Demans Hastalarında Düşme Riski, Reaksiyon Süresi, Uzamsal Oryantasyon ve Alt Ekstremite Gücünün Değerlendirilmesi: Bir Korelasyon Analizi

Year 2023, Volume: 4 Issue: 2, 31 - 35, 13.09.2023

İlkem Güzel , Filiz Can

Abstract

Giriş: Demans, bilişsel gerilemeye ve işlevsel bozulmaya yol açan önemli bir sorun teşkil etmektedir. Kritik endişeler arasında, demans hastalarında artan düşme riski, yaşam kalitesinin düşmesine ve sağlık maliyetlerinin artmasına yol açmaktadır. Bu çalışma, bilişsel ve fiziksel faktörlerin etkileşimini tanıyarak, demans hastalarında düşme riski, reaksiyon süresi, uzamsal yönelim ve alt ekstremite kuvveti arasındaki ilişkiyi değerlendirmeyi amaçladı.

Gereç ve Yöntemler: Hafif ve orta şiddette demansı olan 30 katılımcı Ankara, Türkiye'deki huzurevlerinden seçildi. John Hopkins Düşme Riski Değerlendirme Aracı (JHFRAT), düşme riskini kategorilere ayırdı. Katılımcılara uzaysal oryantasyon, reaksiyon süresi ve alt ekstremite kuvvetini değerlendirmek için testler uygulandı. Bu faktörler arasındaki ilişkileri incelemek için korelasyon analizleri yapılmıştır.

Bulgular: JHFRAT skorları ile reaksiyon süresi (pozitif korelasyon), uzaysal oryantasyon (negatif korelasyon) ve alt ekstremite kuvveti (negatif korelasyon) arasında anlamlı ilişkiler bulundu. Bu bulgular, demans hastalarında hem bilişsel bozuklukları hem de fiziksel sınırlamaları ele alan bütüncül düşme önleme stratejilerine olan ihtiyacı vurgulamaktadır.

Sonuç: Çalışma, demans hastalarında düşme riski ile bilişsel bozukluklar ve fiziksel faktörler arasındaki karmaşık ilişkinin altını çizmektedir. Düşme riskini etkili bir şekilde azaltmak ve demanslı bireylerin esenliğini artırmak için kapsamlı müdahaleler gereklidir. Bu ilişkileri doğrulamak ve demans hastalarında düşmeyi önlemek için özel müdahaleler geliştirmek için daha büyük ve çeşitli popülasyonlarla daha fazla araştırma yapılması önemlidir.

Keywords

demans, düşme, reaksiyon süresi, uzamsal oryantasyon, kas gücü

Assessment of Fall Risk, Reaction Time, Orientation, and Lower Extremity Strength in Dementia Patients: A Correlation Analysis

Abstract

Introduction: Dementia poses a significant challenge, leading to cognitive decline and functional impairment. Among the critical concerns is the heightened fall risk in dementia patients, leading to diminished quality of life and increased healthcare costs. This study aimed to assess the relationship between fall risk, reaction time, spatial orientation, and lower extremity strength in dementia patients, recognizing the interplay of cognitive and physical factors.

Materials and Methods: Thirty participants with mild to moderate dementia were selected from nursing homes in Ankara, Turkey. The John Hopkins Fall Risk Assessment Tool (JHFRAT) categorized fall risk. Participants underwent tests to evaluate spatial orientation, reaction time, and lower extremity strength. The associations between these factors were investigated using correlation analysis.

Results: Significant associations were found between JHFRAT scores and reaction time (positive correlation), spatial orientation (negative correlation), and lower extremity strength (negative correlation). These findings highlight the need for holistic fall prevention strategies addressing both cognitive impairments and physical limitations in dementia patients.

Conclusion: The study underscores the complex relationship between fall risk and cognitive impairments as well as physical factors in dementia patients. Comprehensive interventions are necessary to effectively reduce fall risk, enhancing the well-being of individuals with dementia. Further research with larger and diverse populations is essential to confirm these relationships and develop tailored interventions for fall prevention in dementia patients.

Keywords

dementia, falls, reaction time, spatial orientation, muscle strength

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