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Amaç: Araştırma gonartroz tanısı alan hastalarda fonksiyonel yetersizliğin yaşam kalitesine etkisini saptamak amacıyla yapıldı. Gereç ve Yöntem: Tanımlayıcı ve kesitsel türdeki bu araştırma Kasım 2016- Eylül 2017 tarihleri arasında yürütüldü. Araştırmaya Türkiye'nin batı bölgesindeki bir üniversite ve bir devlet hastanesinin ortopedi kliniklerine başvuran 173 hasta dahil edildi. Araştırmanın verileri kişisel bilgi formu, Visual Analog Skala (VAS), Western Ontario ve McMaster Üniversitesi Osteoartrit indeksi (WOMAC) ve SF-36 yaşam kalitesi ölçeği kullanılarak toplandı. Bulgular: Araştırmaya katılan hastaların yaş ortalaması 62.17±9.14 yıl, %82.7'si kadın, %66.5'i obezdir. Katılımcıların %74.0’ının beden kuvveti gerektiren işlerde çalıştığı, %24.9’unun düzenli egzersiz yaptığı ve %89.6’sının günlük yaşam aktivitelerinde zorlandığı saptandı. Ölçeklerden alınan puan ortalamaları sırası ile; VAS: 7.47±1.77, SF-36 fiziksel özet skor 26.23±5.94 ve mental özet skor 42.81±6.84, WOMAC-ağrı: 13.28±3.69, WOMAC-tutukluk: 3.61±1.99, WOMAC-fonksiyonel yetersizlik: 42.65±10.27 ve WOMAC-toplam puan 62.02±14.91 olarak bulundu. WOMAC toplam puanının fiziksel özet skoru (ß=-0.251) ve mental özet skoru (ß=-0.138) negatif düzeyde etkilediği belirlendi. Sonuç: Araştırma sonucunda gonartrozlu hastalarda fonksiyonel yetersizliğin yaşam kalitesini olumsuz yönde etkilediği saptandı. Fonksiyonel yetersizliği azaltmak ve yaşam kalitesini arttırmak için hemşirelerin kilo yönetimi, düzenli egzersiz ve yaşam tarzı değişiklikleri gibi tüm konularda hastalara eğitim yapması önerilmektedir.
Purpose: The aim of the study was to determine the effect of functional disability on quality of life in patients who were diagnosed with gonarthrosis. Materials and Methods: This descriptive and cross-sectional study was conducted between November 2016 and September 2017. The study included 173 patients who applied to a university and a public hospital orthopedic clinic that in the western part of Turkey. Data were collected using personal information form, visual analog scale (VAS), The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and SF-36. Results: The average age of the patients participating in the study was 62.17±9.14 years, 82.7% were female, and 66.5% were obese. It was found that 74. 0% of the participants were employed in jobs requiring body strength, 24.9% had regular exercise and 89.6% had difficulty in daily living activities. The average scores obtained from the scales are as follows; VAS:7,47±1.77, SF-36 physical component 26.23±5.94 and mental component 42.81±6.84, WOMAC-pain:13.28 ± 3.69, WOMAC-stiffness:3.61±1.99, WOMAC functional disability: 42.65±10.27 and WOMAC-total score 62.02±14.91. The WOMAC total score was found to have a negative effect on the physical component (ß=-0.251) and mental component (ß=-0.138). Conclusion: It was determined that functional disability had a negative effect on the quality of life in patients with gonarthrosis. In order to reduce functional disability and improve quality of life, it is recommended that nurses provide education on all subjects such as weight management, regular exercise and lifestyle changes.
Purpose: The aim of the study was to determine the effect of functional disability on quality of life in patients who were diagnosed with gonarthrosis. Materials and Methods: This descriptive and cross-sectional study was conducted between November 2016 and September 2017. The study included 173 patients who applied to a university and a public hospital orthopedic clinic that in the western part of Turkey. Data were collected using personal information form, visual analog scale (VAS), The Western Ontario and McMaster Universities Osteoarthritis Index (WOMAC), and SF-36. Results: The average age of the patients participating in the study was 62.17±9.14 years, 82.7% were female, and 66.5% were obese. It was found that 74.0% of the participants were employed in jobs requiring body strength, 24.9% had regular exercise and 89.6% had difficulty in daily living activities. The mean scores obtained from the scales are as follows; VAS:7,47±1.77, SF-36 physical component 26.23±5.94 and mental component 42.81±6.84, WOMAC-pain:13.28 ± 3.69, WOMAC-stiffness:3.61±1.99, WOMAC functional dissability: 42.65±10.27 and WOMAC-total score 62.02±14.91. The WOMAC total score was found to have a negative effect on the physical component (ß=-0.251) and mental component (ß =-0.138). Conclusion: It was determined that functional disability had a negative effect on quality of life in patients with gonarthrosis. In order to reduce functional disability and improve quality of life, it is recommended that nurses provide education on all subjects such as weight management, regular exercise and lifestyle changes.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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