Yaşlı Cerrahi Hastalarının Kırılganlık ve Malnütrisyon Durumlarının ve Risk Faktörlerinin Belirlenmesi

Year 2025, Volume: 14 Issue: 2, 316 - 324, 30.08.2025

Çiğdem Kaya , Semra Özdemir

Abstract

Amaç: Cerrahi uygulanan yaşlı hastaların kırılganlık ve malnütrisyon durumlarının ve risk faktörlerinin belirlenmesidir. Yöntem: Araştırma, tanımlayıcı ve kesitsel niteliktedir. Veriler, Hasta Tanılama Formu, FRAİL Ölçeği, Mini Nütrisyonel Değerlendirme (MNA) testi ile toplandı. Veriler, SPSS 23.0 ile değerlendirilmiştir. Bulgular: Araştırmaya dahil edilen 140 hastanın yaş ortalaması 70.03±5.74 olup; %47.9’una ortopedik cerrahi uygulanmıştır. Hastaların %63.6’sı kırılgan ve %10.7’sinde ise malnütrisyon olduğu belirlenmiştir. Ameliyat sonrası yoğun bakımda kalan hastaların ameliyat öncesi beslenme durumları daha kötüydü. Ameliyat öncesi mobilizasyon düzeyi ve ASA skorunun kırılganlık durumu üzerinde; ASA skoru ve beden kitle indeksinin ise beslenme durumu üzerinde anlamlı bir etkiye sahip olduğu belirlenmiştir. Sonuç: Çalışmamızda, cerrahi uygulanan yaşlı yetişkinlerde kırılganlığın yaygın olduğu ve hastaların yarısından fazlasının malnütrisyon riski altında olduğu gösterilmiştir. Bu sonuçlar, ameliyat öncesi hastaların kırılganlık ve beslenme durumlarının değerlendirilmesinin önemli olduğunu vurgulamaktadır. Bu sonuçlar, ameliyat öncesi hastaların kırılganlık ve beslenme durumlarının değerlendirilmesinin önemli olduğunu vurgulamaktadır.

Keywords

Kırılganlık , Malnütrisyon , Beslenme Risk Değerlendirmesi , Cerrahi Hastalar , Yaşlı Hastalar

Project Number

Tubitak 2209-A - Research Project Support Programme for Undergraduate Students.

Determination of Frailty and Malnutrition Status and Risk Factors in Elderly Surgical Patients

Abstract

Objective: To determine the frailty and malnutrition status and risk factors of elderly patients undergoing surgery. Material and Methods: The study is descriptive and cross-sectional. Data were collected using the Patient Identification Form, FRAIL Scale, and Mini Nutritional Assessment (MNA) test. Data evaluated by SPSS 23.0. Results: The mean age of the patients was 70.03±5.74; 47.9% underwent orthopedic surgery. 63.6% of the patients were frail and 10.7% were malnourished. It was determined that women, patients with chronic diseases, those using medication, and patients who were mobilized with assistive device or immobile before surgery were more fragile. Patients who stayed in intensive care following surgery had poorer nutritional status before the operation. It was determined that preoperative mobilization level and ASA score had a significant effect on frailty status, while ASA score and body mass index had a significant effect on nutritional status. Conclusion: Our study showed that frailty is common in older adults undergoing surgery and more than half of the patients were at risk of malnutrition. These results emphasize the importance of evaluating the frailty and nutritional status of patients before surgery. These results emphasize the importance of evaluating the frailty and nutritional status of patients before surgery.

Keywords

Frailty , Malnutrition , Nutritional Risk Assessment , Surgical Patients , Elderly Patients

Ethical Statement

Institution: Balikesir University Health Sciences Non-Interventional Research Ethics Committee Date: 13.06.2023 Approval No: 2023/58

Supporting Institution

TUBİTAK

Project Number

Tubitak 2209-A - Research Project Support Programme for Undergraduate Students.

Thanks

The authors would like to extend their sincere thanks to anyone who contributed to this study.

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