Postmenopozal Osteoporozlu Hastalarda Yaşam Kalitesinin Değerlendirilmesi

Amaç: Çalışmamız Uluslararası Osteoporoz Derneği Yaşam Kalitesi Anketi (QUALEFFO-41) ile postmenopozal osteoporozun (PMO) yaşam kalitesi üzerindeki etkisinin anlaşılmasını amaçlamıştır. Gereç ve yöntemler: Çalışmamıza PMO'lu toplam 123 hasta ve 49 sağlıklı kadın katıldı. Kemik mineral yoğunluğu dual energy X-ray absorptiometry (DXA) ile ölçüldü. Hastaların demografik özellikleri, eğitim durumu, mesleki faaliyetler, menopoz yaşı, süre, fiziksel aktivite düzeyi, ailede PMO varlığı, ailede ve hastanede kırık öyküsü, PMO için tedavinin varlığı, hareket sistemi ve sistemik hastalık varlığı ve kronik ilaç kullanım öyküsü sorgulandı. QUALEFFO-41 yaşam kalitesini değerlendirmek için kullanılmıştır. Bulgular: Hastalarımızın demografik ve klinik verileri ile yaşam kalitesi puanları arasındaki değerlendirme sonucunda; QUALEFFO-41 toplam skoruyla DXA ölçümünde egzersiz, yaş, menopoz yaşı, menopoz süresi, femur boynu T skoru ve femur boynu toplam skoru arasında istatistiksel olarak anlamlı bir ilişki vardı. Yaş, yaşam kalitesinin en önemli belirleyicisi olarak belirlendi. Sonuç: Çalışmamızda PMO’lu hastalarda yaşam kalitesini etkileyen bir çok faktör olduğunu tespit ettik. Bu yüzden hastaların çok yönlu olarak değerlendirilmesi uygun olacaktır. PMO'lu hastaların tedavisini planlarken, ilaç tedavisinin yanı sıra, egzersizde ve diğer yaşam kalitesini etkileyen faktörler de göz önünde bulundurulmalıdır.

Anahtar Kelimeler:

Osteoporoz, postmenopoz, Yaşam Kalitesi

Evaluation of the quality of life of patients with postmenopausal osteoporosis

Objective: In our study, we aimed to determine the postmenopausal osteoporosis (PMO) effect on quality of life using The International Osteoporosis Society Quality of Life Survey (QUALEFFO-41). Materials and Methods: A total of 123 patients and 49 healthy women with PMO participated to our study. Bone mineral density was measured using dual energy X-ray absorptiometry (DXA). The demographic characteristics, educational status, occupational activities, age at menopause, duration, physical activity level, presence of PMO in family, fracture history in family and hospital, presence of treatment for PMO, and presence of movement system and systemic disease and chronic drug usage history of the patients were assessed. QUALEFFO-41 was used to assess the quality of life. Results: The QUALEFFO-41 total score revealed a statistically significant correlation between exercise, age, age at menopause, menopause duration, and the t score and total score of the femur neck in DXA measurement. Age was the most important determinant of the quality of life. Conclusion: In our study, we found that there are many factors that affect the quality of life in patients with PMO. Therefore, it will be appropriate to evaluate the patients in many ways. When planning the treatment of patients with PMO, factors affecting exercise and other quality of life should be considered in addition to drug therapy.

Keywords:

Osteoporosis, postmenopause, Quality of life,

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