Kas iskelet ağrısı akupunktur ile tedavi edilen geriatrik hastalarda kognitif fonksiyon gidişatı: gözlemsel bir çalışma

Öz

Amaç: Akupunktur, kronik kas-iskelet ağrısı olan yaşlı hastaların tedavisinde güvenli ve etkilidir. Geriatrik rahatsızlıklar üzerindeki etkisi henüz tam olarak araştırılmamıştır. Akupunkturun kronik kas-iskelet ağrısı üzerindeki rolünü anlamak ve yaşlı hastaların günlük yaşamına yansımasını daha iyi tanımlamayı amaçlıyoruz. Gereç ve Yöntemler: 65 yaş üstü 23 hasta non-randomize gözlemsel çalışmamıza dahil edildi. Bu hastalara kronik kas- iskelet ağrısı için 8 hafta içerisinde toplam on akupunktur seansı uygulandı. Semptomları değerlendirmek için Vizüel Analog Skala (VAS), Geriatrik Depresyon Ölçeği (GÖS), Günlük Yaşam Aktiviteleri (GYA), Günlük Yaşamın Enstrümantal Aktiviteleri (GYEA), Cohen-Mansfield Ajitasyon Envanteri (CMAE), Mini-Mental Test (MMT) kullanıldı. Bulgular: VAS skoru 7.65±1.82 iken tedaviden sonra anlamlı bir şekilde 4.36±2.24'e düştü (p<0.001). MMT ortalaması tedaviden önce 23.26±5.50 iken tedaviden sonra anlamlı bir şekilde artarak 25.45±3.98'e ulaştı (p<0.001). GDÖ ortalaması 11.65±8.83 iken tedaviden sonra anlamlı bir şekilde 8.45±6.83'e düştü (p<0.001). CMAE ortalaması tedaviden önce 40.87±10.21 iken tedaviden sonra anlamlı bir şekilde 35.86±8.45'e düştü (p<0.001). GYA ortalaması tedaviden önce 5.35±0.71 iken anlamlı bir şekilde 5.77±0.43'e yükseldi (p=0.002). Tedavi öncesi GYEA skoru 6.70±2.08 iken tedavi sonrası 6.73±2.07 idi (p=0.317). Sonuçlar: Akupunktur ağrıyı tedavi etmesinin yanı sıra MMT, GDÖ, CMAE ve GYA'lerini iyileştirerek ikincil kazanç sağladı. Bu bulgular, yaşlı yetişkinlerde kas-iskelet ağrısı için akupunktur analjezisinin geriatrik sorunlarını iyileştirdiğini göstermektedir.

Anahtar Kelimeler

• kognitif fonksiyonlar
• akupunktur
• kronik ağrı
• yaşlı hastalar

The course of cognitive functions in geriatric patients with musculoskeletal pain receiving acupuncture: an observational study

Öz

Aim: Acupuncture is safe and effective in treating older patients with chronic musculoskeletal pain. Its effect on geriatric conditions has yet to be precisely investigated. We aim to understand the role of acupuncture on chronic musculoskeletal pain and better define its reflection on elderly patients' daily life. Material and Methods: 23 elderly patients received ten acupuncture sessions in 8 weeks for chronic musculoskeletal pain for our non-randomised observational study. Visual Analogue Scale (VAS), Geriatric Depression Scale (GDS), Activities of Daily Living (ADL), Instrumental Activities of Daily Living (IADL), Cohen-Mansfield Agitation Inventory (CMAI), Mini-Mental Score Examination (MMSE) were used. Results: VAS score was 7.65±1.82, which decreased significantly to 4.36±2.24 after treatment (p<0.001). MMSE mean before was 23.26±5.50 and increased considerably after treatment, reaching 25.45±3.98 (p<0.001). GDS mean score was 11.65±8.83, which reduced significantly to 8.45±6.83 afterwards (p<0.001). CMAI mean score before treatment was 40.87±10.21, which decreased substantially to 35.86±8.45 (p<0.001). ADL mean score before treatment was 5.35±0.71 and significantly increased to 5.77±0.43 (p=0.002). IADL score before treatment was 6.70±2.08 and was 6.73±2.07 after treatment (p=0.317). Conclusion: Acupuncture treated pain and provided secondary gain to these patients improving their MMSE, GDS, CMAI, and ADL. These findings suggest that acupuncture analgesia for musculoskeletal pain in older adults improves their geriatric problems.

Anahtar Kelimeler

• cognitive functions
• acupuncture
• chronic pain
• elderly

Kaynakça

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