Yazar "Dinçer, Metin" seçeneğine göre listele

Listeleniyor 1 - 2 / 2
  • Küçük Resim
    Öğe
    An analysis of the bacteria produced in pressure ulcers and the costs of antibiotherapy for patients in a long-term intensive care unit
    (2017) Dinçer, Metin; Kahveci, Kadriye; Sen Tas, Sebahat; Karakaya, Derya
    Abstract:Aim: The aim of this study was to examine the bacteria produced patients with pressure ulcers (PU) in Long-term intensive care unit (LTICU) and to evaluate the costs of antibiotherapy. Material and Methods: We conducted a retrospective review of patients with PU in LTICU. A record included age, conditions, comorbidities, length of stay (LOS) in LTICU and prognosis. Number and location of PU, the bacteria produced in the tissue taken from the PU were also recorded. The costs of the antibiotics used for each type of bacteria were calculated and the total treatment costs for the stay in ICU were determined. A multi-variable logistic regression model was created for the variables predicted to have an effect on bacteria production in PU. Results: A total of 142 patients were included in the study. The median LOS in LTICU was calculated as 80.1±64.8 days. The probability of E. coli production in those with a heel PU was 2.335-fold (p=0.023) and MRSA production in those with percutaneous endoscopic gastrostomy(PEG) was found to be 4.511-fold greater than in those without PEG (p=0.035). The total cost per patient was median 71817.5 Turkish liras(TL) and the antibiotic costs were observed to comprise 10.05% of the total treatment costs. Conclusions: PU reduces quality of life of patients in LTICU, increases infection rates, antibiotherapy costs and mortality rates. The type of bacteria has an effect on antibiotherapy costs. Identification of the factors that effects costs is important and if managed this may reduce the treatment costs of patients with PU.
  • Küçük Resim Yok
    Öğe
    Living with the patient who has persistence vegetative state: a qualitative study
    (2018) Torun, Nazan; Dinçer, Metin
    Abstract:Aim: The purpose of this research is to discover the experiences of the families with Persistence Vegetative State (PVS) patients have during homecare after being discharged from Palliative Care Center. In this study, it has been tried to bring out the difficulties occurring during homecare and the reasons for these difficulties. Material and Methods: The study is envisioned to be qualitative in regards with phenomenological approach, face to face and semistructured interviews. The study carried out with the 17 family members of patients with PVS voluntarily at their houses. Interviews were analyzed according to qualitative content analysis. Results: The age average of the family members in this study were 48.2±14.3 year, 12(70.6%) of them were woman. 7(41,2%) of the care providers were the spouse of the patient. The families gave homecare at a median value of 466(IQR =326) days. The study results brought out 4 main themes. The main themes were; Severe Burden, Concern/Fear, Limitations/Incompetencies, Hope/ Acceptance/Rejection. Conclusions: The study results indicate that it is very tough for families to have patients with PVS and they have to go through some strains as a result of the circumstances. With this study, it’s set forth that in order to reintegrate these families into the society, support the ones with financial, physical and psychosocial problems, there has to be a social, health related and economic interference and policies have to be developed.