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

Year 2015, Volume: 2 Issue: 2 - Volume: 2 Issue: 2, 61 - 65, 23.07.2016

Yasin Ekinci Vesile Yıldız Kabak Songül Atasavun Uysal Tülin Düger

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

References

• Bray F, Ferlay J, Laversanne M, et al. Cancer incidence in five continents: Inclusion criteria, highlights from volume X and the global status of cancer registration. Int J Cancer. 2015;137:2060-2071.
• Piuhola J, Tenhunen O, Kerkela R. Adverse cardiac effects associated with anticancer drugs. Duodecim. 2015;131:441-447.
• Boscolo-Rizzo P, Maronato F, Marchiori C, et al. Long-term quality of life after total laryngectomy and postoperative radiotherapy versus concurrent chemoradiotherapy for laryngeal preservation. Laryngoscope. 2008;118:300-306.
• Ngo D, Jia JB, Green CS, et al .Cancer therapy related complications in the liver, pancreas, and biliary system: an imaging perspective. Insights Imaging. 2015;6:665-677.
• Mitchell EP. Gastrointestinal toxicity of chemotherapeutic agents. Semin Oncol. 2006;33:106-120.
• Celiker R, Gokce-Kutsal Y. Kanser Rehabilitasyonu. In: Oguz H, editor. Tıbbi Rehabilitasyon.1995. p. 719-25.
• van den Dungen IA, Verhagen CA, van der Graaf WT, et al. Feasibility and impact of a physical exercise program in patients with advanced cancer: a pilot study. J Palliat Med. 2014;17:1091-1098.
• Katz S, Ford AB, Moskowitz RW, et al. Studies of illness in the aged. The index of adl: A standardized measure of biological and psychosocial function. JAMA. 1963;185:914-919.
• Arik G, Varan HD, Yavuz BB, et al. Validation of Katz index of independence in activities of daily living in Turkish older adults. Arch Gerontol Geriatr. 2015;61:344-350.
• 0. Mahoney FI, Barthel DW. Functional evaluation: The Barthel Index. Md State Med J. 1965;14:61-65.
• 1. Kucukdeveci AA, Yavuzer G, Tennant A, et al. Adaptation of the modified Barthel Index foruse in physical medicine and rehabilitation in Turkey. Scand J Rehabil Med. 2000;32:87-92.
• 2. Keith RA, Granger CV, Hamilton BB, et al. The functional independence measure: a new tool for rehabilitation. Adv Clin Rehabil. 1987;1:6-18.
• 3. Kucukdeveci AA, Yavuzer G, Elhan AH, et al. Adaptation of the Functional Independence Measure for use in Turkey. Clin Rehabil. 2001;15:311-319.
• 4. Kidd D, Stewart G, Baldry J, et al. The Functional Independence Measure: A comparative validity and reliability study. Disabil Rehabil. 1995;17:10-14.
• 5. Rankin A. Functional Independence Measure. Physiotherapy. 1993;79:842-843.
• 6. Schoening HA, Iversen IA. Numerical scoring of self-care status: a study of the Kenny self-care evaluation. Arch Phys Med Rehabil. 1968;49:221-229.
• 7. Klein RM, Bell B. Self-care skills: Behavioral measurement with Klein-Bell ADL scale. Arch Phys Med Rehabil. 1982;63:335-338.
• 8. Ivanova JI, Mytelka DS, Duh MS, Birnbaum, et al. Evaluating the utility of existing patientreported outcome scales in novel patient populations with pancreatic cancer, lung cancer, and myeloproliferative neoplasms using medicare current beneficiary survey data. Patient. 2013;6:189-200.
• 9. Lehmann JF, DeLisa JA, Warren CG, et al. Cancer rehabilitation: assessment of need, development, and evaluation of a model of care. Arch Phys Med Rehabil. 1978;59:410-419.
• 0. Sabers SR, Kokal JE, Girardi JC, et al. Evaluation of consultation-based rehabilitation for hospitalized cancer patients with functional impairment. Mayo Clin Proc. 1999;74:855-861.
• 1. DePompolo RW. Development and administration of a cancer rehabilitation program. In: Schwab CE, ed. Physical Medicine and Rehabilitation: State of the Art Reviews. Philadelphia, PA: Hanley and Belfus, Inc.; 1994:413-423.