A Self-Care Deficiency Syndrome: Self-Neglect/Bir Oz Bakim Eksikligi Sendromu: Oz-Ihmal

• Published in: Psikiyatride güncel yaklaşimlar 2023-09, Vol.15 (4), p.622
• Main Authors: Guler, Cansu, Engin, Esra
• Format: Article
• Language: Turkish
• Subjects: Health aspects; Health care industry; Medical care, Cost of; Mortality; Public health
• ISSN: 1309-0658
• DOI: 10.18863/pgy.1224990

Self-neglect is the individual's failure to show the necessary attention and care in his own care. Self-neglect manifests itself as non-adherence to treatment, failure to maintain personal and environmental hygiene, and maladaptive health behaviours. At the global level, although self-neglect is frequently seen especially in the elderly population, it is seen in all age groups and especially in disease groups where disability is in question and their caregivers. Self-neglect, which is divided into two categories as intentional and unintentional, is an important cause of morbidity and mortality. Failure to maintain accepted self-care standards caused by self-neglect threatens not only personal but also public health and well-being and increases the burden of health services and health care costs. Self-neglect is difficult to detect because individuals are isolated and do not have the risk of directly harming themselves. Due to reasons such as non-compliance with current treatment, ineffective health management, these individuals' access to the health system is disrupted and the diagnosis and intervention of self-neglect is delayed because they only apply to health services in emergencies. Health professionals working in the field of public health and mental health, especially community mental health professionals, have important responsibilities for the diagnosis and intervention of self-neglect. Keywords: Self-care, self-neglect, mental health, intervention Oz-ihmal, bireyin kendi bakiminda gerekli dikkat ve ozeni gostermemesidir. Oz-ihmal tedaviye uyumsuzluk, kisisel ve cevresel hijyeni surdurememe, uyumsuz saglik davranislari seklinde kendini gostermektedir. Kuresel duzeyde, oz-ihmal ozellikle yasli nufusta siklikla gorulmekle birlikte her yas grubunda ve ozellikle yeti yitiminin soz konusu oldugu hastalik gruplari ile bakim verenlerinde karsilasilmaktadir. Istemli ve istemsiz olarak iki kategoriye ayrilan oz-ihmal onemli bir morbidite ve mortalite nedenidir. Oz-ihmalin neden oldugu, kabul goren oz-bakim standartlarinin surdurulememesi yalnizca kisisel degil toplum sagligi ve refahini tehdit etmekte ve saglik hizmetlerinin yukunu ve saglik bakim maliyetlerini de arttirmaktadir. Bireylerin izole ve dogrudan kendilerine zarar verme riski tasimamalari nedeniyle oz-ihmalin tespiti guctur. Mevcut tedaviye uyumsuzluk, sagligi etkisiz yonetme gibi nedenlerle bu bireylerin saglik sistemine girisleri aksamakta ve yalnizca acil durumlarda saglik hizmetlerine basvu