Alp Ozel, Eylem Tutun Yumin, Tuncer Tug, Meral SERTEL

Kronik Obstrüktif Akciğer Hastalığı Olan Yaşlı Kadın ve Erkek Bireylerde Kuadriseps Kas Kuvveti ve Kinezyofobinin Sağlıkla İlgili Yaşam Kalitesi Üzerine Etkisi

Amaç: Kronik obstrüktif akciğer hastalığı olan yaşlı kadın ve erkek bireylerde kuadriseps kas kuvveti ve kinezyofobinin sağlıkla ilgili yaşam kalitesi üzerine etkilerinin incelenmesi amaçlanmıştır.Gereç ve Yöntem: Bireylerin sosyodemografik bilgileri kaydedildikten sonra, ağrı durumu için Vizüel Analog Skalası (VAS), dispne için modifiye Medical Research Council Skalası (mMRCS), kinezyofobi için TAMPA ölçeği (TKÖ), sağlıkla ilgili yaşam kalitesi için Saint George Solunum Anketi (SGSA) ve quadriceps kas kuvvetini ölçmek için manuel dinamometre kullanıldı.Bulgular: Kırk beş katılımcının 17’si (37.8%) kadındı. Kadınların yaş ve vücut kütle indeks ortalaması sırasıyla 71.59±4.84 yıl, 28.75±6.71 kg/m2, erkeklerin yaş ve vücut kütle indeks ortalaması sırasıyla 72.14±5.66 yıl, 26.53±3.91 kg/m2 idi. Kinezyofobi ortalamaları kadın ve erkelerde sırasıyla 47.47±7.40 ve 41.89±7.65, SGSA(Semptom) skorları kadın ve erkeklerde sırasıyla 75.97±15.87 ve 63.89±18.54 idi. Yapılan istatistik analizde kadın ve erkeklerde, kinezyofobi ve SGSA(Semptom) arasında anlamlı fark olduğu gözlendi (p<0.05). Kadınlarda kinezyofobi ile SGSA(Aktivite), SGSA(Semptom), SGSA(toplam) arasında, erkeklerde kinezyofobi ile SGSA(Aktivite), SGSA(Etki), SGSA(Toplam) arasında ilişki bulundu (p<0.05). TKÖ skorunun kadınlarda daha fazla olmak üzere yaşam kalitesini etkilediği bulundu (p<0.05). Kadın ve erkeklerde ağrı ve quadriceps kas kuvveti ile SGSA parametreleri arasında ilişki gözlenmedi (p>0.05). Sonuç: KOAH’lı yaşlı bireylerde kinezyofobi yaşam kalitesini etkileyen önemli bir faktör olup, yaşam kalitesini arttırabilmek amacıyla fiziksel aktivitenin arttırılması, fizyolojik, emosyonel iyilik halinin takibi tavsiye edilmektedir.

Anahtar Kelimeler:

Yaşlı, KOAH, Yaşam kalitesi, Kinezyofobi, Quadriseps femoris

Effects of Quadriceps Muscle Strength and Kinesiophobia on Health Related Quality of Life in Elderly Women and Men with Chronic Obstructive Pulmonary Disease

Objective: The aim of this study was to investigate the effects of quadriceps muscle strength and kinesiophobia on health-related quality of life in elderly women and men with chronic obstructive pulmonary disease.Methods: After recording the socio-demographic information of individuals, the Visual Analogue Scale (VAS) for pain status, the modified Medical Research Council Scale (mMRCS) for dyspnea, TAMPA Scale for Kinesiophobia (TSK), Saint George Respiratory Questionnaire (SGRQ) for health-related quality of life, and manual dynamometer were used to measure for muscle strength of quadriceps.Results: Seventeen (37.8%) of the 45 participants were female. The mean age and body mass index of females were 71.59±4.84 years and 28.75±6.71 kg/m2, respectively. Kinesiophobia averages were 47.47±7.40 and 41.89±7.65 in women and men, respectively, and SGRQ(Symptom) scores were 75.97±15.87 and 63.89±18.54 in women and men, respectively. Statistical analysis showed that there was a significant difference between men and women between kinesiophobia and SGRQ(Symptom) (p<0.05). There was a correlation between kinesiophobia and SGRQ(Activity), SGRQ(Symptom) and SGRQ(Total) in females and kinesiophobia and SGRQ(Activity), SGRQ(Impact) and SGRQ(Total) in males (p<0.05). The TSK score was found to affect the quality of life, more in women (p<0.05). There was no correlation between pain and quadriceps muscle strength and SGRQ parameters in both men and women (p>0.05). Conclusion: In elderly individuals with COPD, kinesiophobia is an important factor affecting the quality of life and is recommended to increase physical activity, and monitor the physiological, emotional well-being in order to improve quality of life.

Keywords:

Elderly, COPD, Quality of Life, Kinesiophobia, Quadriceps Femoris,

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ISSN: 1309-3878
Yayın Aralığı: Yılda 3 Sayı
Başlangıç: 2009
Yayıncı: Düzce Üniversitesi Tıp Fakültesi Aile Hekimliği AD adına Yrd.Doç.Dr.Cemil Işık Sönmez