Canan BOZKURT, Berna CAFER KARALAR, Serap HOŞAF, Ayfer KARADAKOVAN

Yaşlı Bireylerin Günlük Yaşam Aktiviteleri ile Düşme Riski Arasındaki İlişkinin İncelenmesi

Amaç: Bu araştırmanın amacı geriatri kliniğinde tedavi gören 65 yaş ve üzeri yaşlı bireylerin günlük yaşam aktivite durumu ile düşme riski arasındaki ilişkiyi incelemektir. Gereç ve Yöntem: Bu çalışmanın yöntemi tanımlayıcı, kesitsel ve ilişkisel olup örneklemini dâhil edilme kriterlerine uyan ve bir geriatri kliniğinde tedavi gören 65 yaş üzerindeki 96 yaşlı birey oluşturmuştur. Veri toplama aracı olarak literatüre dayanarak araştırmacılar tarafından oluşturulmuş 11 soruluk “Birey Tanılama Formu”, “Katz Günlük Yaşam Aktiviteleri (GYA) Ölçeği” ve “Mors Düşme Riski Ölçeği” kullanılmıştır. Bulgular: Katılımcıların yaş ortalaması 75,17±7,06, %64,6 kadın, %47,9’u fazla kilolu, tümünde en az bir kronik hastalık mevcuttur. Yaşlı bireylerin Katz GYA ölçeği puan ortalaması 2,14±2,36; %58,3’ü bağımlıdır. Morse düşme ölçeği puan ortalaması 49,11±24,80 ve %34,4’ü yüksek risk grubundadır. Cinsiyet, eğitim düzeyi, medeni durum, çalışma durumu, sigara ve alkol kullanımı ve polifarmasi gibi değişkenlerle günlük yaşam aktiviteleri ve düşme riski ile anlamlı fark bulunurken (p

The Relationship Between Activities of Daily Living And Fall Risk in Older People

Purpose: This study is to examine the relationship between daily living activity status and fall risk in elderly individuals aged 65 and over who are treated in a geriatric clinic. Materials and Methods: This study was descriptive, cross-sectional and relational, and its sample consisted of 96 elderly individuals over 65 years of age who met the inclusion criteria and were treated in a geriatrics clinic. "Individual Identification Form" consisting of 11 questions, "Katz Activities of Daily Living Scale" and "Morse Fall Risk Scale" were used as data collection tools, which were created by the researchers based on the literature. Results: The mean age of the participants was 75.17±7.06, 64.6% female, 47.9% overweight, all of them had at least one chronic disease and regular drug use. The mean score of the KATZ ADL scale of the elderly individuals was 2.14±2.36; 58.3% of them are dependent. Morse fall scale mean score was 49.11±24.80 and 34.4% were in the highrisk group. While there was a significant difference between variables such as gender, education level, marital status, employment status, smoking and alcohol use, and polypharmacy, activities of daily living and risk of falling (p

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1. Özkan Pehlivanoğlu EF, Özkan MU, Balcıoğlu H, Bilge U, Ünlüoğlu İ. Adjustment and reliability of Katz Daily Life Activity Measures for elderly in Turkish. Ankara Med J. 2018;18(2). doi:10.17098/ amj.435264
2. World Health Organization. Ageing. https://www. who.int/health-topics/ageing#tab=tab_1 17 Haziran 2022’de erişildi.
3. Türkiye İstatistik Kurumu. https://data.tuik.gov.tr/ Bulten/Index?p=Istatistiklerle-Yaslilar-2021-45636 17 Haziran 2022’de erişildi.
4. Bleijenberg N, Zuithoff NPA, Smith AK, de Wit NJ, Schuurmans MJ. Disability in the individual ADL, IADL, and mobility among older adults: A prospective cohort study. J Nutr Heal Aging. 2017;21(8):897-903. doi:10.1007/s12603-017- 0891-6
5. Kankaya H, Karadakovan A. Yaşlı bireylerde günlük yaşam aktivite düzeylerinin yaşam kalitesi ve yaşam doyumuna etkisi. Gümüşhane Üniversitesi Sağlık Bilim Dergisi. 2017;6(4):21-29.
6. Sibley KM, Voth J, Munce SE, et al. Chronic disease and falls in community-dwelling Canadians over 65 years old: a population-based study exploring associations with number and pattern of chronic conditions. BMC Geriatr. 2014;14-22. doi:10.1186/1471-2318-14-22.
7. De Araújo HS, Costa Cruz ADF, Simionatto J, Dos Santos Oliveira PC, Barbosa SRM. Risk and fear of falls in the elderly of Campo Grande, Mato Grosso do Sul: Sociodemographic and functional characteristics. Mundo da Saude. 2020;44(1):3- 11. doi:10.15343/0104-7809.202044003011
8. The Joint Commission. Preventing falls and fallrelated injuries in health care facilities. Sentinel Event Alert 2015, 55 1-5. https://www. jointcommission.org/-/media/tjc/documents/ resources/patient-safety-topics/sentinel-event/ sea_55_falls_4_26_16.pdf 17 Haziran 2022’de erişildi.
9. Wong CA, Recktenwald AJ, Jones ML, Waterman BM, Bollini ML, Dunagan WC. The cost of serious fall-related injuries at three midwestern hospitals. Jt Comm J Qual Patient Saf. Published online 2011. doi:10.1016/S1553-7250(11)37010-9
10. Baris VK, Intepeler SS, Yeginboy EY. The cost of serious patient fall-related injuries at hospitals in Turkey: A matched case-control study. Clin Nurs Res. 2018;27(2):162-79. doi:10.1177/1054773816671521
11. Sardo PMG, Simões CSO, Alvarelhão JJM, Simões JFFL, Melo EM de OP de. Fall risk assessment: retrospective analysis of Morse Fall Scale scores in Portuguese hospitalized adult patients. Appl Nurs Res. 2016;31:34-40. doi:10.1016/j. apnr.2015.11.013
12. World Health Organization (WHO). WHO Global Report on Falls Prevention in Older Age. Vol 15.; 2007. doi:10.1353/jowh.2004.0010 20 Aralık 2020’de erişildi.
13. Chu JJ, Chen XJ, Shen SS, et al. A poor performance in comprehensive geriatric assessment is associated with increased fall risk in elders with hypertension: A cross-sectional study. J Geriatr Cardiol. 2015;12(2):113-8. doi:10.11909/j.issn.1671-5411.2015.02.006
14. Yılmaz Demir N, Seren İntepeler Ş. Morse Düşme Ölçeği̇’nin Türkçeye uyarlanması ve duyarlılıkseçicilik düzeyinin belirlenmesi. Ege Üniversitesi Hemşirelik Fakültesi Dergisi. 2012;28(1):57-71.
15. Tabachnick BG, Fidell LS. Using Multivariate Statistics. 6.Baskı. Boston: Pearson; 2013.
16. Rasheedy D, Abou-Hashem RM. Overestimated functional dependency in older patients: Can we blame gender difference, unneeded assistance or assessment tools? Arch Gerontol Geriatr. 2020;88(January):104018. doi:10.1016/j. archger.2020.104018
17. Silva LMA, dos Santos Tavares DM, Rodrigues LR. Transition and factors associated with the level of physical activity combined with sedentary behavior of the elderly: A longitudinal study. Biomedica. 2020;40(2):322-335. doi:10.7705/ biomedica.5108
18. Alexandre T da S, Corona LP, Nunes DP, Santos JLF, Duarte YA de O, Lebrão ML. Disability in instrumental activities of daily living among older adults: gender differences. Rev Saude Publica. 2014;48(3):379-89. doi:10.1590/S0034- 8910.2014048004754
19. Farías-Antúnez S, Lima NP, Bierhals IO, Gomes AP, Vieira LS, Tomasi E. Disability related to basic and instrumental activities of daily living: A population-based study with elderly in Pelotas, Rio Grande do Sul, 2014. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2018;27(2):e2017290. doi:10.5123/S1679- 49742018000200005
20. Nunes JD, Saes M de O, Nunes BP, et al. Indicadores de incapacidade funcional e fatores associados em idosos: estudo de base populacional em Bagé, Rio Grande do Sul. Epidemiol e Serv saude Rev do Sist Unico Saude do Bras. 2017;26(2):295-304. doi:10.5123/ S1679-49742017000200007
21. Saltan A, Mert Boğa S, Kalındemirtaş Küçük M. Yaşlı bireylerde fiziksel sağlık ve işlev ile uyku durumunun incelenmesi. Sağlık ve Toplum. 2018;2(9):31-37.
22. Vagetti GC, de Oliveira V, Silva MP, Pacifico AB, Costa TRA, de Campos W. Association of body mass index with the functional fitness of elderly women attending a physical activity program. Brazilian Journal of Geriatrics and Gerontology. 2017;20(2):214-24. doi: 10.1590/1981- 22562017020.160160
23. Noh HM, Song HJ, Park YS, Han J, Roh YK. Fall predictors beyond fall risk assessment tool items for acute hospitalized older adults: A matched case–control study. Sci Rep. 2021;11(1):1-9. doi:10.1038/s41598-021-81034-9
24. Akgül A, Arman N, Tarakci E, et al. Determination falling prevalence and the risks of falls in elders living in the district of Bahcelievler, İstanbul. Turkiye Klin J Med Sci. 2018;38(2):105-15. doi:10.5336/medsci.2018-59776
25. Kim T, Choi SD, Xiong S. Epidemiology of fall and its socioeconomic risk factors in communitydwelling Korean elderly. PLoS One. 2020;15(6):6- 10. doi:10.1371/journal.pone.0234787
26. Brodie MA, Coppens MJ, Ejupi A, et al. Comparison between clinical gait and dailylife gait assessments of fall risk in older people. Geriatr Gerontol Int. 2017;17(11):2274-2282. doi:10.1111/ggi.12979
27. Çinarli T, Koç Z. Fear and risk of falling, activities of daily living, and quality of life: Assessment when older adults receive emergency department care. Nurs Res. 2017;66(4):330-335. doi:10.1097/ NNR.0000000000000227
28. Aydeniz A, Eskiyurt N, Yazgan P, et al. Physical, functional and sociocultural parameters that predict fall in elderly: multicenter study. J PMR Sci. 2015;18:170-7.
29. Choi P, Wei T, Motl RW, Agiovlasitis S. Risk factors associated with history of falls in adults with intellectual disability. Res Dev Disabil. 2020;106(July):103748. doi:10.1016/j. ridd.2020.103748
30. Tornero-Quiñones I, Sáez-Padilla J, Díaz AE, Robles MTA, Robles ÁS. Functional ability, frailty and risk of falls in the elderly: Relations with autonomy in daily living. Int J Environ Res Public Health. Published online 2020. doi:10.3390/ ijerph17031006