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Amaç: Bu çalışma, erken ve geç evre kalça ve diz osteoartrit (OA) tanılı hastalarda, ağrı şiddeti ile beden algısı, benlik saygısı, depresyon ve fonksiyonel düzey arasındaki ilişkiyi incelemek amacıyla planlandı. Yöntem: Çalışmaya diz ve kalça OA tanılı 55 gönüllü hasta dahil edildi. Hastalar, Kellgren Lawrence ölçütlerine göre erken evre ve geç evre olmak üzere iki gruba ayrıldı. Hastaların ağrı şiddetleri Görsel Analog Ölçeği (GAÖ) ve Katastrofik Ağrı Ölçeği (KAÖ) ile, beden algıları Vücut Algısı Ölçeği (VAÖ) ile, benlik saygıları Rosenberg Benlik Saygısı Ölçeği (RBSÖ) ile, ruhsal durumları Beck Depresyon Ölçeği (BDÖ) ile ve fonksiyonel düzeyleri Zamanlı Kalk Yürü Testi (ZKYT) ile değerlendirildi. Bulgular: Çalışma bulguları, tüm OA’lı hastaların beden algılarının ve benlik saygılarının azaldığını, minimal seviyede depresyonlarının olduğunu gösterdi. Erken evre ve geç evre OA’lı hastalar arasında ağrı şiddeti ve fonksiyonel düzey bakımından istatistiki fark bulundu (p<0.001). Erken evre OA’lı hastalarda, KAÖ ile VAÖ arasında pozitif yönlü düşük düzeyde bir ilişki olduğu (p=0.016) görüldü. Geç evre OA’lı hastalarda, KAÖ ile değerlendirme ölçekleri arasında bir ilişki bulunmadı. Sonuç: Çalışma sonuçları, hastalığın radyolojik evresinin ilerlemesiyle ağrı şiddetinin arttığını ve fonksiyonel düzeyin olumsuz etkilendiğini gösterdi. Ayrıca OA’lı hastalarda, ağrı şiddetinin hastalığın erken döneminden itibaren yarattığı olumsuz psikosomatik etkileri nedeniyle beden algısını etkileyebileceği düşünüldü.
Purpose: This study was planned to study the relationship between pain severity and body perception, self-respect, depression and functional level in patients with early and late stages of neck and knee osteoartritis (OA). The study included 55 volunteer patients diagnosed with knees and neck OA. The patients were divided into two groups, early and late, according to Kellgren Lawrence's standards. Patient pain severity was assessed with the visual analog scale (GAÖ) and the catastrophic pain scale (KAÖ), body perceptions with the body perception scale (VAÖ), self-respect with the Rosenberg Self-respect scale (RBSÖ), mental conditions with the Beck Depression scale (BDÖ) and functional levels with the Timely Rise Walk Test (ZKYT). Results: Study findings showed that all patients with OA have a reduced body perception and self-respect, with a minimal level of depression. In early and late stages of OA patients, statistical differences were found in terms of pain severity and functional level (p<0.001). In early stages of OA patients, a positive-low-level relationship (p=0.016) was observed between KAO and VAO. In late-stage OA patients, there was no connection between the evaluation scales and the CAO. Results: The results of the study showed that with the progression of the radiological stage of the disease, the severity of the pain increased and the functional level was negatively affected. Also, in patients with OA, it was believed that pain severity could affect the body perception due to the negative psychosomatic effects created from the early stage of the disease.
Purpose: The aim of this study was to investigate the relationship between pain severity and body image, self-esteem, depression and functional level in patients with early and late stage hip and knee osteoarthritis (OA). Methods: Fifty-five knee and hip OA patients were included in the study. Patients were divided into two groups as early stage and late stage according to Kellgren Lawrence criteria. The severity of pain was determined with the Visual Analogue Scale (VAS) and the Catastrophic Pain Scale (CPS), Body perceptions with the Body Perception Scale (BPS), self-esteem with the Rosenberg Self-Esteem Scale (RSES), the presence and levels of depression with the Beck Depression Inventory (BDI), functional levels were evaluated with the Timed Up and Go Test (TUG). Results: The findings of the study showed that all patients with OA had decreased body perceptions and self-esteem and had minimal depression. There was a statistically significant difference in pain severity and functional level between early and late stage OA patients (p<0.001). In early stage OA patients, there was a positive low level relationship between and CPS and BPS (p=0.016). No correlation was found between the CPS and assessment scales in patients with late stage OA. Conclusion: The results of the study showed that the severity of pain and functional level were adversely affected with the progression of the radiological stage of the disease. In addition, it was thought that pain severity in patients with OA may affect body perception due to the negative psychosomatic effects of early onset of the disease.
Alan : Sağlık Bilimleri
Dergi Türü : Uluslararası
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