THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY
Yıl: 2020 Cilt: 20 Sayı: 1 Sayfa Aralığı: 144 - 152 Metin Dili: İngilizce DOI: 10.5505/amj.2020.76768 İndeks Tarihi: 28-11-2020
THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY
Öz: Objectives: Pulmonary function tests are a necessary and applicable method in the practice of family medicine.Our aim in this study was to determine the utilization rates of spirometry or peak-flow meter devices amongfamily physicians who work in Turkey and the factors that influence this usage.Materials and Methods: This descriptive study included physicians working in the family medicine system inTurkey. Surveys were sent to physicians via e-mail. When a sufficient number of responses(n=380) wereobtained in two months (May 2018-July 2018), the study was terminated.Results: Among the responding physicians, 81.50% (n=310) had a peak-flow meter and 1.50% (n=59) had aspirometer, while 11% (n=42) of the physicians had neither of these devices. On the other hand, 66.30%(n=252) of the physicians stated that they did not use the spirometer or peak-flow meter, 6.60% (n=25) usedthe peak-flow meter, and 3.70%(n=14) used the spirometer. When asked about the reasons for not using theexisting devices, the most common reason was that they thought that the tests were not effective in familymedicine and the second most common reason was not knowing how to use them. It was found that, 79.70%(n = 303) of physicians requested a course on spirometry and peak-flow meter.Conclusion: It was determined that the usage rates of peak-flow meter or spirometry devices, which arerequired in family medicine, are very low. In order to provide better service in primary care, more training isneeded, both in medical faculties and after graduation.
Anahtar Kelime: TÜRKİYE’DEKİ AİLE HEKİMLERİNİN SPİROMETRİ VE PEAKFLOW METRE KULLANMA DURUMLARI: TANIMLAYICI BİR ARAŞTIRMA
Öz: Amaç: Solunum fonksiyon testleri, aile hekimliği pratiğinde gerekli ve uygulanabilir bir yöntemdir. Bu çalışmadaki amacımız, Türkiye'de aile hekimleri tarafından spirometre veya peak-flow metre cihazlarının kullanım oranlarını ve kullanımlarında etkili olan faktörleri belirlemektir. Materyal ve Metot: Tanımlayıcı çalışmamıza, Türkiye'deki aile hekimliği sisteminde görev alan hekimler dahil edildi. Hekimlere e-posta yolu ile anketler gönderildi. Geri dönüşlere göre iki aylık bir sürede (Mayıs 2018- Temmuz 2018) yeterli örneklem sayısına (N=380) ulaşıldığında çalışma sonlandırıldı. Bulgular: Hekimlerin %81,50 (n=310)'sinde peak-flow metre, %15,50 (n=59)'sında spirometre vardı. Hekimleri %11 (n=42)'inde ise her iki cihaz da mevcut değildi. Hekimlerin %66,30 (n=252)’u spirometre ya da peak-flow metre kullanmadığını belirtirken %6.60'ı (n=25) peak-flow metre kullandığını, %3.7 (n=14)'si spirometre kullandığını belirtti. Mevcut cihazları kullanmama sebepleri sorulduğunda; en sık sebep aile hekimliği uygulamasında testlerin etkin olmadığını düşünmeleri, ikinci en sık sebep ise nasıl kullanılacağının bilinmemesi idi. Hekimlerin %79,7 (n = 303)'sinin spirometre ve peak-flow metre hakkında bir kursa katılmak istediği tespit edildi. Sonuç: Aile hekimliğinde bulundurulması zorunlu olan peak-flow metre veya spirometre cihazlarının kullanım oranlarının çok düşük olduğu tespit edildi. Birinci basamakta daha iyi bir hizmet verebilmek için hem tıp fakültesinde hem de mezuniyet sonrası bu konu ile ilgili eğitimlere daha çok ihtiyaç vardır.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- 1. Türk Toraks Derneği astım allerji çalışma grubu. Türk Toraks Derneği astım tanı ve tedavi rehberi 2016 güncellemesi-Bölüm 1: Tanım ve genel bakış. Turkish Thoracic Journal 2016;17(1):1-5.
- 2. Parlak A, Arık D, Aydoğan Ü. Birinci basamakta erişkin astım yönetimi. Smyrna Tıp Dergisi 2012;2(1):39-44.
- 3. Türk Toraks Derneği KOAH çalışma grubu. Kronik obstrüktif akciğer hastalığı (KOAH) koruma, tanı ve tedavi raporu 2014-Bölüm 1: Tanımlama ve hastalığa genel bakış. Turkish Thoracic Journal 2014;15(2):1-12.
- 4. Global initiative for chronic obstructive lung disease. Pocket guide to COPD diagnosis, management, and prevention a guide for health care professionals 2018 edition. [İnternet]: https://goldcopd.org/wp-content/uploads/2018/02/WMS-GOLD-2018-Feb-Final-to-print-v2.pdf (Erişim tarihi:06.09.2019).
- 5. Global initiative for asthma. Pocket guide for health professionals updated 2016. [İnternet]:https://ginasthma.org/wp-content/uploads/2016/05/WMS-GINA-2016-main-PocketGuide.pdf (Erişim tarihi 06.09.2019).
- 6. Miller MR, Hankinson J, Brusasco V et al. Standardisation of spirometery. European Respiratory Journal 2005;26(2):319-38.
- 7. Türk Toraks Derneği KOAH çalışma grubu. Kronik obstrüktif akciğer hastalığı (KOAH) koruma, tanı ve tedavi raporu 2014- Bölüm6: KOAH’lı hastanın izlemi. Turkish Thoracic Journal 2014;15(2):72-6.
- 8. Boffin N, Van der Stighelen V, Paulus D, Van Royen P. Use of office spirometers in Flemish general practice: results of a telephone survey. Monaldi Archives for Chest Disease 2006;65(3):128-32.
- 9. Sümbüloğlu K, Sümbüloğlu V. Biyoistatistik. 12. Baskı, Ankara: Hatipoğlu yayın evi; 2012.
- 10. Dowson LJ, Yeung A, Allen MB. General practice spirometer in North Stafford shire. Monaldi Archives for Chest Disease 1999;54:186-8.
- 11. Bolton CE, Ionescu AA, Edwards PH, Faulkner TA, Edwards SM, Shale DJ. Attaining a correct diagnosis of COPD in general practice. Respiratory Medicine 2005;99:493-500.
- 12. O’Dowd L, Fife D, Tenhave T, Panettieri R. Attitudes of physicians toward objective measures of airway function in asthma. The American Journal of Medicine 2003;114:391-6.
- 13. Vanjare N, Chhowala S, Madas S, Kodgule R, Gogtay J, Salvi S. Use of spirometer among chest physicians and primary care physicians in India. NPJ Primary Care Respiratory Medicine 2016;26:16036.
- 14. Adeniyi BO, Erhabor GE. The peak flowmeter and its use in clinical practice. African Journal of Respiratory Medicine 2011;6(2):5-8.
- 15. Sağlık Bakanlığı [İnternet]. https://hsgm.saglik.gov.tr/depo/birimler/kronik-hastaliklar-engellidb/hastaliklar/kronik_havayolu/rehberler/Astim_KOAH_Egitimci_Rehberi.pdf (Erişim tarihi: 19.12.2019).
| APA | Kucukceran H, Agadayi E, vatansev h, Şencan İ (2020). THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. , 144 - 152. 10.5505/amj.2020.76768 |
| Chicago | Kucukceran Hatice,Agadayi Ezgi,vatansev hülya,Şencan İrfan THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. (2020): 144 - 152. 10.5505/amj.2020.76768 |
| MLA | Kucukceran Hatice,Agadayi Ezgi,vatansev hülya,Şencan İrfan THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. , 2020, ss.144 - 152. 10.5505/amj.2020.76768 |
| AMA | Kucukceran H,Agadayi E,vatansev h,Şencan İ THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. . 2020; 144 - 152. 10.5505/amj.2020.76768 |
| Vancouver | Kucukceran H,Agadayi E,vatansev h,Şencan İ THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. . 2020; 144 - 152. 10.5505/amj.2020.76768 |
| IEEE | Kucukceran H,Agadayi E,vatansev h,Şencan İ "THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY." , ss.144 - 152, 2020. 10.5505/amj.2020.76768 |
| ISNAD | Kucukceran, Hatice vd. "THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY". (2020), 144-152. https://doi.org/10.5505/amj.2020.76768 |
| APA | Kucukceran H, Agadayi E, vatansev h, Şencan İ (2020). THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. Ankara Medical Journal, 20(1), 144 - 152. 10.5505/amj.2020.76768 |
| Chicago | Kucukceran Hatice,Agadayi Ezgi,vatansev hülya,Şencan İrfan THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. Ankara Medical Journal 20, no.1 (2020): 144 - 152. 10.5505/amj.2020.76768 |
| MLA | Kucukceran Hatice,Agadayi Ezgi,vatansev hülya,Şencan İrfan THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. Ankara Medical Journal, vol.20, no.1, 2020, ss.144 - 152. 10.5505/amj.2020.76768 |
| AMA | Kucukceran H,Agadayi E,vatansev h,Şencan İ THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. Ankara Medical Journal. 2020; 20(1): 144 - 152. 10.5505/amj.2020.76768 |
| Vancouver | Kucukceran H,Agadayi E,vatansev h,Şencan İ THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY. Ankara Medical Journal. 2020; 20(1): 144 - 152. 10.5505/amj.2020.76768 |
| IEEE | Kucukceran H,Agadayi E,vatansev h,Şencan İ "THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY." Ankara Medical Journal, 20, ss.144 - 152, 2020. 10.5505/amj.2020.76768 |
| ISNAD | Kucukceran, Hatice vd. "THE SPIROMETRY AND THE PEAK-FLOW METER USAGE STATUS OF TURKISH FAMILY PHYSICIANS: A DESCRIPTIVE STUDY". Ankara Medical Journal 20/1 (2020), 144-152. https://doi.org/10.5505/amj.2020.76768 |
