2021

Amaç: Hasta bakım vericileri hakkında yapılan çalışmalar çoğunlukla psikolojik etkilenimler üzerinedir. Bakım verenlerin ortopedik etkilenimleri dikkate alınmamaktadır. Çalışmamızın amacı hastalara bakmakla yükümlü aile bireylerinin ortopedik etkilenimlerinin ve bu etkilenim miktarının hasta yakını bakım yüküne etkisinin incelenmesidir. Yöntemler: Palyatif bakım servisinde yatmakta olan hastaların, primer bakımlarını en az iki ay süredir üstlenen yakınları çalışmaya dahil edildi. Çalışma sonuç ölçümleri: Oswestry boyun ağrısı sorgulaması, kol omuz el dizabilite anketi (DASH),Western Ontario ve McMaster osteoartrit indeksi (WOMAC), Short Form 36 (SF36) yaşam kalitesi anketi, uluslararası fiziksel aktivite anketi (IPAQ), Zarit Bakım yük ölçeği (ZBY), beck depresyon anketi (BDA). Bulgular: Çalışmamız ortalama 50 yaşında, çoğunluğu kadın (%81), evli (%76) ve ev hanımı (%59) olan kırk iki bakım vericinin yer aldığı kesitsel bir çalışmadır. Ortalama DASH skoru 18.82 iken, Oswestry skoru 22.18 idi. IPAQ total skora göre olgular fiziksel olarak aktif kategorisindeydi (10145 MET). Bütün SF-36 alt grupları normatif değerlerle karşılaştırıldığında istatistiksel olarak anlamlı derecede düşüktü (p> 0,05). Total bakım yükü skoru 38.64 idi. ZBY, DASH (r = 0,479), WOMAC (r = 0,453), Oswestry (r = 0,645), pekçok SF-36 alt grubu ve BDA ile koreleydi (p<0,001). Sonuç: Bakım veren aile yakınlarının psikolojik problemlerinin yanı sıra bazı ortopedik problemleri de bulunmaktadır. Bakım vericilerin yaşam kalitesini etkileyen ortopedik problemlerin önlenmesi ve tedavisi için eğitim ve destek stratejileri geliştirilmelidir.

Anahtar Kelimeler:

bakım yükü, yaşam kalitesi, fiziksel aktivite

Orthopedic Problems in Family Caregivers of Palliative Care Patients

Objective: The studies on caregivers focus more on their psychological impact. The caregivers’ orthopedic problems are not taken into consideration. We aimed to determine the orthopedic problems of the patient family caregivers and to examine the relationship with burden of care.Methods: Caregivers of palliative care who look after the patient recieving palliative care at least two months were included in the study. The outcome measurements: Oswestry neck pain questionnaire,arm shoulder hand disability questionnaire (DASH), Western Ontario and McMaster osteoarthritis index (WOMAC), Short Form 36 (SF-36), International Physical Activity Questionnaire (IPAQ), Zarit Burden Interview (ZBI) and BECK depression inventory (BDI).Results: A cross-sectional study was carried our with fourty-two caregivers who averaged 50 years, were mostly female (81%), married (76%) and housewife (59%). Mean DASH score was 18.82, while Oswestry score was 22.18. According to the IPAQ total score, the cases were in the physically active category (10145 MET). In all SF36 subgroup, there was a statistically insignificant decrease compared to normative values (p> 0,05). Total burden score was 38,64. The ZBI correlated with DASH (r = 0,479), WOMAC (r = 0,453), Oswestry (r = 0,645) many SF36 subgroups (p<0,05) and BDI (p<0,001).Conclusion: There are some orthopedic problems besides psychological problems related to the burden of family caregivers. Strategies should be developed to provide education and support for the development of methods for the prevention and treatment of orthopedic problems affecting the quality of life of family caregivers.

Keywords:

burden of care, quality of life, physical activity,

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