Dergiler / Türk Geriatri Dergisi / 2013 / Cilt: 16 - Sayı: 2
Yaşlılarda diz osteoartriti tedavisinde egzersiz: Hasta eğitiminin verimliliğine etki eden faktörler
- Sayfa
- 166–171
- DOI
- —
Özet
Girifl: Çal›flmam›z›n amac› diz osteoartritli (OA) yafll› hastalarda hasta e¤itiminin önemi, e¤i- timi etkileyen faktörler, hastalar›n egzersize uyumu ve egzersiz uygulamama nedenlerini araflt›r- makt›r. Gereç ve Yöntem: 482 diz OA'li hastan›n ilk de¤erlendirmelerinde hastal›klar› hakk›nda bil- gi verilerek, egzersizin faydalar› anlat›ld› ve hastaya uygun egzersiz program› oluflturuldu. Üçün- cü aydaki kontrollerinde farmakolojik tedavileri, egzersizlerini uygulay›p uygulamad›klar› ve uygu- lamama nedenleri sorguland›. ‹lk muayene ve kontrolde a¤r› düzeyleri Vizüel Analog Skalas›yla (VAS) ölçüldü. Bulgular: Hastalar›n %60,2'sinin egzersiz program›n› uygulamad›¤› saptand›. Bu hastalar›n okuma yazma oranlar› ve hekimle ayn› lisan› konuflma oranlar› egzersiz uygulayan gruptan anlam- l› flekilde düflük, yafl ortalamalar› ise yüksekti (p
Abstract
Introduction: The aim of this study was to investigate the significance of patient education, factors affecting the education, compliance of patients to exercises and the reasons of noncon- formity among elderly patients with knee osteoarthritis. Materials and Method: During the initial assessments of 482 patients with knee OA, infor- mation was provided about the disease, and the benefits of exercises were explained and indi- vidual exercise programs were designed. After three months, pharmacological treatments and compliance to exercises and the reasons of failure to comply were questioned. Pain levels were measured with Visual Analog Scale (VAS). Results: 60.2% of the patients were found to be not complying with their exercise pro- grams. Rates of literacy and speaking the same language with the doctor among these patients were significantly lower than the group complying with their exercises but the mean age was higher. The most common reasons for not doing the exercises were finding them tiring and bor- ing, doubting their effectiveness and being older. The initial VAS values of both groups were sim- ilar, however the control VAS values of the compliant group were significantly lower. Conclusion: Informing the patients with knee osteoarthritis about the significance of man- agement and exercises is of importance for the success of the treatment. In this study, the patient's education level, speaking the same language and factors affecting communication such as hearing loss have emerged as the most important parameters that convince the patients to implement exercises.