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To evaluate the impact of the environment on human health, it is necessary to take a comprehensive environmental history. It is very important that these methods are learned and applied by all physicians, especially primary care physicians. The aim of this study is to examine the awareness, attitudes and behaviors of family physicians who take primary duties in primary care regarding environmental history. The study is a cross-sectional study and was carried out between December 2018 and December 2019. There are 84 family physicians working in the central district of Aydın. It was aimed to reach the entire study population, and 90.5% (n=76) participated in the study. The structured interview form was applied face-to-face method. The mean environmental story awareness score of the physicians was determined as 14.26±4.41. It was determined that 47.8% of the physicians took environmental history. 7.9% of the physicians stated that they received special training on environmental history. Average awareness of environmental history among those with more than 30 years of practice compared to those with less than 30 years of practice, those who received education about environmental history compared to those who did not receive education about environmental history, and physicians who frequently/always take environmental history compared to those with less environmental history. were found to have higher scores. By providing the physicians with adequate time and conditions for patient examinations and providing training on why taking environmental history is important, this pressure on physicians can be reduced, and as a result, physicians' provision of this service can be facilitated.
To evaluate the impact of the environment on human health, it is necessary to take a comprehensive environmental history. It is very important that these methods are learned and applied by all physicians, especially primary care physicians. The aim of this study is to examine the awareness, attitudes and behaviors of family physicians who take primary duties in primary care regarding environmental history. The study is a cross-sectional study and was carried out between December 2018 and December 2019. There are 84 family physicians working in the central district of Aydın. It was aimed to reach the entire study population, and 90.5% (n=76) participated in the study. The structured interview form was applied face-to-face method. The mean environmental story awareness score of the physicians was determined as 14.26±4.41. It was determined that 47.8% of the physicians took environmental history. 7.9% of the physicians stated that they received special training on environmental history. Average awareness of environmental history among those with more than 30 years of practice compared to those with less than 30 years of practice, those who received education about environmental history compared to those who did not receive education about environmental history, and physicians who frequently/always take environmental history compared to those with less environmental history. were found to have higher scores. By providing the physicians with adequate time and conditions for patient examinations and providing training on why taking environmental history is important, this pressure on physicians can be reduced, and as a result, physicians' provision of this service can be facilitated.
Kedi tırmığı hastalığı (KTH) ya da kedi tırmığı ateşi olarak da bilinen Bartonelloz, gram negatif bakterilerden Bartonella henselae’nin pireler vasıtasıyla kedilere taşınması sonucu rezervuar kedinin bireyi tırmalaması ya da ısırması ile ortaya çıkan hastalıktır. Hastalık en çok 5-14 yaş arası çocuklarda görülmektedir. Baş ağrısı, ateş, kas ağrısı, halsizlik, bulantı, kusma gibi spesifik olmayan belirtilerle birlikte, sıklıkla tek taraflı bölgesel lenfadenopati klinik bulgular arasındadır. İmmün sistemi yetersiz küçük yaş grubundaki çocuklarda uzun süreli ateş, parinaud sendromu, endokardit, miyalji, artralji, granülomatöz konjonktivit, splenomegali, pnömoni, osteomyelit, ensefalit, ensefalopati, nöroretinit ve değişik organ tutulumları gibi ciddi rahatsızlıklara sebep olabilen ve hemşirelik takibi ile bakımını gerektiren bir hastalıktır. Hemşirelerin başlangıçta hastalığın asemptomatik olması ve hafif seyirli ilerlemesi sebebi ile tanının geç konulması sonucu oluşabilecek komplikasyonları önleyebilmek için erken tanıdaki rolleri önemlidir. Bu nedenle anamnez alırken semptomlarla uyumlu tanı konulamamış hastalarda kedi maruziyeti öyküsü sorgulanmalıdır. Aileye ve çocuğa tek sağlık yaklaşımı ile uygun öğretim teknikleri kullanılarak hastalık süreci, bulaşma ve korunma yolları, enfeksiyon belirtileri fark edilir edilmez tıbbi yardım almanın önemi ve böylece komplikasyonların azaltılabileceği anlatılarak belirti ve bulgulara yönelik bakım planlanmalıdır. Tek sağlık kavramıyla insan sağlığının iyileştirilmesi ve korunması için, bakım sürecine çevre sağlığını da dahil ederek iyileştirici çevrenin oluşturulması hemşirenin sorumlulukları arasındadır.
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