pneumonia during the one -year follow-up. There were 74 (55.6%) patients who had suffered from at least one attack of pneumonia during the follow-up period. The mean triceps skinfold was significantly thinner in the pneumonia group, and the mean handgrip measurements in both the dominant and non-dominant hands were significantly weaker in the pneumonia group. Furthermore, the frequency of Chronic Obstructive Pulmonary Diseases (COPD) was significantly higher in this group (p < 0.001).Conclusions:The risk of pneumonia was high in the elderly population who live in nursing homes. Simple anthropometric values may be predictive of the potential for Nursing Home-Acquired Pneumonia.
ÖzGeleceğin sağlık profesyonelleri olacak hekim, diş hekimi, eczacı, hemşire ve ebe adaylarının ve ilgili fakültelerdeki öğretim elemanlarının sigara içme alışkanlıkları ve nikotin bağımlılıklarının ölçülmesi, sigaranın öğrencilere ve öğretim elemanlarına durağan maliyetinin hesaplanması amaçlanmıştır. Çalışma kapsamına Marmara Üniversitesi Tıp, Diş Hekimliği, Eczacılık Fakülteleri ve Sağlık Bilimleri Fakültesi Hemşirelik-Ebelik Bölümü'ndeki öğrenciler ile öğretim elamanları dâhil edilmiştir. Veri toplama aracı olarak Fagerstrom nikotin bağımlılık testi (FNBT), sosyo-demografik ve maliyet ölçmeye yarayan sorular uygulanmıştır. Öğrencilerin %22'sinde ve öğretim elemanlarının %36,8'inde sigara alışkanlığı saptanmıştır. İki prevalans arasında anlamlı fark vardır (t=11,08; p<0,05). Öğrencilerin FNBT puanı ortalaması 4,1±1,9 iken öğretim üyelerinin FNBT puanı ortalaması 6,6±2,3 dur. Her iki ortalama arasında istatistiksel olarak anlamlı fark vardır (t=8,37; p<0,05). Yapılan hesaplamalara göre öğrenci yıllık gelirinin 1/4'ünü, öğretim elemanı ise 1/5'ini sigaraya ayırmaktadır. Bu çalışmada sadece durağan maliyet hesaplanmıştır; dolaylı maliyet hesaplanmamıştır. Sağlık alanında eğitim veren ve öğrencilere örnek olan öğretim elemanlarının sigara bırakmayı teşvik edici çalışmalara destek verebilmeleri için öncelikle kendilerinin sigarayı bırakmaları gereklidir. Anahtar Sözcükler: Sigara, Maliyet, Fagerstrom nikotin bağımlılık testi ABSTRACTIt was aimed in this study to quantify smoking habits and nicotine dependency of future health care professionals such as doctors, dentists, pharmacists, nurses, and midwives, as well as academic members of associated faculties and to calculate the economic steady cost of smoking. Students in the faculties of Medicine, Dentistry, and Pharmacy, and Faculty of Health Sciences Department of Nursing and Midwifery and faculty members in Marmara University were included in the study. As a means of data collection, Fagerstrom test for nicotine dependence (FTND), and questionnaire including questions about socio-demographic data and cost of smoking were performed. Prevalence of smoking was found 36,89% for faculty members and 22,02% for students; there was significant difference between these two groups (t=11,08; p<0,05). The mean FTND score of the students and faculty members was 4,1±1,9, and 6,6±2,3, respectively. There was also statistically significant difference between the mean FTND scores of two groups (t=8,37; p<0,05). According to calculations, students and faculty members spends 1/4 and 1/5 -of their income to smoking, respectively. Only steady costs were calculated in this study; indirect costs of smoking were not included. Teaching staff of health care education like a medicine, pharmacy, dentistry, nursing and midwifery in university need to quit smoking themselves in order to encourage smoking cessation. This study is unique for investigation smoking status students and trainers at the university level. This is also only survey that measures the cost of nicotine dependency and sm...
Objectives:To determine the relation among the risk of falls, geriatric assessment, and anthropometric measurements, including the mini mental state examination, geriatric depression scale, handgrip test, and key pinch test.Methods:This prospective study included 89 residents hospitalized between May 2014 and September 2015 in the geriatric care unit of the Istanbul Balikli Rum Hospital, Istanbul, Turkey. Patients were followed-up for one year, and their falls were recorded. Medical records of the included patients were retrieved and analyzed.Results:A total of 89 patients, comprising 37 men and 52 women with an average age of 75.8 ± 8.2 years were included in the study. The residents’ annual falling averages were 1.0 ± 1.5. The most significant factors were identified to be predicted muscle mass, skeletal muscle index, whole body bioimpedance, dominant arm muscle strength, dominant arm bioimpedance, and free fat mass.Conclusions:The mini mental test, geriatric depression scale and lawton-brody scale combined with the handgrip, 6-meters walking, and bioimpedance tests are favorable for detecting the risk of falls and recurrent falls in vulnerable elderly nursing home residents.
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