Acil Servise Başvuran Şiddete Maruz Kalmış Kadınların Demografik Ve Klinik Özellikleri İle Hastane Maliyetleri
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Tarih
2016
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Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş: Acil servise şiddete maruz kalma nedeni ile başvuran kadınların ve şiddet uygulayıcılarının sosyo-demografik özelliklerini, şiddetin türü, sıklığı ve şeklini belirlemek ve tedavi masraflarının yaklaşık maliyetini hesaplamaktır. Gereç ve Yöntem: Bu çalışma 01.11.2012- 01.06.2013 tarihleri arasında Ankara Eğitim ve Araştırma Hastanesi Acil Tıp Kliniğine şiddete maruz kalma beyanı ile başvuran tüm kadınların dahil edildiği prospektif bir çalışmadır. Bu çalışmada şiddet mağduru ve şiddet uygulayıcılarının sosyodemografik özellikleri, şiddetin türü, sıklığı, şekli ve hastane maliyeti arasındaki ilişki Pearson ki-kare testi ve Fisher'in kesin testi kullanılarak araştırıldı. Bulgular: Altı aylık süre içerisinde darp nedeni ile acil servisimize başvuran toplam 656 kadın hastanın 303'ü çalışmaya dahil edilmiştir. Yaş ortalamaları 32.8711.38 olup, minimum yaş 18, maksimum yaş 92'dir. Evli (%79.2), çocuklu (%75.9). gelir getiren bir işte çalışmayan (%71) ve öğrenim durumu ortaokul ve altı (%67) olan kadınların şiddete daha çok maruz kaldığı tespit edilmiştir. Partneriyle birlikte yaşayan kadınlar evli kadınlara göre daha sık cinsel şiddet görmektedir (p0.05). En sık şiddet uygulayan kişiler eşlerdir (%61.7). Şiddet uygulayan kişilerin darp ederken alkollü olması (p0.005) ya da madde kullanmış olması (p0.004) daha fazla tedavi maliyeti gerektirmektedir. Darp edilenlerin %53.5'inin tedavi maliyeti 80 TL'nin altında olup, ortalama maliyet 81 TL'dir. Yatan hastaların maliyeti ise ortalama 1535 TL olarak hesaplanmıştır. Sonuç: Şiddete uğrayan kadınların yaklaşık üçte ikisinin 35 yaşın Sosyodemografik özellikleri incelendiğinde evli, çocuklu, gelir getiren bir işte çalışmayan ve öğrenim durumu ortaokul ve altı olan kadınların daha çok şiddete maruz kaldığı tespit edilmiştir. Hastane maliyetinin düşük olmasının nedeni ülkemiz şartlarında sağlık hizmetlerinin ucuz olması ve katılımcıların çalışmaya dahil edilen başvurularının maliyetinin hesaplanmasıdır.
Introduction: The aim of this study is to identify the sociodemographic data of women who have been subjected to violence and perpetrators of this violence, to define the type, frequency, and form of the violence and to calculate the hospital costs. Material and Methods: This study was a prospective clinical study conducted in the adult Emergency Department (ED) of an urban tertiary care training and research hospital between November 2012 and June 2013. In this study we evaluated; the socio-demographic characteristics of victims and perpetrators of violence, the frequency, the type, the way of the violence and the cost of hospitalization to demonstrate relationship by using the Fisher exact test and Pearson chi-square test. Results: Total of 656 female patients admitted to the ED because of a physical assault and 303 were included in the study. The mean age of the patients was 32.87±11.38 (min 18, max 92). It was identified that married women (79.2%), women with children (75.9%), women who have no income, and women at or below secondary school education level were exposed to violence more likely. Women living with their partners were subjected to sexual violence statistically significant (p<0.05) compared to married ones. The most common perpetrators were intimate partners (61.7%). If the person who assaulted have used drugs or alcohol these led to an inrease in the cost of the treatment (p0.004 and p0.005, respectively). Of all assaulted patients, 53.5% had treatment costs under 80 Turkish Liras (TL) (23.5), and mean treatment cost was 81 TL (23.8). The mean cost of the patients who have been hospitalized was 1535 TL (451.4). Conclusion: As a consequence of this study, it is detected that the majority (2/3) of the women who sustained a physical assault were under 35 years old. Moreover, it is obtained that the women who were married, women with children, had no income and women at or below secondary school education level were exposed to violence more likely. The low cost of hospitalitazion could be due to healt insurence service of the government ant the calculation of the included patients costs that attendance.
Introduction: The aim of this study is to identify the sociodemographic data of women who have been subjected to violence and perpetrators of this violence, to define the type, frequency, and form of the violence and to calculate the hospital costs. Material and Methods: This study was a prospective clinical study conducted in the adult Emergency Department (ED) of an urban tertiary care training and research hospital between November 2012 and June 2013. In this study we evaluated; the socio-demographic characteristics of victims and perpetrators of violence, the frequency, the type, the way of the violence and the cost of hospitalization to demonstrate relationship by using the Fisher exact test and Pearson chi-square test. Results: Total of 656 female patients admitted to the ED because of a physical assault and 303 were included in the study. The mean age of the patients was 32.87±11.38 (min 18, max 92). It was identified that married women (79.2%), women with children (75.9%), women who have no income, and women at or below secondary school education level were exposed to violence more likely. Women living with their partners were subjected to sexual violence statistically significant (p<0.05) compared to married ones. The most common perpetrators were intimate partners (61.7%). If the person who assaulted have used drugs or alcohol these led to an inrease in the cost of the treatment (p0.004 and p0.005, respectively). Of all assaulted patients, 53.5% had treatment costs under 80 Turkish Liras (TL) (23.5), and mean treatment cost was 81 TL (23.8). The mean cost of the patients who have been hospitalized was 1535 TL (451.4). Conclusion: As a consequence of this study, it is detected that the majority (2/3) of the women who sustained a physical assault were under 35 years old. Moreover, it is obtained that the women who were married, women with children, had no income and women at or below secondary school education level were exposed to violence more likely. The low cost of hospitalitazion could be due to healt insurence service of the government ant the calculation of the included patients costs that attendance.
Açıklama
Anahtar Kelimeler
Genel ve Dahili Tıp
Kaynak
Kırıkkale Üniversitesi Tıp Fakültesi Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
18
Sayı
3
Künye
Yılmaz, Y. A., Ramadan, H., Çiftçi, H., Erkek, A., Vural, S., Çoşkun, F. (2016). Acil Servise Başvuran Şiddete Maruz Kalmış Kadınların Demografik Ve Klinik Özellikleri İle Hastane Maliyetleri. Kırıkkale Üniversitesi Tıp Fakültesi Dergisi, 18(3), 101 - 107.
