Ya�l�larda fiziksel �iddet: Acil servise ba�vurular�n analizi

K�l�� �zt�rk, Yasemin; D�zenli, Erhan; Karaali, Cem; �zt�rk, Faruk

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Ya�l�larda fiziksel �iddet: Acil servise ba�vurular�n analizi [Ulus Travma Acil Cerrahi Derg]

Ulus Travma Acil Cerrahi Derg. 2017; 23(1): 56-60 | DOI: 10.5505/tjtes.2016.90457

Ya�l�larda fiziksel �iddet: Acil servise ba�vurular�n analizi

Yasemin K�l�� zt�rk¹, Erhan D�zenli², Cem Karaali³, Faruk �zt�rk⁴
¹Tepecik E�itim Ve Ara�t�rma Hastanesi, Aile Hekimli�i Klini�i, �zmir, T�rkiye
²Medicana Konya Hospital, Acil T�p Ana Bilim Dal�, Konya, T�rkiye
³Tepecik E�itim Ve Ara�t�rma Hastanesi, Genel Cerrahi Klini�i, �zmir, T�rkiye
⁴Menemen Devlet Hastanesi, Acil Servis, �zmir, T�rkiye

AMA�: Fiziksel �iddet kurbanda travma, yaralanma, a�r� ve i�lev kayb�na yol a�maya y�nelik g�� uygulama sonucu olu�an ve en s�k g�r�len �iddet t�r�d�r. T�rkiye i�in bu alanda �nc� nitelikteki �al��mada fiziksel �iddete u�rayan ya�l�lar�n sosyodemografik �zelliklerin ve �iddet mekanizmas�n�n incelenerek T�rk toplumunda ya�l�ya y�nelik �iddetle sava� i�in al�nabilecek �nlemler ara�t�r�ld�.
GERE� VE Y�NTEM: Geriye d�n�k �al��mada Ocak 2012 ve Temmuz 2013 tarihleri aras�nda �anl�urfa E�itim ve Ara�t�rma Hastanesi Acil Servisi�ne darp nedeniyle ba�vuran 54 hastan�n veri taban� ve adli rapor kay�tlar� de�erlendirildi.
BULGULAR: Darp tan�l� 54 ya�l� hastan�n 50�si (%92.4) erkekti. Olgular�n %55.6�s�nda (n=30) m�kerrer darp tan�mland�. M�kerrer darp ve ate�li silah yaralanma s�kl�� evde ger�ekle�ti�i belirtilen olgularda anlaml� y�ksek bulundu (p=0.006, p=0.007). Cerrahi gerektiren yaralanma s�kl�� evde ger�ekle�en darp olgular�nda daha s�k g�r�ld� (p=0.016).
TARTI�MA: Ate�li silah yaralanmas� gibi ciddi yaralanmalar ve m�kerrer darp olgular�n�n hane i�inde ger�ekle�mesi darp nedeniyle ba�vuran ya�l�lar�n koruma alt�na al�nmas� gerekti�ini g�stermektedir.

Anahtar Kelimeler: Geriatri, istismar, koruyucu sa�l�k hizmeti, travma; yaralanma.

Physical violence among elderly: analysis of admissions to an emergency department

Yasemin K�l�� zt�rk¹, Erhan D�zenli², Cem Karaali³, Faruk �zt�rk⁴
¹Clinic of Family Medicine, Tepecik Training And Research Hospital, Izmir, Turkey
²Department Of Emergency Medicine, Medicana Konya Hospital, Konya, Turkey
³Clinic of General Surgery, Tepecik Training And Research Hospital, Izmir, Turkey
⁴Service of Emergency, Menemen Governmental Hospital, Izmir, Turkey

BACKGROUND: Physical violence is defined as deliberate use of physical force likely to result in trauma, bodily injury, pain, or impairment. Present study is pioneering effort to evaluate mechanisms and sociodemographic features of physical violence targeting the elderly in Turkey and to investigate preventive measures.
METHODS: Database records and forensic reports were analyzed in this retrospective study of 54 elderly patients with trauma as result of physical violence who were admitted to emergency department of �anl�urfa Training and Research Hospital between January 2012 and July 2013.
RESULTS: Of the 54 patients evaluated, 50 (92.4%) were male. History of experiencing previous violence was described by 55.6% (n=30) of the patients. Instances of repeat violence and firearm injuries most often occurred in the home (p=0.006, p=0.007). Need for surgical treatment was also greater among cases that occurred in the home (p=0.016).
CONCLUSION: Firearm injury, recurrent violence, and surgical treatment rates were higher among cases that occurred in the home. Urgent preventive measures are especially needed for the elderly who have already been victims of physical violence.

Keywords: Geriatric, injury, neglect, preventive health care; trauma.

Sorumlu Yazar: Yasemin K�l�� zt�rk, T�rkiye
Makale Dili: T�rk�e

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