An investigation of the relationship among four different activities of daily living indexes in cancer patients

Abstract

Purpose: The purpose of this study was to investigate the relationship among four different activities of daily living (ADL) indexes in cancer patients. Methods: This study was performed in 50 hospitalized patients (31 females, 19 males) with a mean age of 54 years. The ADL levels of patients were evaluated using Katz, Barthel, Functional Independence Measure (FIM) and Kenny ADL indexes. All ADL indexes were administered by the same physiotherapist to each patient. During evaluations for ADL, it was asked from the patients to do each ADL in hospital setting, the physiotherapist marked the observation result to the index paper. Results: The diagnosis of the patients participating in the study were organ cancer (stomach, endometrial, lung) in 17 (34%) patients, hematologic cancer (leukaemia, lymphoma) in 16 (32%) patients, breast cancer in 10 (20%) patients, and intracranial tumours in 7 (14%) patients. The correlation between Katz-Kenny, Katz-Barthel, Katz-FIM, Kenny-Barthel, KennyFIM, FIM-Barthel are r=0.880, r=0.921, r=0.906, r=0.933, r=0.899, r=0.914 (p<0,001) respectively. High and positive relation was found between each four ADL indexes. Conclusion: Although use of the ADL indexes (Katz, Barthel, FIM, and Kenny) appears to be appropriate, there are significant differences in practice. We think that sub-parameters (feeding, dressing) of Barthel are more comprehensive, more understandable, its point scoring system is simpler. The FIM is more sensitive to evaluate improvements in treatment, its point scoring system is more comprehensive, therefore, Barthel ADL index and FIM are more appropriate to evaluate cancer patients

Keywords

• Activities of daily living, Cancer, Evaluation

Kanser hastalarında dört farklı günlük yaşam aktivitesi indeksi arasındaki ilişkinin araştırılması

Abstract

Amaç: Çalışmamızın amacı kanser hastalarında dört farklı günlük yaşam aktivitesi (GYA) indeksinin birbirleri arasındaki ilişkinin incelenmesidir. Yöntem: Çalışma hastanede yatmakta olan ve yaş ortalaması 54 yıl olan 50 hastanın (31 kadın, 19 erkek) katılımıyla gerçekleştirildi. Hastaların GYA’ları Katz, Kenny, Fonksiyonel bağımsızlık ölçümü (FIM) ve Barthel GYA ile değerlendirildi. Her bir GYA’nın değerlendirilmesi sırasında hastalardan aktiviteleri hastane ortamında gerçekleştirmeleri istendi ve bu sırada aynı fizyoterapist gözlem sonucunu test formuna işaretledi. Bulgular: Hastaların tanıları 17 (% 34) organ (mide, endometriyum, akciğer) kanseri, 16 (% 32) hematolojik (lösemi, lenfoma) kanser, 10 (% 20) meme kanseri, 7 (% 14) intrakranial kitledir. Yapılan istatistiksel analiz sonucu Katz-Kenny, Katz-Barthel, Katz-FIM, Kenny-Barthel, Kenny-FIM, FIM-Barthel arasındaki r değerleri sırasıyla 0.880, 0.921, 0.906, 0.933, 0.899, 0.914(p

Keywords

• Günlük yaşam aktiviteleri, Kanser, Değerlendirme

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