Kronik Non-Spesifik Bel Ağrılı Yaşlılarda Ağrı ve Depresyon Düzeylerinin Yaşam Kalitesi ile İlişkisi Varmıdır?

Bu çalışmada kronik non-spesifik bel ağrılı (KNBA) yaşlı hastalarda ağrı şiddeti ile depresyon düzeyi ve yaşam kalitesi arasındaki ilişkinin araştırılması ve yaş grubunun yaşam kalitesi, ağrı şiddeti ve depresyon semptom düzeylerine etkisinin belirlenmesi amaçlanmıştır. Değerlendirme parametreleri, geriatrik hastalara spesifik ölçekler kullanılarak elde edildi. Ağrı şiddeti, depresyon ve yaşam kalitesi sırasıyla Geriatrik Ağrı Ölçeği (GPM), Geriatrik Depresyon Ölçeği (GDS) ve Dünya Sağlık Örgütü Yaşam Kalitesi Anketi-Yaşlı Yetişkinler Modülü (WHOQOL-OLD) kullanılarak değerlendirildi. Çalışmaya %62,3’ü (n=144) kadın ve %37,7’si erkek (n=87) olmak üzere KNBA'li (yaş ≥65 yaş) toplam 231 hasta dahil edildi. Hastaların GDS ve GPM puanları arasında orta düzeyde bir korelasyon vardı (r=0,53; p<0,05). Ayrıca GDS ile WHOQOL-OLD’un geçmiş, bugün ve gelecek faaliyetleri(r=-0.52) ve sosyal katılım(r=-0.48) alt alanları orta düzeyde bir korelasyona sahipti (p<0.05). Yaş gruplarına göre sadece duyusal işlevlerde istatistiksel olarak anlamlı farklılık gözlemlendi (p<0.05).KNBA'lı yaşlı bireylerde depresyon düzeyi ve ağrı şiddeti yaşam kalitesini olumsuz yönde etkilemektedir. KNBA’lı yaşlı hastalarda ağrı şiddeti ve depresif semptom seviyelerinin değerlendirilmesi, yaşam kalitesi artmış yaşlı populasyon oluşturulmasına ve tedavi yaklaşımına katkı sağlayabilir. Düşük yaşam kalitesinin, artan depresyon ve ağrının nedenlerini ortaya koyacak daha ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler:

Chronic low back pain, Age, Quality of life, Geriatric Depression Scale, Kronik bel ağrısı, Yaş, Yaşam kalitesi, Geriatrik Depresyon Ölçeği

Are Pain and Depression Levels Related to the Quality of Life in Elderly People with Chronic Non-Specific Low Back Pain?

This study aimed to investigate the relationship between pain severity and depression level and quality of life in elderly patients with chronic non-specific low back pain (CNLBP) and determine the effect of age group on the quality of life, pain severity and depression symptom levels of patients. Evaluation parameters were obtained using scales specific to geriatric patients. Pain severity, depression, and quality of life were evaluated using the Geriatric Pain Measure (GPM), Geriatric Depression Scale (GDS), and World Health Organization Quality of Life Questionnaire-Older Adults Module (WHOQOL-OLD), respectively. The study included a total of 231 patients with CNLBP (age ≥65 years), of whom 62.3% (n=144) were female and 37.7% were male (n=87). There was a moderate correlation between the patients’ GDS and GPM scores (r=0.53; p<0.05). GDS also had a moderate correlation with the ‘past-present-and-future activities’ (r=-0.52) and ‘social participation’ (r=-0.48) subdomains of WHOQOL-OLD (p<0.05). According to age groups, the only statistically significant difference was observed in ‘sensory abilities’ (p<0.05). Quality of life is negatively affected by the level of depression and pain intensity in elderly individuals with CNLBP. Evaluation of pain severity and depressive symptom levels in elderly patients with CNLBP may contribute to the establishment of an elderly population with improved quality of life and treatment approach. There is a need for further studies to reveal the reasons for poorer quality of life and increased depression and pain.

Keywords:

Chronic low back pain, Age, Quality of life, Geriatric Depression Scale, Kronik bel ağrısı, Yaş, Yaşam kalitesi, Geriatrik Depresyon Ölçeği,

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