Araştırma Makalesi
Yaşlı yetişkinler arasında huzurevinde yaşayan ve kendi evinde yaşayanların kırılganlığının karşılaştırılması
Öz
Giriş: Bu araştırmanın amacı yaşlı bireylerin yaşadıkları yer ve cinsiyetlerine göre FRAİL Ölçeği ile kırılganlık açısından değerlendirilmesidir.
Yöntem: Gözlemsel (vaka-kontrol) tipte olan çalışma İstanbul’da bir aile sağlığı merkezi birimine kayıtlı 65 yaş ve üzeri 113 hasta ile Aralık 2019- Mart 2020 tarihleri arasında gerçekleştirildi. Huzurevi adresine kayıtlı olanlar ve kendi ev adresinde kalanlar basit randomizasyon yöntemi ile gruplara atandı. Hastaların demografik verileri ile kırılganlık düzeyini ölçen FRAİL ölçeğini içeren anket yüz yüze uygulandı. İstatistiksel analizde Ki-kare testi grupların karşılaştırılmasında kullanıldı.
Bulgular: Çalışmaya katılan 65 yaş üzeri 113 bireyin %51,3’ünün erkek (n=24) ve yaş ortalamasının 73,13±6,52 yıl olduğu gözlendi. FRAİL Ölçeği puan ortalamasına (1,24±1,26) göre %21,2 (n=24) düzeyinde kırılganlık saptandı. Kendi evinde yaşayan yaşlıların kırılgan olma oranları (%29,8), huzurevinde yaşayan yaşlılardan (%12,5) daha sık bulundu (p=0,049). Özellikle kendi evinde yaşayan erkeklerin kırılganlık oranı (%27,6), huzurevinde yaşayan erkeklerden (%3,4) daha yüksek izlendi (p=0,038). FRAİL ölçek alt başlıklarında; yorgunluk bileşeni %19,5 (n=22), direnç bileşeni %38,9 (n=44), ambulasyon bileşeni %36,3 (n=41), hastalık bileşeni %10,6 (n=12), kilo kaybı bileşeni %18,6 (n=21) oranında kırılganlık ölçümüne dahil olmuştur. Verilen yanıtların analizinde ölçeğin iç tutarlılığı orta düzeyde (Cronbach alfa=0,552) saptanmıştır.
Sonuç: Bu çalışmaya göre her beş yaşlıdan biri kırılgandır. Kendi evinde yaşayan yaşlıların, özellikle erkeklerin daha kırılgan olması, huzurevinde yaşayan kadınların daha ileri yaşta görülmesi, gelecekte kırılganlığın seyrinde bakımevlerinin önemine dikkat çekmiştir.
Anahtar Kelimeler: Huzurevi, kırılganlık, yaşlılık, güvenilirlik
Anahtar Kelimeler
Kaynakça
- 1. Turkish Statistical Institute. Demography, elderly population. TSI Bulletin. 2020 Available from https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2020-37227 (Access Date: March 15, 2022)
- 2. Fried LP. Tangen CM. Walston J. Newman AB. Hirsch C. Gottdiener J. et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3): M146-57. https://doi.org/10.1093/gerona/56.3.m146
- 3. Pala F, Yalcin Gursoy M. In Book: Akgol J, editor. [Health in different dimensions] (in Turkish) Chapter: [Studies on elderly frailty in Turkey: A systematic review ] (in Turkish) Çanakkale: Rating Academy R&D Software Publishing Education Consulting and Organization Trade Limited Company; 2020. (pp.67-75).
- 4. Arslan M. Koc EM. Sozmen MK. The Turkish adaptation of the Tilburg frailty indicator: A validity and reliability study. Turk J Geriat. 2018;21(2):173-83. https://doi.org/10.31086/tjgeri.2018240418
- 5. Aygor HE. Fadiloglu C. Sahin S. Aykar FS. Akcicek F. Validation of Edmonton frail scale into elderly Turkish population. Arch Gerontology Geriatrics 2018;76:133-7. https://doi.org/10.1016/j.archger.2018.02.003
- 6. Hymabaccus B, Yavuz BB, Tuna Dogrul R, Balci C, Ozsurekci C, Caliskan H, et al. Validation of frail scale in Turkish older adults . Abstracts of the 14th international congress of the European geriatric medicine society. Berlin. Germany; Eur Geriatr Med 2018; 9(Suppl 1):115. https://doi.org/10.1007/s41999-018-0097-4
- 7. De Lepeleire J. Iliffe S. Mann E. Degryse JM. Frailty: An emerging concept for general practice. Br J Gen Pract 2009;59(562):e177-82. https://doi.org/10.3399/bjgp09x420653
- 8. Morley JE. Malmstrom T. Miller DA. Simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16(7):601–8. https://doi.org/10.1007/s12603-012-0084-2
- 9. Dong L, Qiao X, Tian X, Liu N, Jin Y, Si H, et al. Cross-cultural adaptation and validation of the frail scale in Chinese community-dwelling older adults. J Am Med Dir Assoc 2018;19(1):12-7. https://doi.org/10.1016/j.jamda.2017.06.011
- 10. Jung HW, Yoo HJ, Park SY, Kim SW, Choi JY, Yoon SJ, et al. The Korean version of the frail scale: Clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med 2016;31(3):594-600 http://dx.doi.org/10.3904/kjim.2014.331
- 11. De Leon Gonzalez ED, Hermosillo GH, Martinez Beltran JA, Chavez JH, Palacios Corona R, Salinas Garza DP, et al. Validation of the frail scale in Mexican elderly: Results from the Mexican health and aging study. Aging Clin Exp Res 2016;28(5):901–8. https://doi.org/10.1007/s40520-015-0497-y
- 12. Ozdemir S, Ozturk ZA, Turkbeyler IH, Sirin F, Gol M. Determination of frailty prevalence by using discrete measures geriatric patients in clinic [in Turkish]. KSU Med J 2017;12(3):1-5. https://doi.org/10.17517/ksutfd.338266
- 13. Gardiner PA, Mishra GD, Dobson AJ. Validity and responsiveness of the frail scale in a longitudinal cohort study of older Australian women. J Am Med Dir Assoc 2015;16(9):781-3. https://doi.org/10.1016/j.jamda.2015.05.005
- 14. Church S, Rogers E, Rockwood K, Theou O. A scoping review of the clinical frailty scale. BMC Geriatr 2020;20(1):393. https://doi.org/10.1186/s12877-020-01801-7
- 15. Eyigor S, Kutsal Y, Duran E, Huner B, Paker N, Durmus B, et al. Turkish society of physical medicine and rehabilitation. Geriatric rehabilitation working group. Frailty prevalence and related factors in the older adult-Frailturk project. Age (Dordr). 2015;37(3):9791. https://doi.org/10.1007/s11357-015-9791-z
- 16. Soyuer F, Suzen I. Pain and frailty profile of the elderly with knee pain remaining in the nursing home [in Turkish] V. international scientific and vocational studies congress – Science and Health (BILMES SH 2020). 12-15 December 2020. Turkey. Available at: http://acikerisim.antalya.edu.tr/handle/20.500.12566/648 (Access Date: March 15, 2022)
- 17. Gok Metin Z, Karadas C, Balci C, Cankurtaran M. The Perceived Caregiver Burden Among Turkish family caregivers providing care for frail older adults. J Transcult Nurs 2019;30(3):222-30. https://doi.org/10.1177/1043659618790041
Yıl 2022,
Cilt: 7 Sayı: 1, 24 - 29, 17.03.2022
Öz
Introduction: This study aims to evaluate elder people according to their living place and gender in terms of frailty with the FRAIL Scale.
Methods: An observational cross sectional study was conducted between December 2019 and March 2020 with 113 patients aged ≥ 65 years who were admitted to a family health center in Istanbul. Patients registered at the nursing home address and patients living at their home address were assigned to the groups by the simple randomization method. A questionnaire including the demographic data and the FRAIL Scale which would evaluate the frailty was performed face-to-face. The Chi-square test was used for the statistical analysis.
Results: It was observed that 51.3% of 113 individuals over 65 years in the study were male (n = 24), and the mean age was 73.13 ± 6.52 years. Frailty was found to be 21.2% (n = 24), according to the mean score of the FRAIL Scale (1.24 ± 1.26). The frailty rate (29.8%) of own home living elderly was found to be higher than the nursing home living elderly (12.5%) (p = 0.049). The frailty rate of own home living men (27.6%) was higher than the nursing home living men (3.4%) (p = 0.038). In FRAIL scale components, fatigue 19.5% (n = 22), resistance 38.9% (n = 44), ambulation 36.3% (n = 41), disease 10.6% (n = 12), weight loss 18.6% (n = 21) of the scale component were included in the fragility measurement. In the analysis of the answers, the internal consistency of the scale was moderate level (Cronbach alpha = 0.552).
Conclusions: According to this study, one out of every five elderly was frail. Based on the fact that the elderly especially own home living men, are more fragile, and nursing home living women are seen at an older age, the results drew attention to the importance of nursing homes in the course of frailty in the future.
Keywords: Nursing home, frailty, elderly, reliability
Anahtar Kelimeler
Kaynakça
- 1. Turkish Statistical Institute. Demography, elderly population. TSI Bulletin. 2020 Available from https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2020-37227 (Access Date: March 15, 2022)
- 2. Fried LP. Tangen CM. Walston J. Newman AB. Hirsch C. Gottdiener J. et al. Frailty in older adults: Evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001; 56(3): M146-57. https://doi.org/10.1093/gerona/56.3.m146
- 3. Pala F, Yalcin Gursoy M. In Book: Akgol J, editor. [Health in different dimensions] (in Turkish) Chapter: [Studies on elderly frailty in Turkey: A systematic review ] (in Turkish) Çanakkale: Rating Academy R&D Software Publishing Education Consulting and Organization Trade Limited Company; 2020. (pp.67-75).
- 4. Arslan M. Koc EM. Sozmen MK. The Turkish adaptation of the Tilburg frailty indicator: A validity and reliability study. Turk J Geriat. 2018;21(2):173-83. https://doi.org/10.31086/tjgeri.2018240418
- 5. Aygor HE. Fadiloglu C. Sahin S. Aykar FS. Akcicek F. Validation of Edmonton frail scale into elderly Turkish population. Arch Gerontology Geriatrics 2018;76:133-7. https://doi.org/10.1016/j.archger.2018.02.003
- 6. Hymabaccus B, Yavuz BB, Tuna Dogrul R, Balci C, Ozsurekci C, Caliskan H, et al. Validation of frail scale in Turkish older adults . Abstracts of the 14th international congress of the European geriatric medicine society. Berlin. Germany; Eur Geriatr Med 2018; 9(Suppl 1):115. https://doi.org/10.1007/s41999-018-0097-4
- 7. De Lepeleire J. Iliffe S. Mann E. Degryse JM. Frailty: An emerging concept for general practice. Br J Gen Pract 2009;59(562):e177-82. https://doi.org/10.3399/bjgp09x420653
- 8. Morley JE. Malmstrom T. Miller DA. Simple frailty questionnaire (FRAIL) predicts outcomes in middle aged African Americans. J Nutr Health Aging. 2012;16(7):601–8. https://doi.org/10.1007/s12603-012-0084-2
- 9. Dong L, Qiao X, Tian X, Liu N, Jin Y, Si H, et al. Cross-cultural adaptation and validation of the frail scale in Chinese community-dwelling older adults. J Am Med Dir Assoc 2018;19(1):12-7. https://doi.org/10.1016/j.jamda.2017.06.011
- 10. Jung HW, Yoo HJ, Park SY, Kim SW, Choi JY, Yoon SJ, et al. The Korean version of the frail scale: Clinical feasibility and validity of assessing the frailty status of Korean elderly. Korean J Intern Med 2016;31(3):594-600 http://dx.doi.org/10.3904/kjim.2014.331
- 11. De Leon Gonzalez ED, Hermosillo GH, Martinez Beltran JA, Chavez JH, Palacios Corona R, Salinas Garza DP, et al. Validation of the frail scale in Mexican elderly: Results from the Mexican health and aging study. Aging Clin Exp Res 2016;28(5):901–8. https://doi.org/10.1007/s40520-015-0497-y
- 12. Ozdemir S, Ozturk ZA, Turkbeyler IH, Sirin F, Gol M. Determination of frailty prevalence by using discrete measures geriatric patients in clinic [in Turkish]. KSU Med J 2017;12(3):1-5. https://doi.org/10.17517/ksutfd.338266
- 13. Gardiner PA, Mishra GD, Dobson AJ. Validity and responsiveness of the frail scale in a longitudinal cohort study of older Australian women. J Am Med Dir Assoc 2015;16(9):781-3. https://doi.org/10.1016/j.jamda.2015.05.005
- 14. Church S, Rogers E, Rockwood K, Theou O. A scoping review of the clinical frailty scale. BMC Geriatr 2020;20(1):393. https://doi.org/10.1186/s12877-020-01801-7
- 15. Eyigor S, Kutsal Y, Duran E, Huner B, Paker N, Durmus B, et al. Turkish society of physical medicine and rehabilitation. Geriatric rehabilitation working group. Frailty prevalence and related factors in the older adult-Frailturk project. Age (Dordr). 2015;37(3):9791. https://doi.org/10.1007/s11357-015-9791-z
- 16. Soyuer F, Suzen I. Pain and frailty profile of the elderly with knee pain remaining in the nursing home [in Turkish] V. international scientific and vocational studies congress – Science and Health (BILMES SH 2020). 12-15 December 2020. Turkey. Available at: http://acikerisim.antalya.edu.tr/handle/20.500.12566/648 (Access Date: March 15, 2022)
- 17. Gok Metin Z, Karadas C, Balci C, Cankurtaran M. The Perceived Caregiver Burden Among Turkish family caregivers providing care for frail older adults. J Transcult Nurs 2019;30(3):222-30. https://doi.org/10.1177/1043659618790041
Toplam 17 adet kaynakça vardır.
Ayrıntılar
| Birincil Dil | İngilizce |
|---|---|
| Konular | Geriatri ve Gerontoloji |
| Bölüm | Araştırma Makalesi (Original Article) |
| Yazarlar | |
| Yayımlanma Tarihi | 17 Mart 2022 |
| Gönderilme Tarihi | 19 Nisan 2021 |
| Kabul Tarihi | 28 Aralık 2021 |
| Yayımlandığı Sayı | Yıl 2022Cilt: 7 Sayı: 1 |
