Koroner arter hastalığı tanılı 65 yaş üzeri servis hastalarının nütrisyonel durumu ve yaşam kalitesinin değerlendirilmesi

Yıl 2026, Cilt: 31 Sayı: 1, 52 - 61, 24.01.2026

Edanur Tutumlu , Hacer Alataş

https://doi.org/10.21673/anadoluklin.1699443

https://izlik.org/JA29UG45YW

Öz

Amaç: Bu çalışmanın amacı; koroner arter hastalığı tanısı almış 65 yaş ve üzeri bireylerin beslenme durumu ile yaşam kalitesini değerlendirmektir.

Yöntem: Çalışmaya; Bursa Yüksek İhtisas Eğitim ve Araştırma Hastanesi kardiyoloji servisinde yatan ve koroner arter hastalığı tanısı almış toplam 187 birey (100 kadın; 87 erkek) dâhil edilmiştir. Bireylere Mini Nütrisyonel Değerlendirme Kısa Formu (MNA-SF) ve Dünya Sağlık Örgütü Yaşlılar İçin Yaşam Kalitesi Modülü (WHOQOL-OLD) uygulanmıştır. Boy ve vücut ağırlığı ölçülmüş; vücut kitle indeksi (VKİ) standart formüller kullanılarak hesaplanmıştır.

Bulgular: Katılımcıların %75;4’ü (n=141) 65–74 yaş aralığında; %24;6’sı (n=46) ise 75 yaş ve üzerindeydi. Bireylerin %46’sının beslenme durumu normal; %38;5’inin malnütrisyon riski altında ve %15;5’inin malnütrisyonlu olduğu belirlenmiştir. Yaşam kalitesi değerlendirmesinde; yakınlık (16;55±3;04) ve özerklik (15;33±2;63) alt ölçeklerinde yüksek puan ortalamaları; duyusal işlevler (14;02±4;20); geçmiş; şimdi ve gelecek aktiviteler (14;49±2;98); sosyal katılım (13;67±3;43) ve ölüm ve ölme (13;90±4;88) alt ölçeklerinde ise orta düzeyde puanlar elde edilmiştir. Yaşam kalitesi genel ölçek puanı yüksek bulunmuştur (87;99±12;96). MNA-SF puan ortalaması 10;65±2;86 olarak saptanmış olup; bu durum grubun genel olarak malnütrisyon riski altında olduğunu göstermektedir. MNA-SF puanları ile yaşam kalitesi alt ölçekleri arasındaki ilişki incelendiğinde; en güçlü korelasyonların sosyal katılım ve yaşam kalitesi genel ölçek puanları ile olduğu görülmüştür.

Sonuç: MNA-SF skorlarına göre bireylerin %38;5’i malnütrisyon riski altında; %15;5’i ise malnütrisyonludur. Beslenme durumu daha iyi olan bireylerde yaşam kalitesi puanları; özellikle sosyal katılım ve yaşam kalitesi genel ölçeği alanlarında; anlamlı düzeyde daha yüksektir. Bu bulgular; koroner arter hastalığı olan yaşlı hastalarda rutin beslenme taraması ve hedefe yönelik müdahalelerin önemini vurgulamaktadır.

Anahtar Kelimeler

Beslenme değerlendirmesi , beslenme durumu , malnütrisyon , yaşam kalitesi , yaşlı

Assessment of the nutritional status and quality of life in inpatients over the age of 65 with coronary artery disease

https://izlik.org/JA29UG45YW

Öz

Aim: The aim of this study was to evaluate the nutritional status and quality of life of individuals over 65 years of age diagnosed with coronary artery disease.

Methods: A total of 187 individuals (100 women and 87 men) diagnosed with coronary artery disease; hospitalised in the cardiology service of the Bursa Yüksek Ihtisas Training and Research Hospital; University of Health Sciences were included in the study. A questionnaire including the Nutritional Assessment Short Form (MNA-SF) and the World Health Organization Quality of Life Elderly Module (WHOQOL-OLD) was administered to the individuals. Height and body weight measurements were taken; and body mass index (BMI) was calculated using formulas.

Results: When the age distribution of the individuals was analysed; it was determined that 75.4% (n=141) were 65-74 years old and 24.6% (n=46) were 75 and older. It was determined that 46% of the individuals had normal nutritional status; 38.5% were at risk of malnutrition; and 15.5% were malnourished. When the scores obtained from the quality of life subscales were examined; it was determined that the group had high mean scores for intimacy (16.55±3.04) and autonomy (15.33±2.63); and medium mean scores for sensory functions (14.02±4.20); past; present; and future activities (14.49±2.98); social participation (13.67±3.43); and death and dying (13.90±4.88). The mean of the general scale of quality of life was found to be high (87.99±12.96). When the scores obtained from the MNA-SF test were analysed; it was found that the group mean was 10.65±2.86. This indicates that these individuals are at risk of malnutrition. When the relationships between quality of life subscales and MNA-SF were examined; it was seen that the highest relationships were found with social participation and quality of life general scale scores.

Conclusion: The study found that 38.5% of individuals were at risk of malnutrition and 15.5% were malnourished; as indicated by MNA-SF scores. Higher nutritional status was significantly associated with better scores in quality of life; particularly in the domains of social participation and overall well-being. These findings emphasize the need for routine nutritional screening and targeted interventions in elderly inpatients with coronary artery disease.

Anahtar Kelimeler

Aged , malnutrition , nutrition assessment , nutritional status , quality of life

Kaynakça

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