Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi

Çalışma, total kalça ve diz protezi yapılan osteoartritli yaşlı kadınlarda ağrı, fonksiyonel durum ve günlük yaşam aktivitelerinin belirlenmesi amacıyla tanımlayıcı şekilde yapılmıştır. Çalışmanın örneklemini bir üniversite hastanesinin Ortopedi ve Travmatoloji Polikliniğine Ağustos 2017- Kasım 2018 tarihleri arasında başvuran total kalça ya da diz protezi ameliyatı olan 290 osteoartritli yaşlı kadın hasta oluşturmuştur. Çalışmanın verileri Tanıtıcı Bilgi Formu, Görsel Analog Skoru (VAS), Fonksiyonel Değerlendirme Formu ve Barthel Günlük Yaşam Aktiviteleri İndeksi kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı istatistikler ve Wilcoxon testi kullanılmıştır. Çalışmanın sonucunda total kalça ya da diz protezi yapılan hastalarda artroplasti sonrası 6. haftada tüm hastaların hafif düzeyde devam eden ağrısı olduğu; ağrı, enfeksiyon, dislokasyon korkusu, artrodez, düşme korkusu gibi nedenlerden dolayı mobilizasyon kısıtlılığı olduğu belirlenmiştir. Ayrıca hastaların fonksiyonel düzeylerinin artroplasti öncesine göre daha iyi hale geldiği, buna bağlı olarak Fonksiyonel Değerlendirme puan ortancası ve Barthel İndeksi puan ortancasının istatistiksel olarak anlamlı düzeyde arttığı görülmüştür. Çalışma sonucunda, hastaların artroplasti öncesine göre daha az olmakla birlikte, ağrı ve fonksiyonel kısıtlama yaşadıkları belirlenlenmiştir.

Anahtar Kelimeler:

Fonksiyonel durum, hemşirelik, mobilite, osteoartrit

Total Hip and Knee Prosthesis in Older Women with Osteoarthritis Determination of Pain, Functional Status and Daily Living Activities

The study was carried out descriptively aiming order to determine the pain, functional status and daily life activities of elderly women with osteoarthritis who underwent total hip or knee prosthesis. The study included 290 women with osteoarthritis who underwent total hip and knee arthroplasty and admitted to Orthopedics and Traumatology outpatient of Ibni Sina Hospital between August 2017 and November 2018. Data of the study were collected using The Introductory Information Form, Visual Analog Scale (VAS), Functional Assesment Form and Barthel Daily Living Activities Index. Descriptive statistics and Wilcoxon test were for data analysis. As a result of the study: all patients at the 6th week after arthroplasty had mild persistent pain; pain after arthroplasty, infection, fear of dislocation, arthrodesis, fear of falling, and other causes limitation of mobility of the patients; it was founded that the functional levels of the patients after arthroplasty were better than those before the arthroplasty, and the median of the Functional Assessment point and Barthel Index score increased significantly. According to the results of the study, patients are less painful and have functional restraint than before.

Keywords:

Functional status, mobility, nursing, osteoarthritis,

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