Diz Altı Ampute Hastalarda Denge ve Depresyon Durumlarının Değerlendirilmesi: Kontrollü Çalışma

Öz

Amaç: Ampute yaşlılarda denge ve koordinasyon daha fazla bozulmakta, düşme ve düşme korkusu sağlıklı yaşlılara göre daha fazla olmaktadır. Diz altı amputasyonu (DAA) vasküler ve vasküler olmayan nedenlere bağlı olarak gelişen amputasyonlardır. Çalışmamızdaki amaç DAA’ lı hastalarda yürüme, denge ve düşme risklerini araştırmak ve benzer yaş grubundaki ampute olmayan kontrol grubu (KG) hastalarla karşılaştırmaktır.
Materyal ve Metot: Çalışmaya 72 hasta (37 DAA, 35 KG) dahil edildi. Hastaların yaş ortalaması DAA grubu 61±5,06 iken KG yaş ortalaması 63±5,12 idi. Her iki grubun demografik ve klinik özellikleri kaydedildi. Ayrıca denge ve yürümeyi değerlendirmek için tinetti yürüme ve denge skalası kullanılarak düşme riski ve anksiyete-depresyon değerlendirildi. Hipotezler çift yönlü olup, p≤0.05 ise istatistiksel olarak anlamlı kabul edildi.
Bulgular: Demografik veri açısından her iki grup arasında istatistiksel fark bulunmadı (p>0.05). Denge, düşme ve düşme korkusunun varlığı KG yaşlılar lehine anlamlı fark bulundu (p<0.001). Yardımcı cihaz kullanımı KG yaşlılar lehine anlamlı bulundu (p<0,05). Tinetti denge, tinetti yürüme ve tinetti total ve BECK anksiyete- depresyon skorlarında KG yaşlılar lehine oldukça anlamlı sonuçlar bulunurken (p<0.001), tinetti yürüme skorlarında KG yaşlılar lehine anlamlı bulundu(p<0.05).
Sonuç: DAA’lı hastalar yürüme ve denge bozukluklarına oldukça fazla maruz kalmakta ve anksiyete-depresyon sıklıkları artmaktadır. 

Anahtar Kelimeler

• Amputasyon,denge,düşme,BECK envanteri

The Evaluation of Balance and Depression Status in Patients with Transtibial Amputations: Controlled Study

Abstract

Objectives: Balance and coordination are more deteriorated in amputee elders, fear of falling and falling rates are higher than healthy elderly. Transtibial amputation (TTA) is an amputation happening due to vascular and non-vascular causes. The aim of our study is to investigate the risks of walking, balance and falling in patients with TTA and to compare patients with non-amputee control group (CG) of similar age group.
Materials and Methods: 72 patients (37 TTA, 35 CG) were included in the study. While the mean age of the patients was 61 ± 5.06 in the TTA group, 63 ± 5,12 in the CG. Demographic and clinical characteristics of both groups were recorded. In addition, the risk of falling and anxiety-depression were assessed using Tinetti walking and balance scores. Hypotheses were two-way, p <0.05 was considered statistically significant.
Results: There was no statistical difference between the two groups in terms of demographic data (p> 0.05). Balance, falls and the presence of fear of falls found a significant difference in favor of CG (p <0.001). The use of assistive device was found to be significant in favor of CG(p <0.05). Tinetti balance, Tinetti walking and Tinetti total and BECK anxiety-depression scores were found tobe  fairly significant in favor of CG(p <0.001), whereas Tinetti walking scores were found to be significant in CG(p <0.05).
Conclusion: TTA patients are highly exposed to walking and balance disorders and the incidence of anxiety-depression increases.

Keywords

• Amputation,balance,falling,BECK inventory

Kaynakça

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