EUROPEAN GENERAL PRACTICE NETWORK, Timisoara, Romanya, 7 - 10 Mayıs 2015, ss.38
Background: This study aims to investigate the status of being homebound, the frequency of
multimorbidity and drug use,who are over 65years-old ,followed by the Homecare Unit of a university
hospital.
Research question: What are elderly patients’s diseases and drug use profile,followed by homecare
unit?
Method: The study is a descriptive study. We collected the datas from the patients’s files. All patients
who are over 65years- old and followed by theHomecareUnit of MarmaraUniversityHospital were
included. Patients’s ages, current diseases, number of drugs used , the status of being homebound
were investigated. Descriptive statistics of the data were analyzed with SPSS16.
Results: The number of patients who were followed by our HomeCareUnit , ≥65years-old was 205.The
mean age of patients was79.2 ± 7.1 , 56.1%patients were in the range of 75-84years-old.67.8%of the
patients were female and 32.2%were male. The most common reasons for admission were chronic
disease management need(57,1%), acute illness(22,4%) , and medical reporting for drug diaper ,
nutrition product etc(11,7%). The most common diseases of the patients who are visited by
HomecareUnit health workers were cerebro-vasculardisease(36.6%), dementia(16.1%)and
hypertension(12.2%). The mean follow-up was6.2 ± 2.6months and average visit in a year was2.3 ± 2.2
(min1, max13) in our unit. The mean number of chronicdiseases were2.6 ± 1.2 . 31%of the participants
had 2diseases and 30%had 3diseases.There were totally 529diagnoses of the 205people. These
diagnoses were25.2% hypertension, 15.3% cerebro-vasculardisease, 10.9%diabetesmellitus,
and8.1%dementia .77%of patients were home-dependent. While the average number of drugs used
was4.8 ± 2.7, the number of people without any medication was12.
Conclusions: The prevalence of chronic disease and multiple drug use increases with age among
elders.Side effects of the drugs used in elderly increase as the number of medications used.