ORIJINAL ARAÅžTIRMA
Kronik Bel Ağrısı Olan Yaşlılarda Ağrı İnancının Yaşam Kalitesi ve Dizabiliteye Etkisi
The Effect of Pain Belief of the Elderly People with Chronic Low Back Pain on Quality of Life and Disability
Received Date : 24 Feb 2020
Accepted Date : 28 Sep 2020
Available Online : 18 Jan 2021
Zeynep KILIÇa, Berat Meryem ALKANb
aDepartment of Physical Medicine and Rehabilitation, Ankara City Hospital, Ankara, TURKEY
bDepartment of Physical Medicine and Rehabilitation, Ankara Yıldırım Beyazıt University Faculty of Medicine, Ankara City Hospital, Ankara,TURKEY
Doi: 10.31609/jpmrs.2020-74455 - Makale Dili: EN
J PMR Sci. 2021;24(1):1-7
ÖZET
Amaç: Bu çalışmada, kronik bel ağrısı olan yaşlılarda ağrı
inançlarının yaşam kalitesi ve fonksiyonel duruma etkisini araştırmak
amaçlanmıştır. Gereç ve Yöntemler: Polikliniğimize, kronik bel
ağrısı şikâyetiyle başvuran 65 yaş üstü hastalar çalışmaya alındı.
Travma, malignite, inflamatuar hastalık öyküsü olan, lomber bölgeden
operasyon geçiren, nörolojik defisiti olan, kalça ve diz artroplastisi
yapılan, destekle mobilize olan, anksiyete/depresyon ve demansı
nedeniyle tedavi alan hastalar çalışmaya alınmadı. Demografik ve
klinik veriler kaydedildi. Ağrı şiddeti değerlendirmesi için Vizüel
Analog Skala (VAS), ağrı inancını değerlendirmek amacıyla Ağrı
İnançları Ölçeği, dizabilite değerlendirmesinde Roland Morris Dizabilite
Ölçeği, yaşam kalitesi için Nottingham Sağlık Profili
kullanıldı. Bulgular: Çalışmaya alınan 52 hastanın yaş ortalaması
71±4,78 ve 12’si erkek 40’ı kadındı. Ağrı İnançları Ölçeği psikolojik
puan ortalaması 4,77±0,73; organik puan ortalaması 4,57±0,9 idi.
Roland Morris Dizabilite Ölçeği skoru ortalaması 14,58±5,88; Nottingham
Sağlık Profili skoru ortalaması 281,68±123,55 idi. Organik
puan; hareket VAS, Nottingham ölçeğinin total puanı, ağrı, sosyal
izolasyon, fiziksel aktivite, enerji alt puanları, yaş ve Roland Morris
skorları ile anlamlı derecede ilişkili bulundu (p<0,05). Psikolojik puan
ise hareket VAS ve Nottingham Sağlık Profili uyku skoru ile anlamlı
düzeyde ilişkiliydi (p<0,05). Sonuç: Hastalarda ağrı düzeyi arttıkça,
ağrıya dair inanç skorları da artmaktadır. Fiziksel aktivite düzeyi,
yaşam kalitesi, sosyal destek ve kaliteli uyku da ağrı inançları ile
yakından ilişkilidir.
Anahtar Kelimeler: Yaşlı; bel ağrısı; ağrı inancı; dizabilite; yaşam kalitesi
ABSTRACT
Objective: In the present study, the purpose was to investigate
the effect of pain beliefs on the quality of life and functional
condition in the elderly with chronic low back pain. Material and Methods:
Patients over 65 years old who applied to our outpatient clinic
with chronic low back pain were included in the study. The patients with
a history of trauma, malignancy, inflammatory diseases, those who were
operated in the lumbar region, who had neurological deficits, those with
hip and knee arthroplasty, those who were mobilized with support, receiving
treatment for anxiety, depression and dementia were not included.
The demographic and clinical data were recorded. The Visual
Analog Scale (VAS) was used for the pain severity, the Pain Beliefs
Scale was used for the pain beliefs, the Roland Morris Disability Scale
was used for the disability, and the Nottingham Health Profile was used
for quality of life. Results: The mean age of the 52 patients who were
included in the study was 71±4.78 and 12 were male, 40 were female.
The mean Pain Beliefs Scale psychological score was 4.77±0.73, mean
organic score was 4.57±0.9. The average score of Roland Morris Disability
Scale was 14.58±5.88 and the average of Nottingham Health Profile
score was 281.68±123.55. The organic score was found to be
significantly related to movement VAS, total score of Nottingham Scale
and pain, social isolation, physical activity, energy sub-scores, age, and
Roland Morris scores (p<0.05). The psychological score was associated
significantly with the movement VAS and Nottingham Health Profile
sleep score (p<0.05). Conclusion: As the level of pain increased the
scores of beliefs in pain also increased. Physical activity levels and quality
of life were also closely related to pain beliefs.
Keywords: Elderly; low back pain; pain belief; disability; quality of life
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