Kuzey Kıbrıs Türk Cumhuriyeti’nde yaşayan ankilozan spondilitli hastaların biyopsikososyal özellikleri arasındaki ilişkinin incelenmesi: pilot çalışma

Yıl 2017, Cilt: 4 Sayı: 1, 9 - 17, 30.03.0017

Sevim Öksüz Edibe Ünal Göktuğ Er Mehtap Malkoç

Öz

Amaç: Çalışmamızın amacı Kuzey Kıbrıs Türk Cumhuriyeti’nde yaşayan ankilozan spondilitli hastaların biyopsikososyal
özellikleri arasındaki ilişkinin incelenmesiydi.

Yöntem: Çalışmamıza AS tanısı alan, yaş ortalaması 44,4±11,7 yıl olan 30 hasta (11 kadın, 19 erkek) dahil edildi. Bireylerin
biyopsikososyal gereksinimlerini belirlemek için fonksiyonel ve psikososyal değerlendirmeler kullanıldı. Yaşam kalitesini
değerlendirmek için Ankilozan Spondilit Yaşam Kalitesi Ölçeği (ASQOL), fiziksel durumlarını belirlemek için Bath Ankilozan
Spondilit Hastalık Aktivitesi İndeksi (BASDAI), Bath Ankilozan Spondilit Fonksiyonel İndeksi (BASFI), Yorgunluğun Çok Boyutlu
Değerlendirilmesi (MAF), Yorgunluk Şiddet Skalası (FSS), Pitsburg Uyku Skalası (PUKİ), emosyonel durumlarını değerlendirmek
için Hastane Anksiyete ve Depresyon Ölçeği (HADS) ve Tampa Kinezyofobi Skalası (TKS) kullanıldı.

Bulgular: Hastaların ASQoL ile BASDAI, MAF ve FSS arasında kuvvetli, ASQoL ile BASFI arasında orta dereceli, PUKI ile arasında
zayıf korelasyon bulundu. Ayrıca ASQoL ile HADS ve TKS arasında orta dereceli korelasyon olduğu bulundu.

Sonuç: Kuzey Kıbrıs Türk Cumhuriyeti’nde yaşayan ankilozan spondilitli bireylerde yaşam kalitesinden uyku kalitesine,
kinezyofobiden yorgunluğa, hastalık aktivitesinden duygu durum özelliklerine kadar pek çok problemin birbirleriyle ilişkili olduğu
görülmektedir. AS hastalarının tedavilerinin bu biyopsikososyal özellikleri kapsayacak şekilde planlanması gerektiği görüşüne
varıldı.

Anahtar Kelimeler

Ankilozan spondilit, Yaşam kalitesi, Yorgunluk, Uyku

Investigation of correlation of biyopsychosocial characteristics in individuals with ankylosing spondylitis living in Turkish Republic of Northern Cyprus: a pilot study

Öz

Purpose: Purpose of this study was to examine the relationship between the biopsychosocial characteristics of patients with
ankylosing spondylitis (AS) living in the Turkish Republic of Northern Cyprus.

Method: Thirty patients (11 women, 19 men) with a mean age of 44.4±11.7 years, who received AS diagnosis were included
in the study. Functional and psychosocial evaluations were used to determine the biyopsychosocial needs of the individuals.
The quality of life was assessed using Ankylosing Spondylitis Quality of Life (ASQoL), physical state was assessed using Bath
Ankylosing Spondylitis Activity Index (BASDAI), Bath Ankylosing Spondylitis Functional Index (BASFI), Multidimensional
Assessment of Fatigue (MAF), Fatigue Severity Scale (FSS) and The Pittsburgh Sleep Quality Index (PUKI), emotional state was
assessed using Hospital Anxiety and Depression Scale (HADS) and Tampa Kinesiophobia Scale (TKS).

Results: Patients’ ASQoL score had a strong correlation with BASDAI, MAF, and FSS. There were moderate correlation with
BASFI and weak correlation with PUKI. There were also a moderate correlation between ASQoL and HADS, and between
ASQoL and TKS.

Conclusion: In AS patients living in the Turkish Republic of Northern Cyprus, many problems are related to each other, ranging
from quality of life to quality of sleep, from kinesiofobia to fatigue, from disease activity to mood states. It was concluded that
the treatments of AS patients should be planned to cover these biopsychosocial features.

Anahtar Kelimeler

Ankylosing spondylitis, Quality of life, Fatigue, Sleep

Kaynakça

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