Jale DİKER, Nilay ETİLER, Mustafa YILDIZ, Besim ŞEREF

Altmış beş yaş üzerindeki kişilerde bilişsel durumun günlük yaşam aktiviteleri, yaşam kalitesi ve demografik değişkenlerle ilişkisi: Bir alan çalışması

Amaç: Yaşlılık döneminde bilişsel durum ile günlük yaşam aktiviteleri, yaşam kalitesi, sosyodemografik değişkenlerin ilişkisini saptamak amaçlanmıştır. Yöntem: 01 Haziran-16 Ağustos 1999 tarihleri arasında, Kocaeli ilinde iki sağlık ocağı bölgesinde 144 kişi üzerinde yüz yüze anket yöntemiyle çalışılmıştır. Anketle beraber Temel Günlük Yaşam Aktiviteleri Ölçeği.(TGYA), Yardımcı Günlük Yaşam Aktiviteleri Ölçeği (YGYA), Nottingham Sağlık Profili ve Standartlaştırılmış Mini Mental Test (SMMT) uygulanmıştır. Analizler SPSS paket programında yapılmıştır. Sonuçlar: SMMT'e göre şiddetli bilişsel bozukluk % 6.9, orta derecede bilişsel bozukluk % 25.7 olarak bulunmuştur. SMMT puanları beyaz yakalılarda, gelirini "iyi" olarak bildirenlerde ve algılanan sağlığı "iyi" olanlarda anlamlı olarak daha yüksek bulunmuştur (p

Anahtar Kelimeler:

Yaşlı, Kavrama yeteneği, Yaşam kalitesi, Anketler, Mental durum ölçeği, Günlük yaşam etkinlikleri

Association between cognitive status and activities of daily living, life quality and some demographic variables in older than 65

Objective: To determine the associations between mental status and activities of daily living and some sociodemographic variables in elderly people. Method: This cross-sectional study was carried out on 144 elderly people older than 65 years in areas of two primary health care units in Kocaeli between June 1-August 16, 1999. In the study, standardised Mini Mental State Examination (MMSE) questionnaire, Basic Activities of Daily Living Scale (BADL), Instrumental Activities of Daily Living Scale (IADL) and Nottingham Health Profile (NHP) were administered by an investigator. The analysis was carried out with SPSS package program. Results: It was determined the severe and mild cognitive disorders 6.9 % and 25.7 %, respectively according to the MMSE. The MMSE questionnaire was significantly higher in elderly people who 're'white collars, "well" income by self-report and "good" perceived health. It was also found that elderly people belonging "social security foundations" has lower MMSE points comparing to the people belonging the other health security systems. The MMSE questionnaire was significantly correlated with education year (r=0.28), the number of children (r=-0.16), NHP activity scale (r=-0.20) and NHP sleep scale (r=-0.21). According to multiple regression analysis, association was found between MMSE questionnaire and NHP activity scale, NHP pain scale, NHP emotional status scale, age, and education year. Conclusion: The cognitive status in elderly people is associated some socioeconomic variables especially education and health profile.

Keywords:

Aged, Cognition, Quality of Life, Questionnaires, Mental Status Schedule, Activities of Daily Living,

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1. Jarvik LF, Small GW: Geriatric psychiatry: introduction. BJ Sadock, VA Sadock (eds): Comprehensive Textbook of Psychiatry’de, vol. II, Philadelphia, Lippincott Williams&Wilkins, 2000, s.2980-2988.
2. Aydın ZD: Yaşlanan dünya ve geriatri eğitimi. Geriatri Dergisi 1999; 2(4):179-187.
3. Durgun B, Tümerdem Y: Kentleşme ve yaşlılara sunulan hizmetler. Geriatri 1999; 2(3):115-120.
4. Regier DA, Farmer ME, Rae DS: One-month prevalence of mental disorders in the United States and sociodemographic characteristics: the Epidemiological Catchment Area Study. Acta Psychiatr Scand 1993; 88:35-47.
5. Bachman DL, Wolf PA, Linn R: Prevalence of dementia and probable senile dementia of the Alzheimer Type in the Framingham Study. Neurology 1992; 42:115-119.
6. Evans DA, Funkenstein HH, Albert MS: Prevalence of Alzheimer’s Disease in a community population of older persons. Higher the previous reported. JAMA 1989; 262:2551-2556
7. WHO: “Newly defined” burden of mental problems. Fact Sheet No:217, Geneva, April 1999.
8. Henderson AS: Epidemiology of psychiatric disorders. BJ Sadock, VA Sadock (eds): Comprehensive Textbook of Psychiatry’de, vol. II, Philadelphia, Lippincott Williams&Wilkins, 2000, s.2988-2997.
9. Folstein MF, Folstein SE, McHugh PR: Mini Mental State: a practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12:189-198.
10. Güngen C, Ertan T, Eker E: The Standardized Mini Mental State Examination in Turkish. 9th Congress of the International Psychogeriatric Association. August 15-20, 1999, Vancouver,Canada.
11. Deborah B: Psychiatric rating scales. BJ Sadock, VA Sadock (eds): Comprehensive Textbook of Psychiatry’de, vol. II, Philadel-phia, Lippincott Williams& Wilkins, 2000, s.755-783.
12. Boratav K: İstanbul ve Anadolu’dan sınıf profilleri. İstanbul: Tarih Vakfı Yurt Yayınları, 1995.
13. Elam JT, Graney MJ, Beaver T: Comparison of subjective ratings of function with observed functional ability of fragile older persons. Am J Public Health 1991; 81(9): 1127-1139.
14. Cho YC, Alessi CA, Cho M: The association between chronic illness and functional change among participants in Comprehensive Geriatric Assessment Program. Am Geriatr Soc1998; 46(6):677-682.
15. Öktem Ö: Demansların tanısında nöropsikolojik muayene. Nöropsikiyatri Arşivi 1999; 36(2):52-60.
16. Kunst AE, Mackenbach JP: Measuring socioeconomic inequalities in health. WHO, Copenhagen,1995.
17. Belek İ: Sınıf, Sağlık, Eşitsizlik. İstanbul, Sorun Yayınları, 1998.
18. Jorm AF, Christensen H, Henderson AS: Complaints of cognitive decline in the elderly: a comparison of reports by subjects and informants in a community survey. Psychol Med1994; 24(2):365-374.
19. Christensen H, Korten A, Jorm AF: Activity levels and cognitive functioning in an elderly community sample. Age Aging 1996; 25:72-80.

ISSN: 1302-6631
Yayın Aralığı: Yılda 6 Sayı
Başlangıç: 2000
Yayıncı: -

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