Geriatrik Olgularda Ağrı Prevalansı ve Dağılımı

Year 2018, Volume: 1 Issue: 3, 79 - 85, 31.12.2018

Ugur Kalan Ferhat Arık

Abstract

Amaç: Yaşlı erişkin
nüfusu arttıkça, yaşa bağlı olarak kronik hastalıklar artmaktadır. Kronik ağrı
yaşlı erişkinlerde sık görülen bir sağlık problemidir. Ağrı, aile üyeleri ve
klinisyenler tarafından yaşlanma sürecinin bir parçası olarak görüldüğü için
tedavi edilmemekte veya yetersiz tedavi edilmektedir. Çalışmamızın amacı, yaşlı
erişkinlerde ağrı prevelansını ve vücut bölgelerine göre ağrı oranlarını
değerlendirmektir.

 

Gereç ve
Yöntemler: Çalışmamız kesitsel olup, Geriatri Kliniğine başvuran 1078 hasta ile
yapılmıştır. Hastalar; ağrı, ağrının yeri, cinsiyet, vücut kitle indeksi,
eğitim durumu, medeni hal, yaşama ortamı ve kullandıkları ilaç sayısına göre
sınıflandırıldı. Elde edilen verilerden ağrı prevelansı ve ağrının dağılımı
hesaplandı.

 

Bulgular: Çalışmaya dahil
edilen hastaların yaş ortalaması 73,65±8,05 yıldı. Hastaların %70’inde (n=750)
ağrı vardı. Erkek katılımcılarda ağrı sıklığı %45,6 (n=131) iken kadınlarda %78
(n=619) olarak hesaplandı (p<0.001). Tüm hastalar incelediğinde, en sık
ağrıyan bölgeler; diz (%25,8), yaygın (%24,1) ve bel ağrısı (%16,1) olarak
tespit edildi. En sık ağrı kadınlarda yaygın ağrı (%26,6) iken erkeklerde diz
ağrısı (%30,4) olarak tespit edildi.

 

Sonuç: Geriatrik
hastalarda ağrı oldukça sık görülmektedir. Çalışmamızda kadınlarda, erkeklere
göre ağrı daha fazla görüldü. En sık ağrı hissedilen üç bölge; kadınlarda
yaygın, diz ve bel ağrısı; erkeklerde diz, bel ve karın ağrısıdır. Hayat
kalitesinde azalma, kognitif fonksiyonlarda bozulma, yürüme ve denge
problemleri, düşme, uyku bozukluğu ve ölüme neden olabileceğinden ağrının
değerlendirilmesi ve yeterli tedavi edilmesi önem taşımaktadır.

Keywords

Ağrı, lokalizasyon, prevelans, sosyodemografik

Prevalance and Distribution of Pain in Geriatric Patients

Abstract

Aim: As older adult
population increases, chronic diseases are increasing depending on age
dramatically. Chronic pain is a common health problem in older adults.
Furthermore, pain is not treated or under-treated because it is seen as part of
the aging process by family members and clinicians. The aim of our study was to
evaluate the prevalence of pain in older adults and pain rates according to
body regions.

 

Material and Methods: This cross-sectional study was carried out with 1078 patients who
admitted to Geriatric Clinic. Patients were classified as pain, pain location,
gender, body mass index, educational status, marital status, who they live with
and the number of drugs they used . Pain prevalence and pain distribution were
calculated from the data obtained.

 

Results: The mean age of the
patients in the study was 73.65±8.05 years. 70% (n = 750) of the patients had
pain experience. The prevalence of pain in male participants was 45.6% (n =
131) and 78% in women (n = 619) (p <0.001). When all patients were analyzed,
the most common pain sites are; knee (25.8%), widespread (24.1%) and low back
pain (16.1%). The most common pain was widespread pain in women (26.6%) and
knee pain in men (30.4%).

 

Conclusion: Pain is frequently
seen in geriatric patients. In our study, pain was more common in females than
males. The three most common pain sites were; widespread, knee and low back
pain in women; knee, low back pain and abdominal pain in men. It is important
to evaluate the pain and to treat it adequately as it can cause a decrease in
quality of life, impairment of cognitive functions, gait and balance problems,
falling, sleep disorder and death.

Keywords

Localization, Pain, Prevalence, Sociodemographic

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