Disability Distribution of Geriatric Patients Applying to the Board of Health for Disabled in a Rural Region
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Original Investigation
P: 92-99
December 2018

Disability Distribution of Geriatric Patients Applying to the Board of Health for Disabled in a Rural Region

Turk J Osteoporos 2018;24(3):92-99
1. Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, Kırşehir, Türkiye
2. Ahi Evran Üniversitesi Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Kliniği, Kırşehir, Türkiye
3. Kırşehir Ahi Evran Üniversitesi Tıp Fakültesi, Nöroloji Anabilim Dalı, Kırşehir, Türkiye
4. Kırşehir Ahi Evran Üniversitesi, Fizik Tedavi ve Rehabilitasyon Yüksekokulu, Kırşehir, Türkiye
No information available.
No information available
Received Date: 08.09.2018
Accepted Date: 28.09.2018
Publish Date: 21.02.2019
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ABSTRACT

Objective:

To determine the demographic characteristics, disability ratios, and disability distribution of geriatric patients who applied to an educational research hospital in the rural region to receive a health board report in order to benefit from the disability rights.

Materials and Methods:

The hospital archive was searched and the records between 01/01/2016 and 31/12/2016 were examined. The demographic characteristics of the patients, whether they were “severely disabled” or not, the number of patients with disabilities according to organ systems were determined and the disability ratios were calculated based on the “Regulation on Disability Criterion, Classification and Health Board Reports for Disability”. A list of diseases constituting the rate of disability was established and its numbers were determined.

Results:

Among the 699 geriatric patients who referred to the health board, 426 (60.9%) were female and 273 (39.1%) were male. The mean age of the patients was 77.62±7.74 years (minimum: 65, maximum: 104) (female: 78.07±7.54, male: 76.93±8.02), the mean disability ratio was 79.96±17.79% (10-100). The average disability ratio of females was 79.66±17.61% and the average disability ratio of males were 80.41±18.24%. There was no statistically significant difference between the male and female groups in terms of the mean disability ratio (p=0.239). Of the 202 (28.9%) patients who were considered to be severely disabled, 123 were female (60.9%) and 79 were male (39.1%). There was no statistically significant difference between male and female groups in severely disabled ratios (p=0.457). The first three organ systems constituting disability ratio in patients were the cardiovascular system, the musculoskeletal system, and the visual system. The number of patients with disabilities in the cardiovascular and musculoskeletal system was higher in women, but there was no statistically significant difference between the disability percentages of these systems.

Conclusion:

The highest rate of disability has been seen in the cardiovascular, musculoskeletal, and visual system in geriatric patients. In the practice of routine geriatric outpatient clinics, the pathologies of these organ systems should be evaluated in more detail and managed before creating disability.

References

1
Kankaya H, Karadakovan A. The Effects of Daily Life Activity Levels on the Quality of Life and Life Satisfaction of Elderly. Gümüşhane University Journal Of Health Sciences 2017;6:21-9.
2
Arslan Ş, Gökçe Kutsal Y. A multicenter epidemiological study to evaluate the prevalance of disability in the elderly. Turkish Journal of Geriatrics 1999;2:103-14.
3
Özbek Yazıcı S, Kalaycı I. Evaluation of activities of daily living in elderly patients. Suleyman Demirel University Journal of Engineering Sciences and Design 2015;3:385-90.
4
Türkiye İstatistik Kurumu Nüfus İstatistikleri http://www.tuik.gov.tr/UstMenu.do?metod=temelist (Erişim tarihi: 21/06/2018)
5
Arpacı F. A study into the status of being able to do their daily living activities in terms of the life quality of the elderly people. Yaşlı Sorunlarını Araşırma Dergisi 2015;8:46-53.
6
Bulucu GD, Ünsal A. Care needs of the elderly people who lived at home in a neighborhood with low socio-economic level. Gümüşhane University Journal of Health Sciences 2014;3:577-87.
7
Bakar Ç, Özkan S, Maral I, Kaymak Karataş G, Sepici V. Diagnosis of elderly patients attending to the physical medicine and rehabilitation outpatient clinic of a university hospital. Turkish Journal of Geriatrics 2002;5:59-63.
8
Akyüz G. Quality of life in geriatric patients. Turkish Journal of Physical Medicine and Rehabilitation 2006;52:A57-A9.
9
Inan S, Peker G, Tekiner S, Ak F, Dagli Z. A Glance at Disability, the Situation of Disabled People and Provision of Health Care in Turkey. TAF Preventive Medicine Bulletin 2013;12:723-8.
10
Ulaş SC, Uçku R. Disability and the services for the disabled in Turkey. TAF Preventive Medicine Bulletin 2012;11:483-8.
11
Uysal C, Bulut M, Kaya C, Güneş M, Bez Y, Zeren C, et al. Analysis of cases referred to the disability board of Dicle University Hospitals. Journal of Forensic Medicine 2013;27:1-9.
12
Özürlülük Ölçütü, Sınıflandırması ve Özürlülere Verilecek Sağlık Kurulu Raporları Hakkında Yönetmelik. Aile ve Sosy al Politikalar Bakanlığı. http://www.mevzuat.gov.tr/Metin.Aspx ?Mevz uatKod=7.5. 17250&Mevzu a tIliski=0&sourc eXmlSearch=%C3%B6 z%C3%BCrl%C3%BCle (Erişim tarihi: 21/06/2018)
13
Baltacı H, Kayhan Tetik B, Selçuk EB, Baltacı M. Analysis of cases referred to the Disability Board of Inonu University Turgut Ozal Medical Center in 2015. Türk Aile Hekimliği Dergisi 2017;21:91-100.
14
Benli AR, Demir Yazıcı Ş, Yazıcı O, Çörtük M, İnci H, Çetin Benli N. Evaluation of causes application on medical board. Konuralp Tıp Dergisi 2016;8:167-72.
15
Evlice A, Demir T, Aslan K, Bozdemir H, Demirkiran M, Ünal İ, et al. Disability at Neurological Diseases. Cukurova Medical Journal 2014;39:566-71.
16
Terzi R, Altın F. Examination of the patient’s locomotor system disability evaluated in the board of health for disabled. Turkish Journal of Osteoporosis 2014;20:60-4.
17
Yıldız M, Özsoy F, Batmaz S, Songur E, Karakülah K. Investigation of medical board reports of disability due to mental health problems. Cukurova Medical Journal 2016;41.
18
Sayın İ, Erdur Ö, Topçu İ, Kayhan FT. Ear-nose-throat pathologies and incidence in subjects who apply to health council for detection of disability and other causes: an observational study. KBB Forum Dergisi 2011;10:87-91.
19
Şahin K, Karaaslan Y, Bodur H. Approach to the patients with rheumatologic diagnosis admitted to health assessment committee. RAED Dergisi 2014;6:19-22.
20
Kır MZ, Yavuz MS, Uluçay T, Zeyfeoğlu Y, Kahraman İ, Tatar G. Evaluation of Traffic Accident Cases at the Medical Council of Disability. Celal Bayar Üniversitesi Sağlık Bilimleri Enstitüsü Dergisi 2015;2:106-9.
21
Gümüş YY, Yürümez E. Assessment of the applications to Kocaeli Derince Research and Education Hospital in 2012 and 2013 to obtain disabled children’s health board report. Journal of Experimental and Clinical Medicine 2014;31:231-5.
22
Ekencİ MT. Analyze of “Turkey Health Survey 2012” in terms of measurement of disability prevalence. Sosyal Politika Çalışmaları Dergisi 2015;35:95-112.
23
Türkiye Özürlüler Araştırması 2002. Vol 2. Ankara: Devlet İstatistik Enstitüsü Matbaası; 2009:176.
24
Kavaklı U, Özkara E. Rights given to handicapped people in personal, social and business life, medicolegal evaluation of handicapped cases. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 2012;26:65-74.
25
T.C. Aile ve Sosyal Politikalar Bakanlığı Engelli ve Yaşlı Hizmetleri Genel Müdürlüğü Araştırma GvPDB. T.C. Aile ve Sosyal Politikalar Bakanlığı Engelli ve Yaşlı Hizmetleri Genel Müdürlüğü Araştırma GvPDB, editor. Engelli ve yaşlı bireylere ait istatistiki bilgiler. 2017.