Rehabilitasyon Hastalarının Bakımverenlerinde Kas-İskelet Sisteminin Değerlendirilmesi: Kesitsel Bir Çalışma

Year 2025, Volume: 10 Issue: 1, 94 - 104, 04.02.2025

Halime Arıkan , Meral Sertel , Zuhal Şevval Gökdere

https://doi.org/10.35232/estudamhsd.1592114

Abstract

Kas-iskelet sağlığı, fiziksel sağlığın önemli bir bileşenidir. Bu çalışmada çeşitli hasta gruplarının bakımverenlerinde kas-iskelet sistemi katılımını, yorgunluk ve yaşam kalitesini değerlendirmek amaçlandı. Çalışmaya yaş ortalaması 41,24±12,25 yıl olan 37 kadın ve 18 erkekten oluşan toplam 55 bakımveren dahil edilmiştir. Bireylerin kas-iskelet, boyun ve bel ağrıları, kas-iskelet rahatsızlığı, postür, omurga fonksiyonelliği, bel sakatlığı, boyun sakatlığı, yorgunluk ve yaşam kalitesi sırasıyla Sayısal Derecelendirme Ölçeği, Cornell Kas-İskelet Rahatsızlığı Anketi, New York Postür Derecelendirme Ölçeği, Omurga Fonksiyon İndeksi, Oswestry Sakatlık İndeksi, Bournemouth Anketi, Yorgunluk Şiddeti Ölçeği ve Kısa Form-36 anketleri kullanılarak değerlendirildi. Değerlendirilen tüm parametreler, ortopedik, pediatrik ve nörolojik hastaların bakımverenleri arasında benzerdi (p>0,05). Bireylerde kas-iskelet ağrısı, boyun ağrısı, bel ağrısı, kas-iskelet rahatsızlığı, postür, omurga fonksiyonelliği, boyun ve bel sakatlığı ve yorgunluk şiddeti parametreleri arasında anlamlı korelasyonlar gözlendi (-0,267 ila 0,754 aralığında). Ayrıca, Kısa Form-36 alt ölçekleri ile bu parametreler arasında -0,273 ila 0,754 aralığında anlamlı korelasyonlar bulundu. Kas-iskelet sistemi tüm bakımverenlerde etkilenmiştir ve farklı hasta gruplarının bakımverenleri benzer etkiler sergilemektedir.

Keywords

Bakımveren, bel, kas-iskelet, boyun, ağrı

Evaluation of Musculoskeletal System in Caregivers of Rehabilitation Patients: A cross-sectional study

Abstract

Musculoskeletal health is an important component of physical health. It was aimed to assess the musculoskeletal system involvement, fatigue, and quality of life among caregivers of various patient groups in this study. The study comprised 55 caregivers, consisting of 37 female and 18 male, with an average age of 41.24±12.25 years. The individuals’ musculoskeletal, neck, and low back pains, musculoskeletal discomfort, posture, spinal functionality, low back disability, neck disability, fatigue, and quality of life were assessed using the Numeric Rating Scale, Cornell Musculoskeletal Discomfort Questionnaire, New York Posture Rating Scale, Spine Functional Index, Oswestry Disability Index, Bournemouth Questionnaire, Fatigue Severity Scale, and Short Form-36 questionnaires, respectively. All parameters evaluated were similar among caregivers of orthopedic, pediatric, and neurological patients (p>0.05). Significant correlations were observed among the parameters of musculoskeletal pain, neck pain, low back pain, musculoskeletal discomfort, posture, spinal functionality, neck and low back disability and fatigue severity in individuals (from -0.267 to 0.754). Additionally, significant correlations were found between the subscales of SF-36 and these parameters, ranging from -0.273 to 0.754. The musculoskeletal system is affected in all caregivers, and caregivers across different patient groups exhibit similar effects.

Keywords

Caregiver, low back, musculoskeletal, neck, pain

References

• Mittelman MS, Haley WE, Clay OJ, Roth DL. Improving caregiver well-being delays nursing home placement of patients with Alzheimer disease. Neurology. 2006;67(9):1592–9. doi: 10.1212/01. wnl.0000242727.81172.91.
• Picone G, Mark Wilson R, Chou S. Analysis of hospital length of stay and discharge destination using hazard functions with unmeasured heterogeneity. Health Econ. 2003;12(12):1021–34. doi: 10.1002/hec.800.
• Van Houtven CH, Norton EC. Informal care and Medicare expenditures: Testing for heterogeneous treatment effects. J Health Econ. 2008;27(1):134–56. doi: 10.1016/j.jhealeco.2007.03.002.
• Schulz R, Sherwood PR. Physical and mental health effects of family caregiving. Am J Nurs. 2008;108(9 Suppl):23-27. doi: 10.1097/01. NAJ.0000336406.45248.4c.
• Pinquart M, Sörensen S. Correlates of physical health of informal caregivers: a meta-analysis. J Gerontol B Psychol Sci Soc Sci. 2007;62(2):P126–37. doi: 10.1093/geronb/62.2.p126.
• Burton LC, Zdaniuk B, Schulz R, Jackson S, Hirsch C. Transitions in spousal caregiving. Gerontologist. 2003;43(2):230–41. doi: 10.1093/geront/43.2.230.
• Schulz R, Beach SR. Caregiving as a risk factor for mortality: the Caregiver Health Effects Study. Jama. 1999;282(23):2215–9. doi: 10.1001/jama.282.23.2215.
• McCann JJ, Hebert LE, Bienias JL, Morris MC, Evans DA. Predictors of beginning and ending caregiving during a 3-year period in a biracial community population of older adults. Am J Public Health. 2004;94(10):1800–6. doi: 10.2105/ajph.94.10.1800.
• Sanford JT, Johnson AD, Townsend-Rocchiccioli J. The health status of rural caregivers. J Gerontol Nurs. 2005;31(4):25-31. doi: 10.3928/0098-9134-20050401-07.
• Darragh AR, Sommerich CM, Lavender SA, Tanner KJ, Vogel K, Campo M. Musculoskeletal discomfort, physical demand, and caregiving activities in informal caregivers. J Appl Gerontol. 2015;34(6):734–60. doi: 10.1177/0733464813496464.
• Hayes J, Chapman P, Young LJ, Rittman M. The prevalence of injury for stroke caregivers and associated risk factors. Top Stroke Rehabil. 2009;16(4):300–7. doi: 10.1310/tsr1604-300.
• Abba MA, Ahmad UA, Maje AU, Haruna AZ, Ibrahim AA. Musculoskeletal pain and associated factors among informal caregivers of stroke survivors in Northwestern Nigeria. Mod Care J. 2022;19(2):e123216. doi: 10.5812/modernc-123216.
• Yaşar P, Duray M. The Effect of Functional Status of Stroke Individuals on Caregiver Pain. Turkish J Fam Med Prim Care. 2022;16(2):274–85. doi: 10.21763/tjfmpc.994648.
• Terzi R, Tan G. Serebral palsili çocuğa sahip annelerde; muskuloskeletal sistem ağrıları ve ilişkili faktörler. Agri. 2016;28(1):18–24. doi: 10.5505/agri.2015.74436.
• Vincent-Onabajo G, Daniel H, Lawan A, Ali MU, Masta MA, Modu A. Musculoskeletal symptoms among family caregivers of community-dwelling stroke survivors in Nigeria. J Caring Sci. 2018;7(2):59-66. doi: 10.15171/jcs.2018.010.
• Rahman MM, Miah MS, Sultana S, Rahman S. Prevalence of Musculoskeletal Disorders among Caregivers of Persons with Disabilities in a Rehabilitation Centre in Bangladesh. Bangladesh J Occup Ther Rehabil. 2017;1(2):62–8.
• Flaherty SA. Pain measurement tools for clinical practice and research. AANA J. 1996;64(2):133–40.
• McRoberts LB, Cloud RM, Black CM. Evaluation of the New York Posture Rating Chart for assessing changes in postural alignment in a garment study. Cloth Text Res J. 2013;31(2):81–96. doi: 10.1177/0887302X13480558.
• Gabel CP, Melloh M, Burkett B, Michener LA. The Spine Functional Index: development and clinimetric validation of a new whole-spine functional outcome measure. Spine J. 2019;19(2):e19–27. doi: 10.1016/j.spinee.2013.09.055.
• Tonga E, Gabel CP, Karayazgan S, Cuesta-Vargas AI. Cross-cultural adaptation, reliability and validity of the Turkish version of the spine functional index. Health Qual Life Outcomes. 2015;13:30. doi: 10.1186/s12955-015-0219-3.
• Chhabra HS, Kapoor KS. New modified english and hindi oswestry disability index in low back pain patients treated conservatively in Indian population. Asian Spine J. 2014;8(5):632-8. doi: 10.4184/asj.2014.8.5.632.
• Yakut E, Düger T, Öksüz Ç, Yörükan S, Üreten K, Turan D, et al. Validation of the Turkish version of the Oswestry Disability Index for patients with low back pain. Spine (Phila Pa 1976). 2004;29(5):581– 5. doi: 10.1097/01.brs.0000113869.13209.03.
• Bolton JE, Humphreys BK. The Bournemouth Questionnaire: a short-form comprehensive outcome measure. II. Psychometric properties in neck pain patients. J Manipulative Physiol Ther. 2002;25(3):141–8. doi: 10.1067/mmt.2002.123333.
• Gunaydin G, Citaker S, Meray J, Cobanoglu G, Gunaydin OE, Kanik ZH. Reliability, validity, and cross-cultural adaptation of the Turkish version of the Bournemouth questionnaire. Spine (Phila Pa 1976). 2016;41(21):E1292–7. doi: 10.1097/BRS.0000000000001599.
• Hedge A, Morimoto S, McCrobie D. Cornell musculoskeletal discomfort questionnaire. Ergonomics. 1999;42(10):1333-49.
• Erdinc O, Hot K, Ozkaya M. Turkish version of the Cornell Musculoskeletal Discomfort Questionnaire: cross-cultural adaptation and validation. Work. 2011;39(3):251–60. doi: 10.3233/WOR-2011-1173.
• Krupp LB, Alvarez LA, LaRocca NG, Scheinberg LC. Fatigue in multiple sclerosis. Arch Neurol. 1988;45(4):435–7. doi: 10.1001/archneur.1988.00520280085020.
• Gencay-Can A, Can SS. Validation of the Turkish version of the fatigue severity scale in patients with fibromyalgia. Rheumatol Int. 2012;32(1):27–31. doi: 10.1007/s00296-010-1558-3.
• Ware JE. SF-36 health survey update. Spine. 2000;25(24):3130-9.
• Demiral Y, Ergor G, Unal B, Semin S, Akvardar Y, Kıvırcık B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health. 2006;6:247. doi: 10.1186/1471-2458-6-247.
• Feise RJ, Menke JM. Functional rating index: a new valid and reliable instrument to measure the magnitude of clinical change in spinal conditions. Spine (Phila Pa 1976). 2001;26(1):78–87. doi: 10.1097/00007632-200101010-00015.
• Pajeemas K, Patpiya S, Preeda A, Siriwan SN. Factors associated with low back pain in non-professional caregivers of dependent spinal cord lesion patients. Int J Caring Sci. 2018;11(1):471–7.
• Demirci N, Gül G, Demirdel S. Engelli Bireye Bakım Veren Ebeveynlerin Kas-İskelet Sistemi Rahatsızlığının İncelenmesi. J Innov Healthc Pract. 2023;4(1):54–63. doi: 10.58770/joinihp.1250510.
• Figueiredo LC, Gratão ACM, Barbosa GC, Monteiro DQ, Melo BR de S, Pelegrini LN de C, et al. Musculoskeletal symptoms in formal and informal caregivers of elderly people. Rev Bras Enferm. 2021;75(2):e20210249. doi: 10.1590/0034-7167-2021-0249.
• Llamas-Ramos R, Barrero-Santiago L, Llamas-Ramos I, Montero-Cuadrado F. Effects of a family caregiver care programme in musculoskeletal pain and disability in the shoulder-neck region—A randomised clinical trial. Int J Environ Res Public Health. 2022;20(1):376. doi: 10.3390/ijerph20010376.
• Suzuki K, Tamakoshi K, Sakakibara H. Caregiving activities closely associated with the development of low‐back pain among female family caregivers. J Clin Nurs. 2016;25(15–16):2156–67. doi: 10.1111/jocn.13167.
• Karaman S, Özdemir ÖÇ. The effect of low back and neck pain on posture, burnout, and quality of life in formal caregivers of children with disabilities and the elderly. Ir J Med Sci. 2023;192(5):2059–64. doi: 10.1007/s11845-023-03286-w.
• Yılmaz-Uzelli D, Sarı D. Kronik Hastalığı Olan Hastalara Bakım Veren Yakınlarının Uyku Kalitesi Ve Yorgunluk Düzeyleri Arasındaki İlişkinin İncelenmesi. Anadolu Hemşirelik ve Sağlık Bilim Derg. 2017;20(2):90-8.