Yaşlılarda Sağlığı Geliştirme Davranışlarının Fiziksel Performans ve Yaşam Kalitesine Etkisi

Yıl 2023, Cilt: 6 Sayı: 2, 94 - 102, 31.08.2023

Rumeysa Ateş , Zeliha Başkurt , Ferdi Başkurt , Tuba İnce Parpucu

https://doi.org/10.47141/geriatrik.1298825

Öz

Amaç: Bu çalışmanın amacı; yaşlılarda sağlığı geliştirme davranışlarının fiziksel performans ve yaşam kalitesine etkisinin incelenmesidir.

Gereç ve Yöntemler: Çalışmaya 65 yaş ve üzeri Mini Mental Durum testi (MMDT)’den 24 ve üzerinde puan alan toplam 203 yaşlı birey dahil edildi. Veriler Ocak-Mart 2023 tarihleri arasında toplandı. Veri toplama aşamasında sosyodemografik özellikleri değerlendiren bir form, sağlığın geliştirilmesi davranışlarının değerlendirilmesinde ‘’Yaşlı Sağlığının Geliştirilmesi Ölçeği (YSGÖ)’’, fiziksel performansın değerlendirilmesinde ‘’Kısa Fiziksel Performans Bataryası (KFPB)’nın alt testleri’’; “2,4 Metre (8 adım) Yürüme Testi (2,4MYT)’’, ‘’Ayakta Duruş Testleri (ADT)’’ ve ‘’5 kez Sandalyeye Otur Kalk Testi (5SOKT)”, yaşam kalitesinin değerlendirilmesinde ‘’EQ-5D-3L Genel Yaşam Kalitesi Ölçeği’’ kullanıldı.

Bulgular: YSGÖ ile 2,4MYT (r=,586, p=,000), ADT (r=,462, p=,000) ve 5SOKT (r=,468, p=,000) arasında orta düzeyde ilişki olduğu belirlendi. Ayrıca, YSGÖ ile toplam puan (r=,651, p=,000) arasında iyi düzeyde ilişki olduğu bulundu. Bununla birlikte, YSGÖ ile EQ-5D indeks skoru (r=,563, p=,000) arasında orta düzeyde ve EQ-5D VAS skoru (r=,637, p=,000) arasında iyi düzeyde ilişki olduğu saptandı.

Sonuç: Yaşlı bireylerde sağlığı geliştirme davranışlarının fiziksel performans ve yaşam kalitesiyle ilişkilidir. Yaşlıların olumlu yaşlanma süreci için sağlığı geliştirme davranışlarına teşvik edilmesinin; fiziksel performansı ve yaşam kalitesini olumlu yönde etkileyebileceği düşünülmektedir.

Anahtar Kelimeler

Yaşlı Sağlığı Geliştirme Davranışları, Fiziksel Performans, Yaşam Kalitesi

Destekleyen Kurum

Bu çalışmada herhangi bir fon veya destekten yararlanılmamıştır.

The Effect of Health Promotion Behaviors on Physical Performance and Quality of Life in the Elderly

Öz

Aim: The aim of this study is to examine the effects of health promotion behaviors on physical performance and quality of life in the elderly.

Materials and Methods: A total of 203 elderly individuals aged 65 and over who scored 24 or more on the Mini Mental State Test (MMST) were included in the study. Data were collected from January to March 2023. A form evaluating sociodemographic characteristics at the data collection stage, ‘’Geriatric Health Promotion Scale (GHPS)’’in the evaluation of health promotion behaviors, and “Short Physical Performance Battery (SPPB) subtests” in the evaluation of physical performance; “2.4 (8 steps) Walk Gait Speed Test (2.4MWGST) “Standing Tests (ST)” and “Five Repetition Sit to Stand Test (5RSST) were used to evaluate the quality of life with “EQ- The 5D-3L General Quality of Life Scale was used.

Results: It was found that there was a moderate correlation between GHPS and 2.4MWGST (r=.586, p=.000), ST (r=.462, p=.000) and 5RSST (r=.468, p=.000). In addition, it was found that there was a good correlation between the GHPS and the total score (r=.651, p=.000). On the other hand, there is a moderate correlation between GHPS and EQ-5D index score (r=.563, p=.000) and a good correlation between EQ- 5D VAS score (r=.637, p=.000).

Conclusion: Health promotion behaviors in elderly individuals are associated with physical performance and quality of life. Encouraging the elderly to engage in health promotion behaviors for the positive aging process; It is thought that it can positively affect physical performance and quality of life.

Anahtar Kelimeler

Getiatric Health Promotion Behaviors, Physical Performance, Quality of Life

Kaynakça

• Gülsoy H, Şenturan L. Validity and Reliability Study of the Geriatric Health Promotion Scale. Journal of Traditional Medical Complementary Therapies. 2020;3(2):140–9.
• Lee TW, Ko IS, Lee KJ. Health promotion behaviors and quality of life among community-dwelling elderly in Korea: A cross-sectional survey. International Journal of Nursing Studies. 2006 Mar 1;43(3):293– 300.
• Pishkar Mofrad Z, Jahantigh M, Arbabisarjou A. Health Promotion Behaviors and Chronic Diseases of Aging in the Elderly People of Iranshahr*- IR Iran. Global Journal of Health Science. 2016 Jul 13;8(3):139.
• Yılmaz CK. Yaşlı bireylerin yaşlılığa uyum düzeyi ile sağlıklı yaşam biçimi davranışları arasındaki ilişkinin değerlendirilmesi. Mersin Üniversitesi Sağlık Bilimleri Dergisi. 2020;13(3):305–17.
• Chen PL, Tsai YL, Lin MH, Wang J. Gender differences in health promotion behaviors and quality of life among community-dwelling elderly. Journal of Women and Aging. 2018;30(3):259–74.
• Harooni J, Hassanzadeh A, Mostafavi F. Influencing factors on health promoting behavior among the elderly living in the community. Journal of Education and Health Promotion. 2014;3:40.
• Hall KS, Cohen HJ, Pieper CF, Fillenbaum GG, Kraus WE, Huffman KM, et al. Physical performance across the adult life Span: Correlates with age and physical activity. Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2017;72(4):572–8.
• Veronese N, Stubbs B, Fontana L, Trevisan C, Bolzetta F, De Rui M, et al. A comparison of objective physical performance tests and future mortality in the elderly people. Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2017;72(3):362–8.
• Awais M, Chiari L, Ihlen EAF, Helbostad JL, Palmerini L. Physical Activity Classification for Elderly People in Free-Living Conditions. IEEE journal of biomedical and health informatics. 2019 Jan 1;23(1):197–207.
• Prasad L, Fredrick J, Aruna R. The relationship between physical performance and quality of life and the level of physical activity among the elderly. Journal of Education and Health Promotion. 2021;10(1):68.
• Mittal A, Aggarwal A, Nayyar S, Thakral A, Natt H, Singh A. Assessment of Quality of Life of the Elderly Living in Rural and Urban Areas of Ambala District: A Comparative Study. Journal of Mid-Life Health. 2019 Oct 1;10(4):173.
• Wang J, Lee CM, Chang CF, Jane SW, Chen MY. The development and psychometric testing of the geriatric health promotion scale. The journal of nursing research : JNR. 2015 Mar 4;23(1):56–64.
• Guralnik JM, Ferrucci L, Pieper CF, Leveille SG, Markides KS, Ostir G V., et al. Lower extremity function and subsequent disability: Consistency across studies, predictive models, and value of gait speed alone compared with the short physical performance battery. Journals of Gerontology - Series A Biological Sciences and Medical Sciences. 2000;55(4):221–31.
• Fisher S, Ottenbacher KJ, Goodwin JS, Graham JE, Ostir G V. Short Physical Performance Battery in hospitalized older adults. Aging clinical and experimental research. 2009;21(6):445–52.
• Grubu E. EuroQol--a new facility for the measurement of health-related quality of life. Health policy (Amsterdam, Netherlands). 1990;16(3):199–208.
• Kara AM, Kara T. Relationship of treatment method with medication adherence, quality of life and depression in patients diagnosed with type 2 diabetes. Haseki Tip Bulteni. 2019;57(4):377–85.
• Duray M, Can Akman T, Yaşar P. Toplum İçinde Yaşayan Yaşlılarda Denge, Fiziksel Aktivite ve Performans. Süleyman Demirel Üniversitesi Sağlık Bilimleri Dergisi. 2021;12(1):44–51.
• Şenol V, Ünalan D, Soyuer F, Argün M. The Relationship between Health Promoting Behaviors and Quality of Life in Nursing Home Residents in Kayseri. Journal of Geriatrics. 2014 Feb 4;2014:1–8.
• Li J, Yu J, Chen X, Quan X, Zhou L. Correlations between health-promoting lifestyle and health-related quality of life among elderly people with hypertension in Hengyang, Hunan, China. Medicine. 2018 Jun 1;97(25).
• Hodge AM, English DR, Giles GG, Flicker L. Social connectedness and predictors of successful ageing. Maturitas. 2013 Aug;75(4):361–6.
• Sewo Sampaio PY, Sampaio RAC, Coelho Júnior HJ, Teixeira LFM, Tessutti VD, Uchida MC, et al. Differences in lifestyle, physical performance and quality of life between frail and robust Brazilian community-dwelling elderly women. Geriatrics & Gerontology International. 2016 Jul 1;16(7):829–35.
• Oh B, Cho B, Choi HC, Son KY, Park SM, Chun S, et al. The influence of lower-extremity function in elderly individuals’ quality of life (QOL): An analysis of the correlation between SPPB and EQ-5D. Archives of Gerontology and Geriatrics. 2014 Mar 1;58(2):278–82.
• Trombetti A, Reid KF, Hars M, Herrmann FR, Pasha E, Phillips EM, et al. Age-associated declines in muscle mass, strength, power, and physical performance: impact on fear of falling and quality of life. Osteoporosis International. 2016 Feb 1;27(2):463–71.
• Kwon SM, Park JS. The Effect of Health Promotion Program for Frail Elderly Residents on Health Promoting Behavior and Health Status. Korean Journal of Adult Nursing. 2013 Feb 4;25(2):194–206.