TİP 2 DİYABETLİ YAŞLI BİREYLERDE KIRILGANLIĞI ETKİLEYEN FAKTÖRLER NELERDİR?

Year 2021, Volume: 84 Issue: 1, 1 - 8, 15.01.2021

Cemile İdiz Özlem Yılmaz Nurdan Gül Sakin Tekin Ramazan Çakmak Meryem Merve Ören , Sena Gürkaş Mehmet Akif Karan Gülistan Bahat İlhan Satman

https://doi.org/10.26650/IUITFD.2020.0091

Abstract

Amaç: Çalışmamızın amacı tip 2 diyabet tanısı almış yaşlı erişkinlerde kırılganlıkla ilgili faktörleri belirlemektir. Gereç ve Yöntem: Çalışmaya 65 yaş ve üstü, tip 2 diyabet tanısı almış 108 kişi dahil edildi. Katılımcıların kırılganlığı FRAIL anketi ile değerlendirilmiş, beslenme durumu Mini Beslenme Değerlendirme Kısa Formu (MNA-SF) ile, depresyon durumu Hasta Sağlığı Anketi-2 (PHQ2) ve Geriatrik Depresyon Ölçeği Kısa Formu (GDS-SF) ile değerlendirilirken, yaşam kalitesi EuroQol-5 Boyut (EQ5D) ve EQ VAS puanlaması ile, kişisel bakım durumları ise Günlük Yaşamın Temel Aktiviteleri (BADL) ve Günlük Yaşamın Enstrümantal Aktiviteleri (IADL) formları ile değerlendirilmiştir. Bulgular: Kırılgan grupta, kırılgan olmayanlara göre uyku sorunları, düşme korkusu, idrar kaçırma, PHQ2, GDS-SF ve EQ5D skorları anlamlı olarak yüksek; MNASF skoru ise anlamlı olarak düşüktü (p<0,05, tüm kıyaslamalar için). Sonuç: Bu çalışmada yaşlı diyabetik hastalarda kırılganlık ile malnütrisyon, azalan yaşam kalitesi ve artmış depresyon arasındaki ilişki gösterilmiştir. Tüm bu faktörlerin diyabet yönetiminde bir yeri olduğu için farkındalık artırılmalı ve yaşlı diyabetlilerde kırılganlık taraması genişletilmelidir.

Keywords

Kırılganlık, yaşlılık, diyabet, malnütrisyon, depresyon, yaşam kalitesi

WHAT ARE THE FACTORS AFFECTING THE FRAILTY OF ELDERLY PEOPLE WITH TYPE 2 DIABETES?

Abstract

Objective: Our study aimed to determine the factors related to frailty in elderly adults having been diagnosed with type 2 diabetes mellitus. Material and Method: A total of 108 people aged 65 and over, diagnosed with type 2 diabetes, were included in the study. The frailty of the participants was evaluated with the FRAIL questionnaire, their nutritional status was evaluated with the Mini Nutrition Assessment Short Form (MNA-SF), the depression status with the Patient Health Questionnaire-2 (PHQ2) and the Geriatric Depression Scale Short Form (GDS-SF), while the quality of life was evaluated with the EuroQol-5 Dimension (EQ5D) and Scoring the EQ-VAS, and personal care status were evaluated with Basic Activities of Daily Living (BADL) and Instrumental Activities of Daily Living (IADL) forms. Results: Sleep problems, fear of falling, presence of urinary incontinence, PHQ2, GDS-SF, and EQ5D scores were significantly higher; the MNASF score was significantly lower in the frail group than the values in the non-frail group (p<0.05, for all). Conclusion: The relationship between frailty and malnutrition, decreased quality of life, and increased depression in elderly diabetic patients was demonstrated in the present study. As all these factors have a place in the management of diabetes,awareness should be raised and frailty screening should be expanded in elderly diabetics.

Keywords

Frailty, elderly, diabetes, malnutrition, depression, quality of life

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