Postmenopozal Osteoporozlu Kadinlarda Kinezyofobinin Yaşam Kalitesi Üzerine Etkisi

Year 2020, Volume: 15 Issue: 3, 40 - 46, 16.10.2020

Türkan Turgay Pinar Gunel Karadeniz

https://doi.org/10.17517/ksutfd.719089

Cited By: 2

Abstract

Amaç: Bu çalışmada postmenopozal osteoporozlu kadınlarda kinezyofobinin yaşam kalitesi üzerine etkisinin araştırılması amaçlanmıştır.
Gereç ve Yöntemler: Bu çalışmaya Fiziksel Tıp ve Rehabilitasyon polikliniğine başvuran ve 50 yaş ve üzeri postmenpozal osteoporoz tanısı alan 70 kadın hasta ve 69 kadın kontrol dahil edildi. Yaş, vücut kilo indeksi (VKİ), lomber vertebral L1-L4 kemik mineral yoğunluğu (LVKMY), femur boyun kemik mineral yoğunluğu (FBKMY) T-skoru değerleri ve geçirilmiş kırık varlığı kaydedildi. Katılımcıların sırt ağrısı Görsel Analog Skala (GAS) (0-10 cm) ile değerlendirildi. Yaşam kalitesi değerlendirmesi için QUALEFFO-41 (Quality of Life Questionnaire of the European Foundation for Osteoporosis) ölçeği ve kinezyofobi değerlendirmesi için Tampa Kinezyofobi Ölçeği (TKÖ) kullanıldı.
Bulgular: Çalışmaya katılan 70 osteoporozlu ve 69 kontrol grubu hastanın yaş ortalamaları sırasıyla; 69.86±9.43, 65.39±8.42 idi (p<0.001). Osteoporotik grup ile osteoporotik olmayan grup arasında LVKMY, FBKMY, GAS-sırt ağrısı, QUALEFFO-41 total skor ve TKÖ skoru açısından istatistiksel olarak anlamlı farklılık bulunmuştur (p<0.001). QUALEFFO-41’in alt grup ölçekleri değerlendirildiğinde; genel sağlık durumu değerlendirmesi (p=0.71) dışındaki diğer ağrı, fiziksel fonksiyon, boş zaman ve sosyal aktiviteler, mental fonksiyon parametrelerinde iki grup arasında anlamlı bir fark bulunmuştur (p<0.05). Osteoporoz grubunda QUALEFFO-41 toplam skoru ile kinezyofobi skoru arasında anlamlı bir korelasyon bulunmuştur (r=0.618, p<0.001). Ayrıca, TKÖ ile yaş ve FBKMY arasında anlamlı korelasyon bulunmuştur (sırasıyla; r=0.621, p<0.00; r=-0.477, p<0.001).
Sonuç: Çalışmamızda osteoporoz hastalarında ileri yaş ve düşük FBKMY değerlerinin kinezyofobiyi arttırarak yaşam kalitesini azalttığı gösterilmiştir.

Keywords

Kinezyofobi, Osteoporoz, Yaşam kalitesi

The Effect of Kinesiophobia on Quality of Life in Women with Postmenopausal Osteoporosis

Abstract

Objective: In this study, it was aimed to investigate the effect of kinesiophobia on quality of life in women with postmenopausal osteoporosis.
Material and methods: This study included 70 females who were admitted to the Physical Medicine and Rehabilitation outpatient clinic and were diagnosed with postmenopausal osteoporosis aged 50 and over, and 69 female controls. Age, body weight index (BMI), lumbar vertebral L1-L4 bone mineral density (LVBMD), femoral neck bone mineral density (FNBMD) T-score values and history of fracture were recorded. Back pain of the participants was evaluated via Visual Analogue Scale (VAS) (0-10 cm). QUALEFFO-41 (Quality of Life Questionnaire of the European Foundation for Osteoporosis) scale was used for quality of life assessment and Tampa Kinesiophobia Scale (TKS) was used for assessment of kinesiophobia.
Results: The average age of 70 patients with osteoporosis and 69 control who were included in the study was 69.86±9.43, 65.39±8.42, respectively (p<0.001). A statistically significant difference was found between the osteoporotic and the non-osteoporotic group in terms of LVBMD, FNBMD, VAS-back pain, QUALEFFO-41 total score and TKS score (p<0.001). When subgroup scales of QUALEFFO-41 was evaluated, a significant difference was found between the two groups in the parameters of pain, physical function, leisure time and social activities, mental function (p<0.05), except general health status (p=0.71). A significant correlation was found between QUALEFFO-41 total score and kinesiophobia score in the osteoporosis group (r=0.618, p<0.001) also between TKS and age and FNBMD (r=0.621, p<0.00, r=-0.477, p<0.001, respectively).
Conclusion: In our study, it has been revealed that high age and low FNBMD values in osteoporosis patients decrease the quality of life by increasing kinesiophobia.

Keywords

Kinesiophobia, Osteoporosis, Quality of life

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