İnmeli Bireylerin Fonksiyonel Durumlarının Bakım Veren Ağrısı Üzerine Etkisi

Amaç: İnme sonrası meydana gelen fonksiyonel yetersizlikler bireylerin başkalarına bağımlı hale gelmelerine neden olmaktadır. Fonksiyonel düzeyi düşük inmeli bireylere bakım veren kişilerin maruz kaldıkları fiziksel yüklenmeye bağlı olarak kas iskelet sistemi problemlerine açık hale geldiği bilinmektedir. Bu çalışmanın amacı inmeli bireylerin fonksiyonel durumlarının bu bireylere bakım verenlerin kas iskelet sistemi ağrıları üzerine etkisini incelemektir. Yöntem: Çalışmaya en az 8 haftadır klinik durumu stabil olan 45 inmeli birey ve en az 8 haftadır bu bireylere bakım sağlayan 45 bakım veren katılımcı dahil edildi. Akut ağrısı olan ve ücretli bakım sağlayan kişiler çalışma dışında tutuldu. Hemiplejik/hemiparetik bireylerin fonksiyonel durumlarını belirlemek için Modifiye Rankin Skalası (MRS) uygulandı. Bakım veren bireylerin kas iskelet sistemi ağrısını değerlendirmek için Cornell Kas İskelet Sistemi Rahatsızlık Skalası kullanıldı. Ağrı şiddeti Görsel Analog Skalası (GAS) ile belirlendi. Değerlendirme sonucuna göre bakım verenler, bakım verdikleri inmeli bireylerin fonksiyonel seviyesine göre iki gruba ayrılarak gruplar arası kas iskelet sistemi ağrısı karşılaştırması yapıldı. Bulgular: Grupların sosyodemografik özellikleri bakımından benzer olduğu görüldü (p>0,05). Fonksiyonel seviyesi düşük olan grubun bakım verenlerinde bel ağrısı şiddet ve frekansının diğer vücut bölgelerinden daha yüksek olduğu tespit edildi (p<0,05). İstirahat ve aktivite sırasındaki bel ağrısı GAS değeri fonksiyonel düzeyi düşük olan grupta anlamlı düzeyde yüksek olduğu bulundu (p<0,05). Sonuç: İnmeli bireylerin fonksiyonel durumları, bakıma duyulan ihtiyacı değiştirmektedir. Fonksiyonel düzeyin düşük olması bakım verenlerin kas iskelet sistemi yüklenmelerini artırmaktadır. Bu nedenle, fonksiyonel düzeyi düşük olan inmeli bireylere bakım verenlerin sahip olduğu özellikle omurgaya yönelik semptomların daha titiz bir şekilde ele alınması gerekmektedir.

Anahtar Kelimeler:

bakım verenler, fonksiyonel durum, kas iskelet sistemi, ağrı

The Effect of Functional Status of Stroke Individuals on Caregiver Pain

Purpose: Functional deficiencies that occur after stroke cause individuals to become dependent on others. It is known that caregivers of stroke individuals with low functional level become vulnerable to musculoskeletal problems due to the physical load they are exposed to. The aim of this study is to examine the effect of the functional status of stroke individuals on the musculoskeletal pain of caregivers of these individuals. Material-method: The study included 45 stroke individuals whose clinical condition was stable for at least 8 weeks, and 45 caregivers who provided care for these individuals for at least 8 weeks. Persons with acute pain and paid care were excluded from the study. Modified Rankin Scale (MRS) was applied to determine the functional status of hemiplegic/hemiparetic individuals. The Cornell Musculoskeletal Discomfort Questionnaire was used to evaluate the musculoskeletal pain of caregivers. Pain severity was determined by the Visual Analogue Scale (VAS). According to the results of the evaluation, the caregivers were divided into two groups according to the functional level of the stroke individuals they care for, and musculoskeletal pain comparison was made between the groups. Results: It was observed that the groups were similar in terms of sociodemographic characteristics (p>0.05). It was determined that the severity and frequency of pain of low back pain were higher than the other region in the caregivers of the group with low functional status (p<0.05). Low back pain VAS value at rest and during activity was found to be significantly higher in the group with low functional status (p<0.05). Conclusion: The functional status of stroke individuals changes the need for care. The low functional level increases the musculoskeletal system burden of caregivers. For this reason, the spine-related symptoms of caregivers of stroke individuals with low functional level should be handled more meticulously.

Keywords:

caregivers, functional status, musculoskeletal system, pain,

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