ÖZET
Amaç:
Bu çalışma, yaşlı romatoid artritli (RA) hastalarda yaşam kalitesi, fonksiyonel durum ve ağrıyı değerlendirmek amacıyla yapıldı.
Yöntemler:
Araştırmanın örneklemini bir hastanenin romatoloji polikliniğinde RA tanısı iletakip edilen 229 hasta ile aynı hastanenin dahiliye kliniğinde tedavi gören 65 yaş üstü hastalar oluşturdu. Araştırma verileri Kişisel Tanıtım Formu, Hastalık Aktivite Puanı 28 (DAS-28), Sayısal Ağrı Değerlendirme Ölçeği, Sağlık Değerlendirme Anketi (HAQ) ve SF-36 Yaşam Kalitesi Ölçeği kullanılarak toplanmıştır.
Bulgular:
RA tanısı olmayan yaşlı bireylerin fiziksel durumları RA tanısı olanlara göre istatistiksel olarak daha kötüydü (p=0,01). Hasta yaşı ile görsel analog skoru, fiziksel fonksiyon, fiziksel rol kısıtlılıkları, emosyonel rol kısıtlılıkları ve sosyal işlevsellik alt ölçek puanları arasında negatif; yaş ile HAQ puanları arasında pozitif yönde anlamlı korelasyon saptandı (p<0,05).
Sonuç:
Çalışmada yaşlı RA’lı hastaların günlük aktivitelerinde daha az fiziksel kısıtlamaları olduğu ve ağrı şiddetlerinin erişkin RA’lı hastalardan farklı olmadığı görüldü. RA dışında kronik bir hastalık nedeniyle tedavi gören yaşlıların fiziksel ve sosyal işlevselliklerinin daha düşük, yaşam kalitelerinin ise daha iyi olduğu görüldü.
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