Huzurevinde Yaşayan Yaşlılarda Kırılganlık ve Düşme Riski Arasındaki İlişkinin Belirlenmesi

Year 2024, Volume: 11 Issue: 3, 775 - 787

Hamide Şişman , Dudu Alptekin , Elif Dağlı

https://doi.org/10.21020/husbfd.1421343

Abstract

Amaç: Çalışmanın amacı huzurevinde yaşayan yaşlıların kırılganlık düzeyi ile düşme riski arasındaki ilişkiyi belirlemek ve bu konuya dikkat çekmektir.
Yöntem: Kesitsel ve tanımlayıcı tipteki bu çalışma, 2 Ocak 2023 ile 15 Ocak 2023 tarihleri arasında Adana ilindeki devlete ait iki huzurevinde gerçekleştirilmiştir. Çalışma araştırma kriterlerine uyan ve çalışmaya katılmayı kabul eden toplam 220 yaşlı ile yüzyüze görüşme yöntemi ile yürütülmüştür. Veri toplanmasında Kişisel Bilgi Formu, İtaki Düşme Risk Endeksi ve Edmonton Kırılganlık Ölçeği kullanılmıştır.
Bulgular: Katılımcıların %63,6'sı kadın olup, yaş ortalaması 76±8 (min=60, max=98) idi. Kadın cinsiyet (%58,3), normal BKI (%54,9), düzenli egzersiz yapmama (%85,4), kronik hastalık varlığı (%55,6), yardımcı cihaz kullanımı (%85,6), düşme öyküsü (%63,9) ve hastaneye yatış öyküsü (%61,1) ile düşme risk düzeyi arasında istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Normal BKI (%60), düzenli egzersiz yapmama (%70), kronik hastalık varlığı (%70), kullanılan ilaç sayısının 1-3 olması (%55), yardımcı cihaz kullanımı (%97,5), düşme öyküsü (%100) ve hastaneye yatış öyküsü (%72,5) ile ciddi kırılganlık risk düzeyi arasında istatistiksel olarak anlamlı ilişki bulundu (p<0,05). Kırılganlık düzeyi ile düşme riski arasında istatistiksel olarak anlamlı bir ilişki bulundu (p<0,01).
Sonuç: Orta ve ileri derecede kırılganlık düzeyine sahip yaşlıların düşme riskinin yüksek olduğu belirlendi.

Keywords

kaza sonucu düşmeler, kırılgan yaşlılar, huzurevleri, risk değerlendirmesi

Determining the Relationship Between Frailty and Fall Risk in Elderly People Living in Nursing Homes

Abstract

Objective: The study aimed to determine the relationship between the level of frailty and the risk of falls in the elderly living in nursing homes and to draw attention to this issue.
Method: The cross-sectional and descriptive study was conducted in two state-owned nursing homes in Adana between January 2, 2023, and January 15, 2023. The study was conducted by face-to-face interviews with a total of 220 elderly people who met the research criteria and agreed to participate in the study. Data were collected using the Personal Information Form, Itaki Fall Risk Index, and Edmonton Frailty Scale.
Results: 63,6% of the participants were women, and the average age was 76±8 (min=60, max=98). Female gender (58,3%), normal BMI (54,9%), lack of regular exercise (85,4%), presence of chronic disease (55,6%), use of assistive devices (85,6%), history of falling A statistically significant relationship was found between (63,9%) and hospitalization history (61,1%) and fall risk level (p<0.05). Normal BMI (60%), lack of regular exercise (70%), presence of chronic disease (70%), number of medications used 1-3 (55%), use of assistive devices (97,5%), history of falling (100%), a statistically significant relationship was found between the history of hospitalization (72,5%) and the risk level of severe frailty (p<0,05). A statistically significant relationship was found between frailty level and fall risk (p = 0,00).
Conclusion: Elderly people with moderate and severe frailty were found to be at high risk of falls.

Keywords

Accidental falls, frail elderly, nursing homes, risk assessment

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