ELA TARAKCI, YONCA ZENGİNLER YAZGAN, EBRU KAYA MUTLU

Chronic pain, depression symptoms and daily living independency level among geriatrics in nursing home

Amaç: Bu çalışmadaki amacımız huzurevinde yaşayan geriatriklerin ağrı, depresyon, günlük yaşam aktivitelerindeki bağımsızlığını araştırmak ve bunun yanı sıra bu parametreler arasındaki ilişkiyi incelemekti. Gereç ve Yöntem: Çalışmaya 65-90 yaş arası, huzurevinde yaşayan 186 gönüllü dahil edildi. Geriatriklerin sosyo-demografk özel- likleri, depresyon seviyeleri, ağrı düzeyleri ve günlük yaşam aktivitelerinde bağımsızlıkları sırasıyla sosyo-demografk değerlendirme formu, Geriatrik Depresyon Ölçeği (GDS), Görsel Analog Skala (VAS) ve Nottingham Extended Activities of Daily Living Index (NEADL), kullanılarak değerlendirildi. İstatistiksel analizler için, katılımcılar ağrısı olanlar ve olamayanlar olarak ayrıldı. Bulgular: Bu çalışmanın ana bulgusu, katılımcıların %55.9unun kronik ağrı bildirmesiydi ve bu hastaların anlamlı olarak daha yüksek GDS (p=0.001) ve kronik ağrısı olmayanlara göre anlamlı düzeyde düşük NEADL puanları (p=0.01) vardı. Biz VAS ve GDS (r=0.47, p=0.001), VAS ve NEADL (r=-0.30, p=0.001), GDS ve NEADL puanları arasında (r=-0.50, p=0.001) önemli derecede korelasyon bulduk. Çok değişkenli modelde kadın cinsiyet (p=0.001), çocuk sayısı (p=0.005), kronik hastalık sayısı (p=0.009) ve GDS skorunun (p=0.001) kronik ağrıyı etkilediği bulundu. Sonuç: Geriatrik popülasyonda ağrı, depresyon varlığı ve günlük yaşam aktivitelerindeki bağımsızlık düzeylerinin incelenmesi, sağlı- ğın geliştirilmesinde ve yaşlı nüfusun refahı için alınacak önlemlerin belirlenmesinde önemlidir.

Huzurevinde yaşayan geriatriklerin kronik ağrı, depresyon semptomları ve günlük yaşamdaki bağımsızlık seviyesi

Objectives: Te aim of this study was to investigate pain, depression and independence in activities of daily living in geriatric residents of nursing homes, as well as to evaluate the relationship between these parameters. Methods: 186 nursing home residents, aged 65 to 90 years, were enrolled in the study. Teir socio-demographic features, de- pression levels, pain levels and independence in activities of daily living were evaluated using a socio-demographic assessment form, the Geriatric Depression Scale (GDS), the Visual Analogue Scale (VAS) and the Nottingham Extended Activities of Daily Living Index (NEADL), respectively. For statistical analyses, participants were divided into groups with and without chronic pain. Results: Te main fnding of this study was that 55.9% of the participants reported chronic pain, and these participants had signifcantly higher GDS (p=0.001) and lower NEADL scores (p=0.01) than those who reported no chronic pain. We found a signifcant correlation between VAS and GDS (r=0.47, p=0.001), VAS and NEADL (r=-0.30, p=0.001), and GDS and NEADL scores (r=-0.50, p=0.001). Female gender (p=0.001), number of children (p=0.005), number of chronic diseases (p=0.009), and GDS score (p=0.001) were found to afect chronic pain in multivariate model. Conclusion: Investigation of pain, presence of depression, and independence in activities of daily living is important in deter- mining the necessary measures to be adopted for promoting the health and well-being of the geriatric population.

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