Total Kalça ve Diz Protezi Yapılan Osteoartritli Yaşlı Kadınların Ağrı, Fonsiyonel Durum ve Günlük Yaşam Aktivitelerinin Belirlenmesi

Year 2020, Volume: 42 Issue: 4, 434 - 443, 13.07.2020

Merve Akıncı Sevgisun Kapucu

https://doi.org/10.20515/otd.554098

Cited By: 2

Abstract

Çalışma, total kalça ve diz protezi
yapılan osteoartritli yaşlı kadınlarda ağrı, fonksiyonel durum ve günlük yaşam
aktivitelerinin belirlenmesi amacıyla tanımlayıcı şekilde yapılmıştır.
Çalışmanın örneklemini bir üniversite hastanesinin Ortopedi ve Travmatoloji
Polikliniğine Ağustos 2017- Kasım 2018 tarihleri arasında başvuran total kalça
ya da diz protezi ameliyatı olan 290 osteoartritli yaşlı kadın hasta
oluşturmuştur. Çalışmanın verileri Tanıtıcı Bilgi Formu, Görsel Analog Skoru
(VAS), Fonksiyonel Değerlendirme Formu ve Barthel Günlük Yaşam Aktiviteleri
İndeksi kullanılarak toplanmıştır. Verilerin değerlendirilmesinde tanımlayıcı
istatistikler  ve Wilcoxon testi
kullanılmıştır. Çalışmanın sonucunda total kalça ya da diz protezi yapılan
hastalarda artroplasti sonrası 6. haftada tüm hastaların hafif düzeyde devam
eden ağrısı olduğu; ağrı, enfeksiyon, dislokasyon korkusu, artrodez, düşme
korkusu gibi nedenlerden dolayı mobilizasyon kısıtlılığı olduğu belirlenmiştir.
Ayrıca hastaların fonksiyonel düzeylerinin artroplasti öncesine göre daha iyi
hale geldiği, buna bağlı olarak Fonksiyonel Değerlendirme puan ortancası ve
Barthel İndeksi puan ortancasının istatistiksel olarak anlamlı düzeyde arttığı
görülmüştür. Çalışma sonucunda, hastaların artroplasti öncesine göre daha az
olmakla birlikte, ağrı ve fonksiyonel kısıtlama yaşadıkları belirlenlenmiştir.

Keywords

Fonksiyonel durum, hemşirelik, mobilite, osteoartrit

Total Hip and Knee Prosthesis in Older Women with Osteoarthritis Determination of Pain, Functional Status and Daily Living Activities

Abstract

The study was carried out
descriptively aiming order to determine the pain, functional status and daily
life activities of elderly women with osteoarthritis who underwent total hip or
knee prosthesis. The study included 290 women with osteoarthritis who underwent
total hip and knee arthroplasty and admitted to Orthopedics and Traumatology
outpatient of Ibni Sina Hospital between August 2017 and November 2018. Data of
the study were collected using The Introductory Information Form, Visual Analog
Scale (VAS), Functional Assesment Form and Barthel Daily Living Activities
Index. Descriptive statistics  and
Wilcoxon test were for data analysis. As a result of the study: all patients at
the 6th week after arthroplasty had mild persistent pain; pain after
arthroplasty, infection, fear of dislocation, arthrodesis, fear of falling, and
other causes limitation of mobility of the patients; it was founded that the
functional levels of the patients after arthroplasty were better than those
before the arthroplasty, and the median of the Functional Assessment point and
Barthel Index score increased significantly. According to the results of the
study, patients are less painful and have functional restraint than before. 

Keywords

Functional status, mobility, nursing, osteoarthritis

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