Pain and autonomy level of the elderly with knee osteoarthritis in Central Anatolia

Year 2020, Volume: 45 Issue: 2, 475 - 481, 30.06.2020

Dilek Efe Arslan , Sevinç Kutlutürkan , Nazan Kılıç Akça

Abstract

Purpose: The aim of this study was to determine the pain and autonomy levels of the elderly with knee osteoarthritis.
Materials and Methods: The descriptive study was conducted with 147 patients who consulted the Physiotherapy and Rehabilitation-Orthopedics Clinic of a Research and Application Hospital in a city center The data were obtained by using information form, visual analog scale and functional autonomy measurement system.
Results: A significant, moderate negative relationship was observed between the age variable, the sub-dimension of the scale and the Functional Autonomy Measurement System. When the autonomy level of the patients with knee osteoarthritis was evaluated, it was seen that the participants in the 65-74 age group had 1.28 times better autonomy levels compared to those in the 75 and above age group. The study revealed a significant, weak negative relationship between the duration of the illness and daily activities, mental functions and functional autonomy measurement system score averages.
Conclusion: It was found that the elderly with knee osteoarthritis have lower levels of autonomy and being single, low education level, advanced age, and increased duration of illness affecting the level of autonomy.

Keywords

Knee Osteoarthritis;, Pain;, Geriatrics;, Logistic Regression

Orta Anadolu’da diz osteoatriti olan yaşlı bireylerin ağrı ve otonomi düzeyleri

Abstract

Amaç: Bu çalışmanın amacı diz osteoatriti olan yaşlı bireylerin ağrı ve otonomi düzeylerini belirlemektir.
Gereç ve Yöntem: Bu tanımlayıcı çalışma, bir şehir merkezinde bulunan araştırma ve uygulama hastanesi fizik tedavi ve rehabilitasyon- ortopedi polikliniklerine başvuran 147 birey araştırmanın örneklemi oluşturmuştur. Veriler, bilgi formu, visual analog skalası ve otonomi değerlendirme ölçeği kullanılarak toplanmıştır.
Bulgular: Bireylerin yaş değişkeni ile ölçeğin alt boyut ve otonomi değerlendirme ölçeği puanları arasında orta düzeyde ve negatif yönde anlamlı bir ilişki vardır. Osteoartirtli yaşlıların otonomi düzeyi incelendiğinde, 65-74 yaş grubunda yer alan yaşlıların 75 yaş ve üstü yaşlılara göre otonomi düzeylerinin 1.28 kat daha yüksek olduğu belirlenmiştir. Bireylerin hastalık süresi ile günlük yaşam aktiviteleri, zihinsel fonksiyonlar ve otonomi değerlendirme ölçeği puan ortalamaları arasında zayıf düzeyde negatif yönde ve anlamlı bir ilişki vardır.
Sonuç: Osteoartriti olan yaşlıların otonomi düzeylerinin düşük olduğu ve bekar olma, düşük eğitim düzeyi, ileri yaş, artmış hastalık süresinin otonomi düzeyini etkilediği belirlenmiştir.

Keywords

diz osteoatriti;, ağrı;, yaşlı;, lojistik reresyon;

References

• 1.Tuna Z, Şenol Çelik S.The Validity and Reliability Study of the “Functional Autonomy Measurement System” Among 65 Years and Over Age Group. Hacettepe University Faculty of Health Sciences Nursing Journal.2012; 51-61.
• 2.Yürük ZÖ, Aytar A Tüzün EH, et al. Acceptabılıty, reliability and validity of the Turkish versıon of the de morton mobılıty ındex ın elderly patıents wıth knee osteoarthrıtıs. Turkish Journal of Geriatrics/Türk Geriatri Dergisi 2014; 17:404-409.
• 3.Creamer P. Current perspectives on the clinical presentation of joint pain in human OA. N Found Symp.2004; 260:64-74.
• 4.Aydın ZD, Ersoy İH, Baştürk A, et al. Determinants of limitation in activities of daily living in community dwelling elderly. Geriatri ve Geriatrik Nöropsikiyatri.2009;1(2):9-18.
• 5.Aylaz R, Güneş G, Karaoğlu L. The evaluation of the daily life activities, health and social status of the elderly living in the nursing home. Journal of İnönü University Medical Faculty.205; 12:177-183.
• 6.Brown DR, Yore MM, Ham SA, et al. Physical activity among adults >or=50yr withand without disabilities, BRFSS 2001. Med Sci Sports Exerc.2005; 37: 620-29.
• 7.Ling SM, Rudolph K. (2007) Osteoarthritis, In: Clinical treatment in rheumatic diseases (3.Baskı), Dinç A. (Edt.), Özgün Ofset, Ankara, 127-132
• 8.Dunlop DD, Song J, Semanik PA, et al. Objective physical activity measurement in the osteoarthritis initiative: are guidelines being met?. Arthritis Rheum.2011; 63:3372–3382.
• 9.Küçükoğlu HS. AN evidence based review of significance of physical therapy and exercise in osteoarthritis. Turkısh Journal of Geriatrics/Türk Geriatri Dergisi. 2011;14:79-81.
• 10.Gümüş K, Ünsal A. Evaluation of daily living activities of the individuals with osteoarthritis. Turkish journal of osteoporosis. 2014; 20:117-24.
• 11. Olgun N, Eti Aslan F, Yücel N, et al. Assessment of health status of the elderly. Acıbadem University Journal of Health Sciences. 2013;4: 72-78
• 12. Savaş S, Akçiçek F. Comprehensive geriatric assessment. Ege Journal of Medicine. 2010; 49: 19-30.
• 13. Kapucu S, Ünver G. Fragile elderly and nursing care. Osmangazi Journal of Medicine. 2017; 39:122-129.
• 14. Zhang W, Moskowitz R, Nuki G, et al. QARSI recommendations for the management of hip and knee osteoarthritis, Part I: Critical apprasial of exitting treatment guadlines and systematic review of current research evidence. Osteoarthritis and Cartilage. 2007; 15: 981-1000.
• 15. Zhang W, Doherty M, Arden N, et al. EULAR standing committee for ınternational clinical studies for the management of hip osteoarthritis: report of a task force of the EULAR Standing Committee for International Clinical Studies Including Therapeutics (ESCISIT). Annals of the Rheumatic Diseases. 2005; 64: 669-681.
• 16. Birol L (2011). Nursing Process. (10.Press). Etki Publishing. İzmir 22-28.
• 17. Craven RF, Hirnle C, Jensen S (2015). Fundamentals of Nursing. In: Human Health and Functions. Uysal, N. ve Çakırcalı, E. (Translation. Eds). 7. Press, Palme Publishing 116-133.
• 18. Gallagher EJ, Liebman M, Bijur PE . Prospeective validation of clinically important changes in pain severity measured on a visual analog scale. Annals of Emergency Medicine.2011; 38, 633-638.
• 19. Hebert R, Guilbalt J, Desrosiers J, et al. The functional autonomy measurement system (SMAF): a clinical-based instrument for measuring disabilities and handicaps in older people. Geriatrics Today. 2001; 4(September):141-147.
• 20. Dere D, Paker N, Soy Buğdaycı D, Tektöş Demircioğlu D. Effect of body mass index on functional recovery after total knee arthroplasty in ambulatory overweight or obese women with osteoarthritis. Acta Orthop Traumatol Turc. 2014; 48(2):117-121
• 21. Dominick KL, Ahern FM, Gold CH, et al. Health- related quality of life and health service use among older adults with Osteoarthritis. Arthritis Rheum. 2004; 51:326-31.
• 22. Tel H, Hizmetli S, Tel H, et al. Quality of life and self-care agency on osteoarthritis patients. Turkısh Journal of Geriatrics/Türk Geriatri Dergisi. 2011; 14:63-67
• 23. Kankaya H, Karadakovan A. The effects of daily life activity levels on the quality of life and life satisfaction of elderly. Gümüşhane University Journal of Health Sciences. 2017; 6: 21-29.
• 24. Başkurt F, Ercan S, Başkurt Z. Relationship of lower extremity muscle strength with balance and lower extremity functions in elderly women. Turkish Journal of Sports Medicine. 2018; 53(1): 17-26.
• 25. Garip Y, Güler T, Bozkurt Tuncer Ö. Fatigue among elderly patients with knee osteoarthritis and ıts association with functional status, depression and quality of life. Ankara Med J. 2016; 16:20-26
• 26. Çivi S, Tanrıkulu MZ. An epidemiological study to evaluate the level of dependence and physical disability with the prevalance of chronic diseases in the elderly. Turkısh Journal of Geriatrics/Türk Geriatri Dergisi. 2000; 3:85-90.
• 27. Levendoğlu F, Sallı A, Uğurlu H. Factors associated with disability in symptomatic knee osteoarthritis. Archives of Rheumatology. 2004; 19:111- 15.
• 28. Kara B, Çağlar K, Kılıç S. Nonadherence with diet and fluid restrictions and peceived social support in patients receiving hemodialysis. Journal of Nursing Scholarship. 2007; 39:243-248.
• 29. Rosner F. Patient noncomliance: Causes and solutions. The Mount Sınai Journal of Medicine. 2006; 73:553-559.
• 30. Jagger C, Matthews R, Melzer D, et al. Educational differences in the dynamics of disability incidence, recovery and mortality: Findings from the MRC Cognitive Function and Ageing Study (MRC CFAS). Int J Epidemiol. 2007; 36:358-65.
• 31. Atalay SG, Alkan BM, Aytekin MN. Current Approach to Osteoarthritis. Ankara Medical Journal. 2013; 13(1):26-32.
• 32. Altındag Ö, Sırmatel Ö, Tabur H. Demographic Features and relation with clinical parameters in patients with knee osteoarthritis. Harran University Faculty of Medicine Journal. 2006;3:62-66.