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Amaç: Bu çalışmanın amacı diz osteoatriti olan yaşlı bireylerin ağrı ve otonomi düzeylerini belirlemektir. Gereç ve Yöntem: Bu tanımlayıcı çalışma, bir şehir merkezinde bulunan araştırma ve uygulama hastanesi fizik tedavi ve rehabilitasyon- ortopedi polikliniklerine başvuran 147 birey araştırmanın örneklemi oluşturmuştur. Veriler, bilgi formu, visual analog skalası ve otonomi değerlendirme ölçeği kullanılarak toplanmıştır. Bulgular: Bireylerin yaş değişkeni ile ölçeğin alt boyut ve otonomi değerlendirme ölçeği puanları arasında orta düzeyde ve negatif yönde anlamlı bir ilişki vardır. Osteoartirtli yaşlıların otonomi düzeyi incelendiğinde, 65-74 yaş grubunda yer alan yaşlıların 75 yaş ve üstü yaşlılara göre otonomi düzeylerinin 1.28 kat daha yüksek olduğu belirlenmiştir. Bireylerin hastalık süresi ile günlük yaşam aktiviteleri, zihinsel fonksiyonlar ve otonomi değerlendirme ölçeği puan ortalamaları arasında zayıf düzeyde negatif yönde ve anlamlı bir ilişki vardır. Sonuç: Osteoartriti olan yaşlıların otonomi düzeylerinin düşük olduğu ve bekar olma, düşük eğitim düzeyi, ileri yaş, artmış hastalık süresinin otonomi düzeyini etkilediği belirlenmiştir.
Purpose: The aim of this study was to assess the effect of hemostasis by electrocoagulation versus suture on endometrioma recurrence and pregnancy rates after laparoscopic cystectomy in uni/bilateral endometriomas. Materials and Methods: Forty-six primary infertile patients wishing to conceive without any assisted reproductive treatments, between 18 and 42 years, with uni/bilateral endometriomas were retrospectively analyzed. Laparoscopic cystectomies were performed by the stripping method. Ovarian hemostasis was obtained either by suturing (n = 23) or by bipolar electrocoagulation (n = 22). Cyst recurrence was evaluated by postoperative ultrasound scan. Pregnancy was confirmed by serum beta-human choronic gonadotropin (B-hCG) levels if the patient presented with menstrual delay. Results: The average age of the patients was 31.62±6.55 years old. There was no significant difference between study groups regarding age, body mass index (BMI), preoperative endometrioma you, or pre/post-operative hemoglobin/hematocrite (Hb/Htc) levels. The recurrence rate was higher in the electrocoagulation group than the suturing group; however, the difference was not statistically significant. The spontaneous pregnancy rates were also similar between study groups. There was no significant difference between study groups considering unilaterality or bilaterality of endometriomas. Conclusion: Our preliminary data shows that an operation on ovarian endometriomas-either electrocoagulation or suturing-may not affect endometrioma recurrence or spontaneous pregnancy rate.
Purpose: The aim of this study was to determine the pain and autonomy levels of the elderly with knee osteoarthritis. Materials and Methods: The descriptive study was conducted with 147 patients who consulted the Physiotherapy and Rehabilitation-Orthopedics Clinic of a Research and Application Hospital in a city center The data were obtained by using information form, visual analog scale and functional autonomy measurement system. Results: A significant, moderate negative relationship was observed between the age variable, the sub-dimension of the scale and the Functional Autonomy Measurement System. When the autonomy level of the patients with knee osteoarthritis was evaluated, it was seen that the participants in the 65-74 age group had 1.28 times better autonomy levels compared to those in the 75 and above age group. The study revealed a significant, weak negative relationship between the duration of the illness and daily activities, mental functions and functional autonomy measurement system score averages. Conclusion: It was found that the elderly with knee osteoarthritis have lower levels of autonomy and being single, low education level, advanced age, and increased duration of illness affecting the level of autonomy.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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