A Comparison of Physical Parameters, Functional Performance, and Life Quality in Home-residing and Nursing Home-residing Older Adults with No History of Falls

Year 2019, Volume: 24 Issue: 3, 170 - 176, 24.10.2019

Asuman Saltan , Handan Ankaralı

Abstract

Aim: This study compared the physical
parameters, functional performance and quality of life scores in older adults
without history of falls living in nursing homes and at home and evaluated
correlations among these factors.

Materials and Methods: This
cross-sectional study assessed older adults living in nursing homes (n = 59)
and at home (n = 44) using the Berg Balance Scale, Timed Up and Go Test, Mini
Mental State Examination, 30-Second Chair Stand Test, and Nottingham Health
Profile (NHP).

Results:
No significant differences between nursing home and
home living were found for lower extremity muscle strength, balance, quality of
life, functional performance, and mental status (p> 0.05). Correlation
analysis of the data from the older adults living in nursing homes as different
result from living at home showed a significant negative relationship between
functional performance with lower extremity muscle strength (r= -0.401, p=
0.003) and balance (r=-0.519, p=0.0001).

Conclusion: Studies
should evaluate the fall risk based on balance, lower extremity muscle
strength, functional performance, mental status, and quality of life in either
the older adults living nursing home or living at home. This study provides
information for clinicians and researchers in future studies because it
includes functional performance and quality of life as well as physical
parameters

Keywords

Aging, Accidental falls, Quality of life, nursing homes, older adult

Evde ve Bakımevinde Yaşayan ve Düşme Hikayesi Olmayan Yaşlıların Fiziksel Parametre, Fonksiyonel Performans ve Yaşam Kalitelerinin Karşılaştırılması

Abstract

Amaç: Bu çalışmada evde (EY) ve bakımevinde yaşayan (BY) ve düşme hikayesi olmayan
yaşlıların fiziksel parametre, fonksiyonel performans ve yaşam kalitelerini karşılaştırmak ve bu
faktörler arasındaki ilişkiyi araştırmak amaçlanmıştır.

Gereç ve Yöntemler: Kesitsel tipteki bu çalışmada 44 EY ve 59 BY yaşlı; Berg Denge Ölçeği,
Süreli Kalk ve Yürü Testi, Mini Mental Durum Testi, 30 Saniyede Sandalyeden Kalkma Testi ve
Nottingham Sağlık Profili ile değerlendirildi.

Bulgular: EY ve BY katılımcılar arasında alt ekstremite kas kuvveti, denge, yaşam kalitesi,
fonksiyonel performans ve mental durum bakımından istatistiksel olarak anlamlı fark tespit
edilmedi (p>0,05). Korelasyon analizinde yalnızca BY grupta fonksiyonel performans ile alt
ekstremite kas kuvveti (r=-0,401; p=0,003) ve denge (r=-0,519; p=0,0001) arasında negatif ilişki
bulundu.

Tartışma ve Sonuç: EY ve BY yaşlıların düşme riski değerlendirmelerinde alt ekstremite kas
kuvveti, fonksiyonel performans, mental durum ve yaşam kalitesi gibi çeşitli faktörler göz
önünde bulundurulmalıdır. Fiziksel parametre ölçümleri yanı sıra fonksiyonel performans ve
yaşam kalitesi verileri de sunan bu çalışma, benzer biçimde bütüncül bir perspektiften gerçekleştirilecek daha ileri çalışmalar için öncü niteliktedir

Keywords

bakımevleri, kazara düşüşler, yaşam kalitesi, yaşlanma, yaşlı

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