INVESTIGATION OF PERSISTENT POST-COVID-19 SYMPTOMS, FRAILTY, KINESIOPHOBIA, AND QUALITY OF LIFE IN OLDER ADULTS: AN OBSERVATIONAL CROSS‑SECTIONAL STUDY

Abstract

Purpose: The aim of this study was to compare kinesiophobia and quality of life in older adults among subgroups created according to persistent post-COVID-19 symptoms and frailty. Methods: This study included 63 adults over the age of 65 with COVID-19.. Frailty was assessed with the Clinical Frailty Scale (CFS). Tampa Scale of Kinesiophobia (TSK) was used to assess the kinesiophobia and The World Health Organization Quality of Life Instrument-Older Adults Module (WHOQOL-OLD) was used to assess quality of life. Results: The TSK score was significantly higher in the visibly frail and frail group than in the non-frail group (p=0.040). The TSK score was also significantly higher in the group with at least one persistent symptom after COVID-19 than participants with no persistent symptoms (p=0.008). Among participants with at least one persistent post-COVID-19 symptom, the TSK score was significantly higher in those with persistent dyspnea compared to those without (p=0.016). There was no significant difference in the WHOQOL-OLD scores of any sub-groups (p>0.05). Conclusion: The results of the study showed that kinesiophobia was affected by the presence of persistent COVID-19 symptoms and dyspnea, and frailty in older adults. In addition, quality of life was found to be independent of frailty and persistent COVID-19 symptoms.

Keywords

• Elderly
• Frailty
• Post-acute COVID19 Syndrome
• Quality of Life

YAŞLI YETİŞKİNLERDE COVID-19 SONRASI KALICI SEMPTOMLAR, KIRILGANLIK, KİNEZYOFOBİ VE YAŞAM KALİTESİNİN İNCELENMESİ: GÖZLEMSEL KESİTSEL BİR ÇALIŞMA

Öz

Amaç: Bu çalışmanın amacı, yaşlı yetişkinlerde kinezyofobi ve yaşam kalitesinin COVID-19 sonrası kalıcı semptomlara ve kırılganlığa göre oluşturulan alt gruplar arasında karşılaştırılmasıydı. Yöntem: Çalışmaya 65 yaşın üzerinde, COVID-19’lu 63 yetişkin dahil edildi. Kırılganlık, Klinik Kırılganlık Skalası (KKS) ile değerlendirildi. Tampa Kinezyofobi Skalası (TKS) kinezyofobiyi değerlendirmek için ve Dünya Sağlık Örgütü Yaşam Kalitesi Enstrümanı-Yaşlı Yetişkinler Modülü (DSÖYKE-YYM) yaşam kalitesini değerlendirmek için kullanıldı. Sonuçlar: TKS skoru görünürde kırılgan ve kırılgan olan grupta kırılgan olmayan gruba kıyasla anlamlı şekilde daha yüksekti (p=0,040). TKS skoru ayrıca, COVID-19 sonrası en az bir kalıcı semptomu olan grupta hiç semptomu olmayan gruba kıyasla anlamlı şekilde daha yüksekti (p=0,008). COVID-19 sonrası en az bir kalıcı semptomu olan grup içerisinde TKS skoru kalıcı dispnesi olanlarda olmayanlara kıyasla anlamlı şekilde daha yüksekti (p=0,016). DSÖYKE-YYM skorunda hiçbir alt grup arasında anlamlı fark yoktu (p>0,05). Tartışma: Çalışmanın sonuçları, COVID-19'lu yaşlı bireylerde kinezyofobinin COVID-19 sonrası kalıcı semptom ve nefes darlığı varlığı ile kırılganlıktan etkilendiğini gösterdi. Ayrıca yaşam kalitesinin, kırılganlık ve COVID-19 sonrası kalıcı semptomlardan bağımsız olduğu bulundu.

Anahtar Kelimeler

• Yaşlı
• Kırılganlık
• Post-akut COVID 19 Sendromu
• Yaşam Kalitesi

Kaynakça

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