Ev ortamında yaşayan yaşlı bireylerde ağrı ile sağlık durumu, mobilite ve günlük yaşam aktivite düzeyi arasındaki ilişki
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Tarih
2011
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Dergi ISSN
Cilt Başlığı
Yayıncı
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı, ev ortamında yaşayan 65 yaş ve üstü yaşlı bireylerde ağrı ile sağlık durumu, mobilite ve günlük yaşam aktivite düzeyi arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Çalışmaya, 65 yaş ve üstü 104 birey dahil edildi. Demografik bilgileri alınan bireylerin eğitim ve medeni durumu, kronik hastalık varlığı, yürümeye yardımcı cihaz kullanımı sorgulandı, sağlık değerlendirme anketi (HAQ), ağrıyı değerlendirmek için Görsel Analog Skalası (VAS), mobilite düzeyini belirlemek amacıyla Fiziksel Mobilite Skalası (FMS), günlük yaşam aktivite düzeyini belirlemek amacıyla Fonksiyonel Bağımsızlık Ölçümü (FIM) kullanıldı. Bulgular: Çalışmaya dahil edilen bireylerin yaş ortalaması 72,27±5,99 yıl olarak bulundu. Bireylerin 57’sinin (%54,8) ağrı şikayetinin olduğu 47’sinin (%45,2) ise ağrı şikayetinin olmadığı belirlendi. Ağrı şikayeti en çok bel ve diz bölgelerinde tespit edildi. Ağrısı olan ve olmayan bireylerde cinsiyet, eğitim ve medeni durum, kronik hastalık varlığı, yardımcı cihaz kullanımı açısından anlamlı bir fark bulundu (p<0,05). VAS ile HAQ arasında negatif yönde bir ilişki bulundu (p<0,05). Fakat VAS ile FIM ve VAS ile FMS arasında anlamlı bir ilişki bulunmadı (p>0,05). Sonuç: Bu çalışmanın sonunda, yaşlılarda sağlık problemlerinin artması ve aktivite düzeyinin azalması ile birlikte sık karşılaşılan bir problem olan ağrının sağlık durumu ile negatif yönde ilişkili olduğu, sağlık durumunun da günlük yaşam aktivite düzeyini ve mobilite düzeyini olumsuz etkilediği sonucuna varılmıştır. Yaşlılarda, ağrının sorgulanması ve tespit edilmesinin yaşlı sağlığını iyileştirmede oldukça önemli olduğunu düşünüyoruz.
Objective: The aim of this study was to evaluate the relationship between pain and health status, mobility and daily life activities in communityliving individuals at age of 65 years old or over. Materials and Method: One hundred and four individuals at the age of 65 years old or older were included in the study. Educational level, marital status, presence of chronic diseases, and assistive devices used for walking were recorded as demographical data. In order to evaluate general health status, pain, mobility level, level in activities of daily living and the level of functional independence, the Health Assessment Questionnaire (HAQ), Visual Analogue Scale (VAS), Physical Mobility Scale (PMS) and the Functional Independence Measure (FIM) were used, respectively. Results: The average age of the participants was found as 72.27±5.99 years. Fifty seven (54.8%) of the participants reported pain, whereas 47 (45.2%) had no complaints of pain. Significant differences were found in terms of gender, educational level, marital status, presence of chronic pain, and assistive device utilization between the participants who reported pain and those without pain (p<0.05). A negative correlation was observed between VAS and HAQ scores (p<0.05), however, there were no correlations between VAS and FIM as well as between VAS and FMS scores (p>0.05). Conclusion: In this study, it was observed that pain, in accordance with increasing health problems and decreasing activity level, is a frequently encountered problem that is negatively correlated to health status which, in return, may negatively affect activity level in daily life and mobility in older people. Thus, questioning and evaluating the presence of pain may help to promote health status in older people.
Objective: The aim of this study was to evaluate the relationship between pain and health status, mobility and daily life activities in communityliving individuals at age of 65 years old or over. Materials and Method: One hundred and four individuals at the age of 65 years old or older were included in the study. Educational level, marital status, presence of chronic diseases, and assistive devices used for walking were recorded as demographical data. In order to evaluate general health status, pain, mobility level, level in activities of daily living and the level of functional independence, the Health Assessment Questionnaire (HAQ), Visual Analogue Scale (VAS), Physical Mobility Scale (PMS) and the Functional Independence Measure (FIM) were used, respectively. Results: The average age of the participants was found as 72.27±5.99 years. Fifty seven (54.8%) of the participants reported pain, whereas 47 (45.2%) had no complaints of pain. Significant differences were found in terms of gender, educational level, marital status, presence of chronic pain, and assistive device utilization between the participants who reported pain and those without pain (p<0.05). A negative correlation was observed between VAS and HAQ scores (p<0.05), however, there were no correlations between VAS and FIM as well as between VAS and FMS scores (p>0.05). Conclusion: In this study, it was observed that pain, in accordance with increasing health problems and decreasing activity level, is a frequently encountered problem that is negatively correlated to health status which, in return, may negatively affect activity level in daily life and mobility in older people. Thus, questioning and evaluating the presence of pain may help to promote health status in older people.
Açıklama
Anahtar Kelimeler
Yaşlılık, Ağrı, Sağlık Durumu, Günlük Yaşam Aktiviteleri, Aging, Pain, Health Status, Activities of Daily Life
Kaynak
Türkiye Fiziksel Tıp ve Rehabilitasyon Dergisi
Turkish Journal of Physical Medicine and Rehabilitation
Turkish Journal of Physical Medicine and Rehabilitation
WoS Q Değeri
Scopus Q Değeri
Cilt
57
Sayı
4
