Ankilozan Spondilit Hastalarında Hastalığa Özgü İndeksler, Yorgunluk ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

Year 2019, Volume: 4 Issue: 1, 19 - 23, 20.01.2019

Yasemin Acar , Gerçek Can Nursen İlçin

Abstract

Ankilozan Spondilit Hastalarında Hastalığa Özgü İndeksler, Yorgunluk ve Yaşam Kalitesi Arasındaki İlişkinin İncelenmesi

 

Amaç: Bu çalışmanın amacı ankilozan spondilit (AS) hastalarında yorgunluk, hastalığa özgü indeksler ile yaşam kalitesi arasındaki ilişkiyi incelemekti. Gereç ve Yöntem: Kesitsel tipteki çalışmamıza Dokuz Eylül Üniversitesi Romatoloji ve İmmunoloji polikliniğinde takip edilen AS hastaları katıldı. Hastalık aktivitesinin değerlendirilmesi amacıyla Bath Ankilozan Spondilit Hastalık Aktivite İndeksi (BASDAİ), fonksiyonel seviyenin değerlendirilmesinde Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFİ) ve spinal mobilitenin değerlendirilmesinde Bath Ankilozan Spondilit Metroloji İndeksi (BASMİ) kullanıldı. Yorgunluğun değerlendirilmesinde BASDAİ’nin yorgunluğu değerlendiren maddesi kullanıldı. Yaşam kalitesi Ankilozan Spondilit Yaşam Kalitesi Anketi (ASQoL) kullanılarak değerlendirildi. Hastalığa özgü indeksler, yorgunluk ve yaşam kalitesi arasındaki ilişkinin incelenmesi amacıyla Spearman korelasyon analizi kullanıldı. Bulgular: Çalışmamızda 85 AS hastası değerlendirildi. Yorgunluk ile BASDAİ arasında mükemmel (rho=.809, p<.001), BASFİ ile BASDAİ arasında iyi (rho=.665, p<.001), BASFİ ile yorgunluk arasında orta (rho=.561, p<.001) ve BASFİ ile BASMİ arasında orta (rho=.455, p<.001) dereceli korelasyon bulundu. Yaşam kalitesi ile BASDAİ arasında orta (rho=.523, p<.001), yaşam kalitesi ile BASFİ arasında orta (rho=.508, p<.001) ve yaşam kalitesi ile yorgunluk arasında orta dereceli (rho=.464, p<.001) korelasyon bulunurken, yaşam kalitesi ile BASMİ arasında düşük dereceli (rho=.280, p=.009) korelasyon bulundu.

Sonuç: Ankilozan spondilit hastalarında yorgunluk, hastalık aktivitesi, spinal mobilite ve yaşam kalitesinin ilişkili olduğu görüldü.

Anahtar
Kelimeler: Ankilozan Spondilit, yorgunluk, yaşam kalitesi

 

The Investigation of The Relationship Between Disease Specific Indexes, Fatigue and Quality of Life in Ankylosing Spondylitis Patients

 

Objective: The aim of this study was to investigate the relationship between fatigue, disease-specific indexes and quality of life in ankylosing spondylitis (AS) patients. Material and Methods: In our cross-sectional study, AS patients who were followed in Dokuz Eylul University Rheumatology and Immunology outpatient clinic were included. Bath Ankylosing Spondylitis Disease Activity Index (BASDAI) was used for the evaluation of disease activity, Bath Ankylosing Spondylitis Functional Index (BASFI) was used for the evaluation of functional level, Bath Ankylosing Spondylitis Metrology Index (BASMI) was used to evaluate spinal mobility. For evaluation of fatigue, fatigue-assessing item of BASDAI was used. Quality of life was assessed by using the Ankylosing Spondylitis Quality of Life Questionnaire (ASQoL). Spearman correlation analysis was used to examine the relationship between disease specific indexes, fatigue and quality of life. Findings: Eighty-five AS patients were evaluated in our study. Excellent correlation was detected between fatigue and BASDAI (rho=.809, p<.001), good correlation was found between BASFI and BASDAI (rho=.665, p<.001) moderate correlations were found between BASFI and fatigue (rho=.561, p<.001), and BASFI and BASMI (rho=.455, p<.001). There was moderate correlation between quality of life and BASDAI (rho=.523, p<.001), moderate correlation between quality of life and BASFI (rho=.508, p<.001), moderate correlation between quality of life and fatigue (rho=.464, p<.001). Low correlation was found between quality of life and BASMI (rho=.280, p=.009). Conclusion: It was found that fatigue, disease activity, spinal mobility and quality of life were correlated in ankylosing spondylitis patients.

Keywords: Ankylosing Spondylitis, fatigue, quality of life

Keywords

Ankilozan Spondilit, yorgunluk, yaşam kalitesi

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