Yaşlılarda Evde Bakım
Özet
Yaşlanan nüfus dünya çapında hızla artmakta ve etkili evde bakım hizmetlerine yönelik acil bir ihtiyaç yaratmaktadır. Yaşlılar için evde bakım, bağımsızlıklarını korumak, yaşam kalitelerini artırmak ve sağlık hizmeti maliyetlerini azaltmak için çok önemlidir. Bu makalede, son araştırmalar ve literatür kullanılarak, yaşlılar için evde bakımın önemi, mevcut zorlukları ve yenilikçi çözümleri incelenecektir. Amaç, yaşlıların evde bakımı alanındaki son gelişmelere ve geleceğe yönelik gelişmelere kapsamlı bir genel bakış sağlamaktır.
The ageing population is increasing rapidly worldwide, creating an urgent need for effective home care services. Home care for the elderly is crucial to maintain their independence, improve their quality of life and reduce healthcare costs. Using recent research and literature, this article examines the importance of home care for the elderly, current challenges and innovative solutions. The aim is to provide a comprehensive overview of recent developments and future directions in the field of home care for the elderly.
Referanslar
WHO. World health statistics 2024: monitoring health for the SDGs, sustainable development goals. Erişim: https://www.who.int](https://www.who.int.
Türkiye İstatistik Kurumu (TÜİK). İstatistiklerle Yaşlılar 2022. Erişim: https://data.tuik.gov.tr/
UNFPA. World Population Dashboard, 2024. Erişim: https://www.unfpa.org
Bolton RE, Bokhour BG, Hogan TP, et al. Integrating personalized care planning into primary care: a multiple-case study of early adopting patient-centered medical homes. Journal of General İnternal Medicine. 2020; 35: 428-436.
Yilmaz M, Sametoğlu F, Akmeşe G, et al. Sağlık hizmetinin alternatif bir sunum şekli olarak evde hasta bakımı. İstanbul Tıp Dergisi. 2010; 11(3): 125-32.
Evde Sağlık Hizmetleri Raporu. Türkiye Sağlık Enstitüleri Başkanlığı Türkiye Halk Sağlığı ve Kronik Hastalıklar Enstitüsü Yayın No: 48569, İstanbul 2021.
Aile ve Sosyal Hizmetler Bakanlığı, Sağlık Bakanlığı ve Bağlı Kuruluşları Tarafından Evde Sağlık Hizmetlerinin Sunulmasına Dair Yönetmelik, 2024, https://www.aile.gov.tr/eyhgm/mevzuat/ulusal-mevzuat/yonetmelikler/saglik-bakanligi-ve-bagli-kuruluslari-tarafindan-evde-saglik-hizmetlerinin-sunulmasina-dair-yonetmelik/
Wang J, Simmons SF, Maxwell CA, et al. Home health nurses’ perspectives and care processes related to older persons with frailty and depression: a mixed method pilot study. Journal of community Health Nursing. 2018; 35(3): 118-136. https://doi.org/10.1080/07370016.2018.1475799
Landers S, Madigan E, Leff B, et al. The future of home health care: a strategic framework for optimizing value. Home Health Care Management & Practice. 2016; 28(4): 262-278. https://doi.org/10.1177/10848223166663
Essery R, Geraghty AW, Kirby S, et al. Predictors of adherence to home-based physical therapies: A systematic review. Disability and Rehabilitation. 2017; 39(6): 519-534. https://doi.org/10.3109/09638288.2016.1153160
Curioni, C., Silva, A. C., Damião, J, et al. The cost-effectiveness of homecare services for adults and older adults: A systematic review. International Journal of Environmental Research and Public Health. 2023; 20(4): 3373. https://doi.org/10.3390/ijerph20043373
Coulter A, Entwistle VA, Eccles A, et al. Personalised care planning for adults with chronic or long‐term health conditions. Cochrane Database of Systematic Reviews. 2015; 3.
Shepperd S, Gonçalves-Bradley DC, Straus SE, et al. Hospital at home: Home-based end-of-life care. Annals of Internal Medicine. 2021; 174(4): 466-473. https://doi.org/10.7326/M20-5688
He Y, Wei B, Li Y. The impact of using community home-based elderly care services on older adults' self-reported health: fresh evidence from China. Front Public Health. 2023; 11: 1257463. https://doi.org/10.3389/fpubh.2023.1257463.
Dye C, Willoughby D, Aybar-Damali B, et al. Improving chronic disease self-management by older home health patients through community health coaching. International Journal of Environmental Research and Public Health. 2018; 15(4): 660. https://doi.org/10.3390/ijerph15040660.
Zhang Z, Mao Y, Shui Y, et al. Do community home-based elderly care services improve life satisfaction of Chinese older adults? An empirical analysis based on the 2018 CLHLS Dataset. International Journal of Environmental Research and Public Health. 2022; 19(23): 15462.
Williams S, Kim H. Addressing caregiver burnout through education. Caregiver Support Journal.2021; 15(1): 67-79.
Cox M, O’Connor C, Biggs K, et al. The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: External pilot randomised controlled trial, qualitative case study and exploratory economic evaluation. Health Technol. Assess. 2018; 22: 1–204. https://doi.org/10.3310/hta22110
Hughes SL, Weaver FM, Giobbie-Hurder A, et al. Effectiveness of team-managed home-based primary care: a randomized multicenter trial. JAMA Internal Medicine. 2020; 180 (8): 1023-1031. https://doi.org/10.1001/jamainternmed.2020.2140
Smith M, Jones L. The impact of telehealth on elderly home care. Journal of Geriatric Care.2018; 34(2): 123-134.
Soh YY, Zhang H, Toh JJY, et al. The effectiveness of tele-transitions of care interventions in high-risk older adults: A systematic review and meta-analysis. International Journal of Nursing Studies. 2023; 139, 104428. https://doi.org/10.1016/j.ijnurstu.2022.104428
Butzner M, Cuffee Y. Telehealth interventions and outcomes across rural communities in the United States: Narrative review. Journal of Medical Internet Research. 2021; 23(8): e29575. 10.2196/29575
Nittas V, Zecca C, Kamm CP, et al. Digital health for chronic disease management: An exploratory method to investigating technology adoption potential. Plos One. 2023; 18 (4): e0284477. https://doi.org/10.1371/journal.pone.0284477
Brown T, Green P. Innovations in elderly care: Robotics and AI. Aging & Health. 2019; 21(3): 45-56.
Wang J, Liang Y, Cao S, et al. Application of artificial intelligence in Geriatric Care: Bibliometric analysis. Journal of Medical Internet Research. 2023; 25: e46014. https://doi.org/10.2196/46014
Sawik B, Tobis S. Baum E, et al. Robots for Elderly Care: Review, Multi-Criteria Optimization Model and Qualitative Case Study. Healthcare. 2023; 11(9): 1286. https://doi.org/10.3390/healthcare11091286
Padhan S, Mohapatra A, Ramasamy SK, et al. Artificial intelligence (AI) and robotics in elderly healthcare: enabling independence and quality of life. Cureus. 2023; 15(8). e42905. https://doi.org/10.7759/cureus.42905
Johnson R, Lee K. Community-based models in elderly care. Public Health Review.2020; 29(4), 78-89.
ACL Administration for Community Living. (2021). National Family Caregiver Support Program. Retrieved from https://acl.gov/programs/support-caregivers/national-family-caregiver-support-program.
National Conference of State Legislatures. (2020). Comprehensive Policy Approaches to Support the Aging Population. Retrieved from https://www.ncsl.org/research/health/comprehensive-policy-approaches-to-support-the-aging-population.aspx
National Council on Aging. (2022). Public Policy for Older Adults. Retrieved from https://www.ncoa.org/article/public-policy-for-older-adults
Mason, M., & Gammonley, D. Public policy and the future of social work in long-term home health care. Home Health Care Management & Practice. 2012; 24(3), 125-131. https://doi.org/10.1177/1084822311430528.
Sokolovsky, J. (Ed.). (2020). The cultural context of aging: Worldwide perspectives. Bloomsbury Publishing USA.
Zimmer Z, Jagger C, Chiu CT, et al. Spirituality, religiosity, aging and health in global perspective: A review. SSM-Population Health. 2016; 2: 373-381. https://doi.org/10.1016/j.ssmph.2016.04.009.
Peek STM, Wouters EJ, Luijkx KG, et al. What it takes to successfully implement technology for aging in place: focus groups with stakeholders. Journal of Medical Internet Research. 2016; 18(5): e5253. https://doi.org/10.2196/jmir.5253
Kumar S, Nilsen WJ, Abernethy A, et al. Mobile health technology evaluation: The mHealth evidence workshop. American Journal of Preventive Medicine. 2018; 45(2): 228-236. https://doi.org/10.1016/j.amepre.2013.03.017
Czaja SJ, Boot WR, Charness N, et al. Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. The Gerontologist. 2018; 58(3): 467-477. https://doi.org/10.1093/geront/gnw249
Wada K, Shibata T, Saito T, et al. & Tanie, K. Effects of robot-assisted activity for elderly people and nurses at a day service center. Proceedings of the IEEE. 2004;92(11): 1780-1788.
Referanslar
WHO. World health statistics 2024: monitoring health for the SDGs, sustainable development goals. Erişim: https://www.who.int](https://www.who.int.
Türkiye İstatistik Kurumu (TÜİK). İstatistiklerle Yaşlılar 2022. Erişim: https://data.tuik.gov.tr/
UNFPA. World Population Dashboard, 2024. Erişim: https://www.unfpa.org
Bolton RE, Bokhour BG, Hogan TP, et al. Integrating personalized care planning into primary care: a multiple-case study of early adopting patient-centered medical homes. Journal of General İnternal Medicine. 2020; 35: 428-436.
Yilmaz M, Sametoğlu F, Akmeşe G, et al. Sağlık hizmetinin alternatif bir sunum şekli olarak evde hasta bakımı. İstanbul Tıp Dergisi. 2010; 11(3): 125-32.
Evde Sağlık Hizmetleri Raporu. Türkiye Sağlık Enstitüleri Başkanlığı Türkiye Halk Sağlığı ve Kronik Hastalıklar Enstitüsü Yayın No: 48569, İstanbul 2021.
Aile ve Sosyal Hizmetler Bakanlığı, Sağlık Bakanlığı ve Bağlı Kuruluşları Tarafından Evde Sağlık Hizmetlerinin Sunulmasına Dair Yönetmelik, 2024, https://www.aile.gov.tr/eyhgm/mevzuat/ulusal-mevzuat/yonetmelikler/saglik-bakanligi-ve-bagli-kuruluslari-tarafindan-evde-saglik-hizmetlerinin-sunulmasina-dair-yonetmelik/
Wang J, Simmons SF, Maxwell CA, et al. Home health nurses’ perspectives and care processes related to older persons with frailty and depression: a mixed method pilot study. Journal of community Health Nursing. 2018; 35(3): 118-136. https://doi.org/10.1080/07370016.2018.1475799
Landers S, Madigan E, Leff B, et al. The future of home health care: a strategic framework for optimizing value. Home Health Care Management & Practice. 2016; 28(4): 262-278. https://doi.org/10.1177/10848223166663
Essery R, Geraghty AW, Kirby S, et al. Predictors of adherence to home-based physical therapies: A systematic review. Disability and Rehabilitation. 2017; 39(6): 519-534. https://doi.org/10.3109/09638288.2016.1153160
Curioni, C., Silva, A. C., Damião, J, et al. The cost-effectiveness of homecare services for adults and older adults: A systematic review. International Journal of Environmental Research and Public Health. 2023; 20(4): 3373. https://doi.org/10.3390/ijerph20043373
Coulter A, Entwistle VA, Eccles A, et al. Personalised care planning for adults with chronic or long‐term health conditions. Cochrane Database of Systematic Reviews. 2015; 3.
Shepperd S, Gonçalves-Bradley DC, Straus SE, et al. Hospital at home: Home-based end-of-life care. Annals of Internal Medicine. 2021; 174(4): 466-473. https://doi.org/10.7326/M20-5688
He Y, Wei B, Li Y. The impact of using community home-based elderly care services on older adults' self-reported health: fresh evidence from China. Front Public Health. 2023; 11: 1257463. https://doi.org/10.3389/fpubh.2023.1257463.
Dye C, Willoughby D, Aybar-Damali B, et al. Improving chronic disease self-management by older home health patients through community health coaching. International Journal of Environmental Research and Public Health. 2018; 15(4): 660. https://doi.org/10.3390/ijerph15040660.
Zhang Z, Mao Y, Shui Y, et al. Do community home-based elderly care services improve life satisfaction of Chinese older adults? An empirical analysis based on the 2018 CLHLS Dataset. International Journal of Environmental Research and Public Health. 2022; 19(23): 15462.
Williams S, Kim H. Addressing caregiver burnout through education. Caregiver Support Journal.2021; 15(1): 67-79.
Cox M, O’Connor C, Biggs K, et al. The feasibility of early pulmonary rehabilitation and activity after COPD exacerbations: External pilot randomised controlled trial, qualitative case study and exploratory economic evaluation. Health Technol. Assess. 2018; 22: 1–204. https://doi.org/10.3310/hta22110
Hughes SL, Weaver FM, Giobbie-Hurder A, et al. Effectiveness of team-managed home-based primary care: a randomized multicenter trial. JAMA Internal Medicine. 2020; 180 (8): 1023-1031. https://doi.org/10.1001/jamainternmed.2020.2140
Smith M, Jones L. The impact of telehealth on elderly home care. Journal of Geriatric Care.2018; 34(2): 123-134.
Soh YY, Zhang H, Toh JJY, et al. The effectiveness of tele-transitions of care interventions in high-risk older adults: A systematic review and meta-analysis. International Journal of Nursing Studies. 2023; 139, 104428. https://doi.org/10.1016/j.ijnurstu.2022.104428
Butzner M, Cuffee Y. Telehealth interventions and outcomes across rural communities in the United States: Narrative review. Journal of Medical Internet Research. 2021; 23(8): e29575. 10.2196/29575
Nittas V, Zecca C, Kamm CP, et al. Digital health for chronic disease management: An exploratory method to investigating technology adoption potential. Plos One. 2023; 18 (4): e0284477. https://doi.org/10.1371/journal.pone.0284477
Brown T, Green P. Innovations in elderly care: Robotics and AI. Aging & Health. 2019; 21(3): 45-56.
Wang J, Liang Y, Cao S, et al. Application of artificial intelligence in Geriatric Care: Bibliometric analysis. Journal of Medical Internet Research. 2023; 25: e46014. https://doi.org/10.2196/46014
Sawik B, Tobis S. Baum E, et al. Robots for Elderly Care: Review, Multi-Criteria Optimization Model and Qualitative Case Study. Healthcare. 2023; 11(9): 1286. https://doi.org/10.3390/healthcare11091286
Padhan S, Mohapatra A, Ramasamy SK, et al. Artificial intelligence (AI) and robotics in elderly healthcare: enabling independence and quality of life. Cureus. 2023; 15(8). e42905. https://doi.org/10.7759/cureus.42905
Johnson R, Lee K. Community-based models in elderly care. Public Health Review.2020; 29(4), 78-89.
ACL Administration for Community Living. (2021). National Family Caregiver Support Program. Retrieved from https://acl.gov/programs/support-caregivers/national-family-caregiver-support-program.
National Conference of State Legislatures. (2020). Comprehensive Policy Approaches to Support the Aging Population. Retrieved from https://www.ncsl.org/research/health/comprehensive-policy-approaches-to-support-the-aging-population.aspx
National Council on Aging. (2022). Public Policy for Older Adults. Retrieved from https://www.ncoa.org/article/public-policy-for-older-adults
Mason, M., & Gammonley, D. Public policy and the future of social work in long-term home health care. Home Health Care Management & Practice. 2012; 24(3), 125-131. https://doi.org/10.1177/1084822311430528.
Sokolovsky, J. (Ed.). (2020). The cultural context of aging: Worldwide perspectives. Bloomsbury Publishing USA.
Zimmer Z, Jagger C, Chiu CT, et al. Spirituality, religiosity, aging and health in global perspective: A review. SSM-Population Health. 2016; 2: 373-381. https://doi.org/10.1016/j.ssmph.2016.04.009.
Peek STM, Wouters EJ, Luijkx KG, et al. What it takes to successfully implement technology for aging in place: focus groups with stakeholders. Journal of Medical Internet Research. 2016; 18(5): e5253. https://doi.org/10.2196/jmir.5253
Kumar S, Nilsen WJ, Abernethy A, et al. Mobile health technology evaluation: The mHealth evidence workshop. American Journal of Preventive Medicine. 2018; 45(2): 228-236. https://doi.org/10.1016/j.amepre.2013.03.017
Czaja SJ, Boot WR, Charness N, et al. Improving social support for older adults through technology: Findings from the PRISM randomized controlled trial. The Gerontologist. 2018; 58(3): 467-477. https://doi.org/10.1093/geront/gnw249
Wada K, Shibata T, Saito T, et al. & Tanie, K. Effects of robot-assisted activity for elderly people and nurses at a day service center. Proceedings of the IEEE. 2004;92(11): 1780-1788.
