Home Safety of Individuals with Neurological Disorders: A Turkish Sample

Abstract

The aim of this study is to determine the home safety status and associated risks of individuals with neurological disorders. Material and Methods: Eighty-three individuals with neurological disorders living in Denizli constitute the sample group of the study. The Home Safety Checklist was employed in order to evaluate the home safety status of the participants. Results: While 93% of the participants (n=77) were considered to be living in ‘dangerous’ homes, 7% (n=6) had ‘good’ homes according to the Home Safety Checklist scores. In this study’s sample, no participant was considered to be living in a ‘perfect’ home. Conclusion: The results are indicative of the fact that the home safety scores of participants with neurological disorders are very low. In light of this, the environment and living area of the affected individuals should be adapted according to their limitations in such a way so as to enable them to live a barrier-free and easier life. 

Keywords

• Neurologic disorder
• Disabled People
• Safety
• Risk assessment

Nörolojik Özürlü Bireylerin Ev Güvenliği: Bir Türk Örneklemi

Abstract

Amaç: Bu çalışmanın amacı nörolojik bozuklukları olan bireylerin ev güvenliği durumlarını ve buna bağlı riskleri belirlemektir. Gereç ve Yöntem: Denizli'de yaşayan nörolojik özrü olan seksen üç birey, araştırmanın örneklem grubunu oluşturmaktadır. Katılımcıların ev güvenlik durumlarını değerlendirmek için Ev Güvenlik Kontrol Listesi kullanılmıştır. Sonuçlar: Ev Güvenlik Kontrol Listesi puanlarına göre, katılımcıların% 93'ü (n = 77) "tehlikeli" evlerde yaşarken, %7'si (n = 6) 'iyi' evlerde yaşamaktaydı. Bu çalışma örnekleminde hiçbir katılımcı "mükemmel" bir evde yaşamamaktaydı. Tartışma: Sonuçlar, nörolojik rahatsızlıkları olan katılımcıların ev güvenliği puanlarının çok düşük olduğunu göstermektedir. Bundan dolayı, etkilenen bireylerin çevresi ve yaşam alanı, bariyersiz ve daha kolay yaşama imkânı verecek şekilde kısıtlılıklarına göre düzenlenmelidir.

Keywords

• Nörolojik hastalık
• Risk değerlendirmesi
• Güvenlik
• Engelli birey

References

1. Altuntaş, O., Kayıhan, H. (2015). Ev düzenlemelerinin yaşlıların yaşam kalitesine etkisi. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 26(1).
2. Atwal, A., McIntyre, A., Craik, C., & Hunt, J. (2008). Occupational therapists' perceptions of predischarge home assessments with older adults in acute care. Br J Occup Ther, 71(2), 52-58.
3. Behrman, A. L., Light, K. E., Flynn, S. M., & Thigpen, M. T. (2002). Is the functional reach test useful for identifying falls risk among individuals with Parkinson's disease?. Arch Phys Med Rehabil, 83(4), 538-542.
4. Bloem, B. R., Grimbergen, Y. A., Cramer, M., Willemsen, M., & Zwinderman, A. H. (2001). Prospective assessment of falls in Parkinson's disease. J Neurol, 248(11), 950-958.
5. Bushnik, T. (2011). Expanded Disability Status Scale. In Encyclopedia of Clinical Neuropsychology, (pp. 997-999). New York: Springer. Büker, N., Altuğ, F., Kitiş, A., & Cavlak, U. (2008). Şehirde ve kırsal kesimdeki yaşlıların ev güvenliğinin incelenmesi. TAF Preventive Medicine Bulletin, 7(4), 297-300.
6. Cohen, M. E., Ditunno, J. F., Donovan, W. H. & Maynard, F. M. (1998). A test of the 1992 International standards for neurological and functional classification of spinal cord injury. Spinal Cord, 36(8), 554–560.
7. De Coninck, L., Bekkering, G. E., Bouckaert, L., Declercq, A., Graff, M. J., & Aertgeerts, B. (2017). Home‐and community‐based occupational therapy improves functioning in frail older people: A systematic review. J Am Geriatr Soc, 65(8), 1863-1869.
8. D’Olhaberriague, L., Litvan, I., Mitsias, P. & Mansbach, H. H. (1996) A reappraisal of reliability and validity studies in stroke. Stroke, 27(12), 2331–2336.

9. Evci, E. D., Ergin, F. & Beşer, E. (2006) Home accidents in the elderly in Turkey. Tohoku J Exp Med, 209(4), 291-301.
10. Güner, P. & Güler, Ç.(2002) Yaşlıların ev güvenliği ve denetim listesi. Geriatri, 5(4), 150-154.
11. Herdman, S. J. (Ed.). (2000) The elderly person with vestibular dysfunction. Vestibular Rehabilitation. Philadelphia, FA: Davis Co. Hirtz, D., Thurman, D. J., Gwinn-Hardy, K., Mohamed, M., Chaudhuri, A. R., & Zalutsky, R. (2007). How common are the “common” neurologic disorders?. Neurology, 68(5), 326-337.
12. Hoehn, M. M. & Yahr, M. D. (1967). Parkinsonism: Onset, progression, and mortality. Neurology, 17(5), 427-442.
13. Kamei, T., Kajii, F., Yamamoto, Y., Irie, Y., Kozakai, R., Sugimoto, T., ... & Niino, N. (2015). Effectiveness of a home hazard modification program for reducing falls in urban community‐dwelling older adults: A randomized controlled trial. Jpn J Nurs Sci, 12(3), 184-197.
14. Kirschblum, S. C., Burns, S. P., Biering-Sorensen, F., Donovan, W., Graves, D. E., Jha, A., & Waring, W. (2011). International standards for neurological classification of spinal cord injury (Revised 2011). J Spinal Cord Med, 34(6), 535-546.
15. Kurtzke, J. F. (1983). Rating neurologic impairment in multiple sclerosis: an expanded disability status scale (EDSS). Neurology, 33(11), 1444-1552.
16. Matsuda, P. N., Shumway-Cook, A., Barner, A. M., Johnson, S. L., Amtmann, D. & Kraft, G. H. (2011). Falls in multiple sclerosis. Am J Phys Med Rehabil, 3(7), 624-632.
17. Maynard, F. M., Bracken, M. B., Creasey, G., Ditunno, J. F., Donovan, W. H., Ducker TB, ..., Young W. (1997). International standards for neurological and functional classification of spinal cord injury. American Spinal Injury Association. Spinal Cord, 35(5), 266-274.
18. Nilsagård, Y., Lundholm, C., Denison, E., & Gunnarsson, L. G. (2009). Predicting accidental falls in people with multiple sclerosis—a longitudinal study. Clin Rehabil, 23(3), 259-269.
19. Noseworthy, J. H., Vandervoort, M. K., Wong, C. J. & Ebers, G. C. (1990) Interrater variability with the Expanded Disability Status Scale (EDSS) and Functional Systems (FS) in a multiple sclerosis clinical trial. Neurology, 40(6), 971-975.
20. Pynoos, J., Steinman, B. A., & Nguyen, A. Q. (2010). Environmental assessment and modification as fall-prevention strategies for older adults. Clin Geriatr Med, 26(4), 633-644.
21. Pynoos, J., Steinman, B. A., Do Nguyen, A. Q., & Bressette, M. (2012). Assessing and adapting the home environment to reduce falls and meet the changing capacity of older adults. Journal of Housing for the Elderly, 26(1-3), 137-155.
22. Stark, S., Keglovits, M., Arbesman, M., & Lieberman, D. (2017). Effect of home modification interventions on the participation of community-dwelling adults with health conditions: A systematic review. Am J Occup Ther, 71(2), 7102290010p1-7102290010p11.
23. Stevens, M., Holman, C. D. & Bennett, N. (2001). Preventing falls in older people: Impact of an intervention to reduce environmental hazards in the home. J Am Geriatr Soc, 49(11), 1442–7.
24. Stevens, J. A., Thomas, K., Teh, L., & Greenspan, A. I. (2009). Unintentional fall injuries associated with walkers and canes in older adults treated in US emergency departments. J Am Geriatr Soc, 57(8), 1464-1469.
25. Struckmeyer, L. R., & Pickens, N. D. (2016). Home modifications for people with Alzheimer’s disease: A scoping review. Am J Occup Ther, 70(1), 7001270020p1-7001270020p9.
26. Sulter G., Steen C. & De Keyser J. (1999). Use of the Barthel Index and Modified Rankin Scale in acute stroke trials. Stroke, 30, 1538-1541.
27. Uysal, A., Ardahan, M. & Ergül, Ş. (2006). Evde yaşayan yaşlılarda düşme risklerinin belirlenmesi. Turk J Geriatr, 9(2), 75-80. Van Swieten, J. C., Koudstaal, P. J., Visser, M. C., Schouten, H. J.. & Gijn, J. (1998). Interobserver agreement for the assessment of handicap in stroke patients. Stroke, 19(5), 604-607.
28. Weerdesteyn, V., Niet, M., Van Duijnhoven, H. J. R. & Geurts, A. C. H. (2008). Falls in Individuals with Stroke. J Rehabil Res Dev, 45(8), 1195–1214.
29. Whiteneck, G., Meade, M. A., Dijkers, M., Tate, D. G., Bushnik, T. & Forchheimer, B. (2004). Environmental factors and their role in participation and life satisfaction after spinal cord injury. Arch Phys Med Rehabil, 85, 1793-1803.