İnmeli hastalarda depresyon ve anksiyetenin değerlendirilmesi ve fonksiyonel durumla ilişkisinin araştırılması

Year 2024, Volume: 5 Issue: 4, 198 - 202, 29.08.2024

Pınar Özge Başaran , Serdar Aykaç

https://doi.org/10.47582/jompac.1510500

Abstract

Amaçlar: Bu çalışmanın amacı inmeli hastalarda anksiyete ve depresyon düzeylerini ve fonksiyonel durum ile depresyon, anksiyete, ağrı ve yaşam kalitesi arasındaki ilişkiyi araştırmaktır.
Yöntemler: Çalışmaya 65 inme hastası ve 65 sağlıklı kontrol dahil edildi. Tüm hastaların sosyodemografik özellikleri kaydedildikten sonra, anksiyete ve depresyon düzeyleri Hastane Anksiyete Depresyon (HAD) ölçeği ile, yaşam kalitesi ise Nottingham Sağlık Profili (NHP) anketi ile değerlendirildi. İnme hastalarında fonksiyonel durum Fonksiyonel Ambulasyon Kategorileri (FAC) ile, hastalık evreleri Brunnstrom Evreleme Sistemi ile ve ağrı şiddeti Görsel Analog Skalası (VAS) ile değerlendirildi.
Sonuçlar: İnme grubundaki 33 hastada (%50,77) ve kontrol grubundaki 16 hastada (%24,60) anksiyete düzeyleri yüksek olarak saptandı. Depresyon düzeyleri, inme grubunda 35 hastada (%53,85) ve kontrol grubunda 25 hastada (%38,46) yüksek saptandı. İnme grubundaki hastaların HAD anksiyete, HAD depresyon ve HAD toplam puanları kontrol grubuna göre istatistiksel olarak anlamlı derecede yüksek saptandı (sırasıyla p:0.036, p:0.013, p:0.010). Hastaların yaşam kalitesi incelendiğinde, NHP enerji düzeyi inme grubunda istatistiksel olarak anlamlı derecede düşüktü (p:0.008). İnmeli hastalar fonksiyonel ambulasyon düzeylerine göre incelendiğinde, fonksiyonel durum arttıkça HAD anksiyete, HAD depresyon ve HAD toplam puanlarının istatistiksel olarak daha düşük olduğu görülmüştür (sırasıyla p:0.003, p: <0,001, p: <0,001). NHP ağrı, uyku, fiziksel hareketlilik, enerji, sıkıntı alt alanları ve NHP toplam puanları hastaların fonksiyonel durumları ile istatistiksel olarak anlamlı şekilde farklıydı. FAC skorları ile ağrı, HAD anksiyete, HAD depresyon, HAD toplam ve NHP toplam skorları arasında negatif korelasyon bulundu.
Karar: İnmeli hastalarda anksiyete ve depresyon düzeyleri daha yüksektir. Ayrıca fonksiyonel durum ile ağrı şiddeti, anksiyete, depresyon ve yaşam kalitesi arasında ters bir ilişki vardır.

Keywords

anksiyete, depresyon, fonksiyonel durum, inme, yaşam kalitesi

Assessment of depression and anxiety and their relationship with functional status in patients with stroke

Abstract

Aims: This study aimed to investigate the anxiety and depression levels and the relationship between functional status and depression, anxiety, pain, and quality of life in stroke patients.
Methods: 65 stroke patients and 65 healthy controls were involved in the study. After recording the sociodemographic characteristics of all patients, anxiety, and depression levels were evaluated with the hospital anxiety depression (HAD) scale, and the quality of life with the Nottingham Health Profile (NHP) questionnaire. In stroke patients, functional status was evaluated with the functional ambulation categories (FAC), disease stages with the Brannstrom Staging system, and pain intensity with the visual analogue scale (VAS).
Results: Anxiety levels were high in 33 patients (50.77%) in the stroke group and 16 patients (24.60%) in the control group. Depression levels were high in 35 patients (53.85%) in the stroke group and 25 patients (38,46%) in the control group. In the stroke group, the HAD anxiety, HAD depression, and HAD total scores of patients were statistically significantly higher compared to the control group (p:0.036, p:0.013, p: 0.010,respectively). When the quality of life of the patients was examined, the NHP energy level was statistically significantly lower in the stroke group (p:0.008). Examination of the stroke patients by their functional ambulation levels revealed statistically lower HAD anxiety, HAD depression, and HAD total scores with higher functional status (p:0.003, p: <0,001, p: <0,001, respectively). NHP pain, sleep, physical mobility, energy, distress subdomains, and NHP total scores were statistically significantly different with the functional status of patients. Negative correlations were found between FAC scores with pain, HAD anxiety, HAD depression, HAD total, and NHP total scores.
Conclusion: Anxiety and depression levels are higher in stroke patients. And also there is an inverse relationship between functional status and the severity of pain, anxiety, depression, and quality of life.

Keywords

anxiety, depression, functional status, quality of life, stroke

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