Kırılgan Bireylerde Ağrı Şiddeti ve Süresinin Günlük Yaşam Aktiviteleri Üzerine Etkisi

Year 2026, Volume: 16 Issue: 1, 101 - 106, 15.03.2026

Ali Halıcı

https://doi.org/10.16919/bozoktip.1869342

https://izlik.org/JA33EB36GJ

Abstract

Amaç:
Bu çalışmada, acil servise başvuran 65 yaş ve üzeri bireylerde kırılganlık düzeyine göre ağrı şiddeti ve süresinin günlük yaşam aktiviteleri ve fonksiyonel bağımsızlık üzerindeki etkisinin değerlendirilmesi amaçlandı.
Gereç ve Yöntem:
Bu tanımlayıcı-kesitsel anket çalışması, Kütahya Şehir Hastanesi Acil Servisi’ne başvuran 65 yaş ve üzeri 222 katılımcı ile gerçekleştirildi. Katılımcıların kırılganlık düzeyi FRAIL ölçeği ile non-frail, pre-frail ve frail olarak sınıflandırıldı. Ağrı şiddeti; istirahat, aktivite ve gece dönemleri için Görsel Analog Ölçeği (VAS) ile değerlendirildi. Temel günlük yaşam aktiviteleri Katz Günlük Yaşam Aktiviteleri Ölçeği (KATZ-ADL) ile, enstrümantal günlük yaşam aktiviteleri ise Lawton–Brody Enstrümantal Günlük Yaşam Aktiviteleri Ölçeği (IADL) ile ölçüldü. Gruplar arası karşılaştırmalarda uygun parametrik ve nonparametrik istatistiksel testler kullanıldı.
Bulgular:
Pre-frail ve frail gruplarda günlük ağrı görülme oranı, non-frail gruba kıyasla anlamlı derecede daha yüksekti (p<0,001). Ağrı süresi pre-frail ve frail gruplarda non-frail gruba göre daha uzun saptanırken (p=0,020), pre-frail ve frail gruplar arasında ağrı süresi açısından anlamlı fark izlenmedi. Ağrı şiddeti istirahat, aktivite ve gece dönemlerinde frail grupta en yüksek, non-frail grupta en düşük düzeydeydi (tüm karşılaştırmalar için p<0,001). Fonksiyonel değerlendirmede KATZ-ADL ve IADL skorlarının kırılganlık düzeyi arttıkça anlamlı biçimde azaldığı ve frail grupta fonksiyonel bağımlılığın belirgin olduğu saptandı (p<0,001).
Sonuç:
Acil servise başvuran yaşlı bireylerde kırılganlık düzeyinin artması, ağrı yükünde artış ve günlük yaşam aktivitelerinde belirgin azalma ile ilişkilidir. Özellikle pre-frail evrede saptanan bulgular, bu dönemin erken tanı ve müdahale açısından kritik bir fırsat sunduğunu göstermektedir. Ağrı ve kırılganlığın birlikte değerlendirilmesi, acil servis pratiğinde fonksiyonel kaybın erken öngörülmesine katkı sağlayabilir.

Keywords

Kırılganlık , ağrı , günlük yaşam aktiviteleri

The Effect of Pain Intensity and Duration on Activities of Daily Living in Frail Older Adults

https://izlik.org/JA33EB36GJ

Abstract

Aim:
This study aimed to evaluate the association of pain intensity and pain duration with activities of daily living and functional independence according to frailty level among adults aged ≥65 years presenting to the emergency department.
Material and Methods:
This cross-sectional study included 222 participants aged ≥65 years presenting to the emergency department of Kütahya City Hospital. Frailty was assessed using the FRAIL scale, and participants were categorized as non-frail, pre-frail, or frail. Pain intensity was measured using the Visual Analog Scale (VAS) at rest, during activity, and at night. Basic activities of daily living were assessed using the Katz Activities of Daily Living (Katz-ADL) scale, and instrumental activities were assessed using the Lawton–Brody Instrumental Activities of Daily Living (IADL) scale. Group comparisons were performed using appropriate parametric or non-parametric tests.
Results:
The prevalence of daily pain was significantly higher in the pre-frail and frail groups than in the non-frail group (p<0.001). Pain duration was longer in the pre-frail and frail groups than in non-frail individuals (p=0.020), while no significant difference was observed between the pre-frail and frail groups. Pain intensity at rest, during activity, and at night was highest in the frail group and lowest in the non-frail group (all p<0.001). Katz-ADL and IADL scores progressively declined with increasing frailty severity, with markedly greater functional dependence in frail participants (p<0.001).
Conclusion:
Among older adults presenting to the emergency department, higher frailty levels are associated with increased pain burden and reduced functional independence. The pre-frail stage may represent a critical window for early identification and intervention. Integrating pain and frailty assessment into routine emergency department evaluation may support early recognition of high-risk patients and strategies to prevent functional decline.

Keywords

Frailty , pain , activities of daily living

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