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Original Research

TJFMPC. 2019; 13(1): 42-51


Assessment of Anemia Situation in the Elderly Who Attend Health Care at Home / Evde Sağlık Hizmetine Başvuran Yaşlılarda Anemi Durumu Değerlendirilmesi.

ARZU AYRALER.

Abstract
Aim: This study aims to investigate the frequency and morphologic distribution of anemia and the relationship of anemia with sociodemographic variables, the state of chronic disease, and drug use in the patients at the age of 65 and older who have been reeiving home care service
Method: This cross-sectional was carried out between August 2011 and September
2012 and the study population involved 194 patients aged 65 years or older without terminal disease. Socio-demographic data form, which was standardized for home care services by Ministry of Health was employed and laboratory data were investigated by patient files. The presence of Anemia was evaluated in accordancewith the definition of WHO.
Results: Total 194 persons, 121 women and 73 men with ages ranging from 65 to 104were included in the study. The mean age is 75,05±16,06 years. 58.2% (113) of thecases involved in the study were diagnosed with anemia. Of the anemic cases 18.6%(n=21) were hypochromic, 78.8% (n=89) were normochromic, and 2.7% (n=3)macrocytic anemia. Sedimentation rate and CRP level of the patients with anemia weresignificantly higher than those of without anemia (p>0.05). The rate of being bedriddenand of using bed with air-bearing pad of the anemic cases were also statistically significantly higher than that of without anemia (p0.05).
Conclusion: Anemia is quite common in the elderly benefitting from home health careservices and the vast majority has the anemia of chronic disease, inflammationinducedanemia or unexplained anemia. Iron deficiency is the most important and the most frequent one among nutrituonal anemias. The evaluation of elderly patient sreceiving home care services in terms of anemia is important to give appropriate treatment that will positively affect their quality of life and it will also hinder the complications associated with anemia

Key words: elderly, home health care, anemia, chronic disease anemia



Article Language: Turkish English



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