Abstract

Amaç: Kronik kalp yetmezliği (KKY) olan hastalardaki raporlar; hastaların neredeyse % 60’ının bir veya daha fazla günlük yaşam aktivitesinde (GYA) zorluk yaşadığını ve fonksiyonel yetersizliğin daha kötü prognoz ile ilişkili olduğunu göstermektedir. Bu retrospektif çalışmanın amacı; KKY olan geriatrik ve geriatrik olmayan hastalar arasındaki hastalığa özgü fonksiyonel limitasyonları karşılaştırmaktı. Yöntem: KKY'li 68 hasta geriatrik (yaş≥65 yıl, n=29, grup I) ve geriatrik olmayan (yaş<65 yıl, n=39, grup 2) olarak iki gruba ayrıldı. Günlük Yaşam Aktiviteleri için Performans Ölçümü-8 Anketi (PMADL-8) ile GYA esnasındaki zorluk düzeyi ve Kronik Kalp Yetmezliği Anketi (CHQ) ile hastalığa spesifik sağlık statüsü değerlendirildi. Sonuçlar: Grup I’deki KKY'li hastaların PMADL-8 skorları, grup II’ye göre anlamlı derecede yüksekti (p=0,001). Grup I’deki KKY'li hastaların CHQ dispne skorları grup II’den daha düşüktü (p=0,024). Gruplar arasında CHQ yorgunluk, emosyonel statü, yeterlik alt boyutları ve total skorları benzerdi (p>0,05). Tartışma: KKY olan geriatrik hastalar, geriatrik olmayan hastalara kıyasla günlük yaşamda daha yüksek hastalığa özgü fonksiyonel sınırlamalara ve daha kötü sağlıkla ilgili yaşam kalitesine sahiptir. Rehabilitasyon uzmanları, geriatrik KKY grubunda günlük aktiviteler sırasındaki fonksiyonel kısıtlamaya özellikle dikkat etmelidir.

Keywords

• Konjestif kalp yetmezliği
• sağlıkla ilgili yaşam kalitesi
• günlük yaşam aktiviteleri
• sağlık durumu

A COMPARISON OF DISEASE-SPECIFIC FUNCTIONAL LIMITATIONS BETWEEN GERIATRIC AND NON-GERIATRIC PATIENTS WITH CONGESTIVE HEART FAILURE: CROSS-SECTIONAL STUDY

Abstract

Purpose: Reports in patients with chronic heart failure (CHF) demonstrate that nearly 60% of patients experience difficulty in one or more activities of daily living (ADLs), and functional inability is related with a worse prognosis. The purpose of this retrospective study was to compare disease-specific functional limitations between geriatric and non-geriatric patients with CHF. Method: Sixty-eight patients with CHF were divided into two groups as geriatric (age≥65 years, n=29, group I) and non-geriatric (age<65 years, n=39, group II). The level of difficulty during ADLs was assessed using the Performance Measurement-8 Questionnaire for Activities of Daily Living (PMADL-8) and the disease specific health status using the Chronic Heart Failure Questionnaire (CHQ). Results: The PMADL-8 scores of patients with CHF in group I were significantly higher than those in group II (p=0.001). The CHQ dyspnea scores of patients in group I were lower than those in group II (p=0.024). The scores of the CHQ fatigue, emotional status, mastery subdimensions, and total scores were similar between groups (p>0.05). Discussion: Geriatric patients with CHF have greater disease-specific functional limitations during daily life and poorer disease-related quality of life compared with their non-geriatric counterparts. Rehabilitation experts must pay special attention in the geriatric CHF group, with an emphasis on functional limitation during daily activities.

Keywords

• Congestive heart failure
• health-related quality of life
• activities of daily living
• health status

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