A Comparison of Physical Activity Level, Quality of Life, Sleep Quality and Depression Levels in Mothers of Disabled Children With and Without Musculoskeletal Pain

Öz

Aim: This study aims to compare physical activity levels, quality of life, sleep quality, and depression levels in mothers of children with disabilities, distinguishing between those with and without musculoskeletal pain. Method: A total of 61 mothers aged 20–45 years participated in the study, including 27 mothers with musculoskeletal pain, as determined by the Visual Analog Scale (VAS), and 34 mothers without musculoskeletal pain. The physical activity levels of the mothers were assessed using the International Physical Activity Questionnaire – Short Form (IPAQ), pain status with the VAS, depression levels with the Beck Depression Inventory (BDI), sleep quality with the Pittsburgh Sleep Quality Index (PSQI), and quality of life with the Nottingham Health Profile (NHP). Results: Body mass index, NHP, PSQI, VAS and number of pregnancies were statistically significantly different between the two groups (p<0.05). There was no statistically significant difference between the two groups in the results of IPAQ, BDI, number of children, number of miscarriages, smoking, presence of care assistants, educational status and economic status (p>0.05). Conclusion: Musculoskeletal pain negatively affects the sleep quality and quality of life of mothers of children with disabilities. Depression levels and physical activity levels were high in both groups. In addition, factors such as sociocultural and number of children are also associated with musculoskeletal pain.

Anahtar Kelimeler

• Caregiver
• disabled children
• musculoskeletal pain
• physical activity
• sleep quality

Musküloskeletal Ağrısı Olan ve Olmayan Engelli Çocuk Annelerinde Fiziksel Aktivite Düzeyi, Yaşam Kalitesi, Uyku Kalitesi ve Depresyon Düzeylerinin Karşılaştırılması

Öz

Amaç: Bu çalışma, engelli çocuğu olan annelerin fiziksel aktivite düzeyleri, yaşam kalitesi, uyku kalitesi ve depresyon düzeylerini; kas-iskelet sistemi ağrısı olanlar ve olmayanlar arasında karşılaştırmayı amaçlamaktadır. Yöntem: 20-45 yaş aralığında visüel analog skalaya (VAS) göre musküloskeletal ağrılı 27, musküloskeletal ağrısı olmayan 34 anne çalışmaya dahil edildi. Annelerin sosyodemografik özellikleri kaydedildikten sonra fiziksel aktivite düzeyleri Kısa Form Uluslararası Fiziksel Aktivite Anketi (UFAA), ağrı durumları VAS, depresyon düzeyleri Beck Depresyon Anketi (BDE), uyku kaliteleri Pittsburgh Uyku Kalitesi İndeksi (PUKİ) ve yaşam kaliteleri Nothingam Sağlık Profili (NSP) anketleri ile değerlendirildi. Bulgular: Katılımcıların vücut kitle indeksleri, NSP, PUKİ, VAS ve gebelik sayısı değerlendirme sonuçlarında iki grup arasında istatistiksel olarak anlamlı fark vardı (p<0,05). Ancak, musküloskeletal ağrısı olan ve olmayan anneler arasında UFAA, BDE, çocuk sayısı, düşük sayısı, sigara kullanımı, bakıma yardımcı kişi varlığı, eğitim durumu ve ekonomik durum açısından yapılan değerlendirmelerde iki grup arasında istatistiksel olarak anlamlı bir fark bulunmadı (p>0,05). Sonuç: Kas-iskelet sistemi ağrısı, engelli çocuğu olan annelerin uyku kalitesini ve yaşam kalitesini olumsuz etkilemektedir. Her iki grupta da engelli çocuğa bakım veren annelerde depresyon düzeyleri ve fiziksel aktivite düzeyleri yüksektir. Ailenin sosyo kültürel seviyesi, annenin gebelik ve düşük sayısı gibi faktörler de musküloskeletal ağrı ile ilişkili olabilmektedir.

Anahtar Kelimeler

• Bakım veren
• engelli çocuk
• kas iskelet ağrısı
• fiziksel aktivite
• uyku kalitesi

Kaynakça

1. 1. Masefield SC, Prady SL, Sheldon TA, Small N, Jarvis S, Pickett KE. The caregiver health effects of caring for young children with developmental disabilities: A meta-analysis. Maternal and Child Health Journal. 2020;24:561-574.
2. 2. World Health Organization. Global Report on Health Equity for Persons With Disabilities. Geneva, Switzerland: World Health Organization; 2022.
3. 3. Republic of Turkey Ministry of Family and Social Services. Statistical Bulletin on Disabled and Elderly. Republic of Turkey Ministry of Family and Social Services. https://www.aile.gov.tr/media/88684/eyhgm_istatistik_bulteni_temmuz2021.pdf. Published July 2021. Accessed May 15, 2024.
4. 4. Adugna MB, Nabbouh F, Shehata S, Ghahari S. Barriers and facilitators to healthcare access for children with disabilities in low and middle-income Sub-Saharan African countries: A scoping review. BMC Health Services Research. 2020;20:1-11.
5. 5. Woodgate RL, Gonzalez M, Demczuk L, Snow WM, Barriage S, Kirk S. How do peers promote social inclusion of children with disabilities? A mixed methods systematic review. Disability and Rehabilitation. 2020;42(18):2553-2579.
6. 6. Yarar F, Akdam M, Çarpan İ, Topal S, Şenol H, Tekin F. Impact of having a disabled child on anxiety, depression, and quality of life levels of mothers. Pamukkale Tıp Dergisi. 2020;14(1):27-33.
7. 7. Tekinarslan FG, Tok ESS. The relationship between self-compassion, social support, psychological structure, and subjective well-being in mothers with disabled children. AYNA Journal of Clinical Psychology. 2023;10(1):145-164.
8. 8. Kiani HS, Aftab A, Waqar S, Hussain SA, Naqvi Q, Awan WA. Caregivers’ burden among parents of children with cerebral palsy. Rehman Journal of Health Sciences. 2021;3(1):52-55.

9. 9. Kaya K, Unsal-Delialioglu S, Ordu-Gokkaya NK, et al. Musculoskeletal pain, quality of life, and depression in mothers of children with cerebral palsy. Disability and Rehabilitation. 2010;32(20):1666-1672.
10. 10. Lee MH, Matthews AK, Park C. Determinants of health-related quality of life among mothers of children with cerebral palsy. Journal of Pediatric Nursing. 2019;44:1-8.
11. 11. Balak Özpolat N. Examination of the Effects of Functional Levels of Children With Cerebral Palsy on The Psychosocial Status of Caregivers. [master’s dissertation]. Ankara, Türkiye: Yıldırım Beyazıt University, Health Sciences Institution; 2019.
12. 12. Sharan D, Ajeesh PS, Rameshkumar R, Manjula M. Musculoskeletal disorders in caregivers of children with cerebral palsy following multilevel surgery. Work. 2012;41(1):1891-1895.
13. 13. Karlıbel İ, Aksoy M, Yeni M. Fibromyalgia syndrome in mothers of children with cerebral palsy and its relationship with caregiver burden: A cross-sectional study. The European Research Journal. 2024;10(1):59-69.
14. 14. Tal-hatu KH, Mordi EL. Impact of caring for children with cerebral palsy on the general health of their caregivers in an African community. International Journal of Rehabilitation Research. 2007;30(3):191-194.
15. 15. Sağlam M, Arıkan H, Savcı S, et al. International Physical Activity Questionnaire: Reliability and validity of the Turkish version. Percept and Motor Skills. 2010;111(1):278-284. doi: 10.2466/06.08.PMS.111.4.278-284.
16. 16. Çelik EC, Pınar R, Algier L. The validity and reliability of the Turkish version of the Brief Pain Inventory–Short Form in patients with cancer pain. Agrı: Journal of the Turkish Society of Algology. 2012;24(2):43-52.
17. 17. Hisli-Sahin N. A study on the validity of the Beck Depression Inventory in a Turkish sample. Türk Psikoloji Dergisi. 1988;6:118-126.
18. 18. Ağargün YM, Kara H, Anlar Ö. The validity and reliability of the Pittsburgh Sleep Quality Index. Turkish Journal of Psychiatry. 1996;7(2):107-115.
19. 19. Küçükdeveci AA, McKenna SP, Kutlay S, Gürsel Y, Whalley D, Arasil T. Development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38. doi: 10.1097/00004356-200023010-00004.
20. 20. Aybarç U. Evaluation of the quality of life of mothers of children with and without physical disabilities. [master's thesis]. Istanbul, Türkiye: Istanbul Medipol University, Institute of Health Sciences; 2019.
21. 21. Demirci N, Gül G, Demirdel S. Examination of musculoskeletal system disorders of parents caregiving for disabled individuals. Journal of Innovative Healthcare Practices. 2023;4(1):54-63.
22. 22. Pınar E, Erdoğanoğlu Y. Examination of physical activity, physical performance, depression, and health-related quality of life of mothers and fathers of mildly mentally disabled children. Journal of Innovative Healthcare Practices. 2021;14(1):23-28.
23. 23. Şahin H, Yılmaz EA. Examination of mothers with disabled children in terms of depressive symptoms and perceived social support. Journal of Nursing Science. 2023;6(2):97-105.
24. 24. Üstün K, Kıvrak K, Körtelli O, Bingölbali Ö, Taşkaya C, Sarı Z. Investigation of the relationship between care burden and physical activity level of parents of disabled children. Adnan Menderes University Faculty of Health Sciences Journal. 2022;6(3):488-498.
25. 25. Fakirullahoğlu A. Evaluation of musculoskeletal pain in mothers of disabled children. [master's thesis]. Istanbul, Türkiye: Istanbul Bilim University, Health Sciences Institute; 2013.
26. 26. Çintesun E, Aydoğdu M, Çelik Ç. The investigation of the correlation between diastasis recti and the second stage of labor. Perinatal Journal. 2020;28(1):23-27.
27. 27. Crowe TK, Michael HJ. Time use of mothers with adolescents: A lasting impact of a child's disability. OTJR: Occupation, Participation and Health. 2011;31(3):118-126.