Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Kırılgan Ortopedi Hastalarının Yeme Tutumları ve Benlik Saygıları Arasındaki İlişki: Tanımlayıcı Çalışma
The Relationship Between Eating Attitudes and Self-Esteem of Fragile Orthopedic Patients: Descriptive Study
Sema KOÇAŞLIa , Banu ERİŞb
aAnkara Yıldırım Beyazıt Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, Ankara, Türkiye
bGazi Üniversitesi Tıp Fakültesi, Hemşirelik Bilimleri AD, Ankara Türkiye
Turkiye Klinikleri J Nurs Sci. 2025;17(1):1-8
doi: 10.5336/nurses.2024-104418
Article Language: TR
Full Text
ÖZET
 Amaç: İlerleyen yaşla birlikte görülmeye başlanan kırılganlık, fizyolojik rezervlerde azalma, güç kaybı, fiziksel aktivitede ve beden kitle indeksinde azalma gibi sorunları içeren geriatrik bir sendromdur. Kırılgan ortopedik hastaların yeme tutumlarında ve benlik saygılarında değişimler görülebilmektedir. Bu araştırmada, kırılganlığı olan yaşlı ortopedi hastalarının yeme tutumları ve benlik saygılarını incelemek amaçlanmıştır. Gereç ve Yöntemler: Tanımlayıcı türde yapılan bu araştırma, bir üniversite hastanesinin ortopedi ve travmatoloji kliniğinde ŞubatAralık 2021 tarihleri arasında, 100 hasta ile yürütülmüştür. Araştırmanın verileri Kişisel Bilgiler Formu, FRAIL Ölçeği, Yeme Tutum Testi ve Coopersmith Benlik Saygısı Ölçeği kullanılarak toplanmıştır. Veriler, tanımlayıcı istatistikler, ki-kare, Mann-Whitney U, Kruskal-Wallis ve bağımsız örneklem t-testleri kullanılarak analiz edilmiş, p<0,05 olan değerler anlamlı kabul edilmiştir. Bulgular: Yaş ortalaması 75,24 (±7,86) yıl olan hastaların, %50'si erkek olup, %56,1'i kiloludur. Hastaların %94'ünün kırılgan, %6'sının kırılganlık öncesi olduğu belirlenmiştir. Hastaların benlik saygısı puanı 14,70 (±3,91) iken yeme tutumu puanının 28,33 (±5,80) olduğu saptanmıştır. Yeme tutumu ile benlik saygısı arasında (r=0,236, p=0,018) düşük seviyede pozitif yönlü istatistiksel anlamlı olarak ilişki tespit edilmiştir. Hastaların yaşları ile benlik saygısı (r=-0,230, p=0,021) ve yeme tutumu (-0,310, p=0,002) arasında düşük seviyede negatif yönlü istatistiksel anlamlı olarak farklılık saptanmıştır. Sonuç: Çalışmada, kırılgan yaşlı hastaların yeme tutumlarının ve benlik saygılarının düşük olduğu ve bu iki parametre arasında istatistiksel olarak anlamlı bir ilişki olduğu belirlendi. Ortopedi hastalarının ameliyat öncesi dönemde kırılganlık düzeyleri ile birlikte yeme tutumları ve benlik saygılarının da değerlendirilmesi, tedavi ve bakım sürecinin daha iyi yönetilmesine katkı sağlayacaktır.

Anahtar Kelimeler: Kırılganlık; ortopedik cerrahi; yeme tutumu; benlik kavramı; yaşlı
ABSTRACT
 Objective: It is a geriatric syndrome that includes problems such as frailty, decrease in physiological reserves, loss of strength, decrease in physical activity and body mass index, which begin to be seen with advancing age. Changes can be observed in the eating attitudes and self-esteem of fragile orthopedic patients. This study aimed to examine the eating attitudes and self-esteem of frail elderly patients. Material and Methods: This descriptive study was conducted with 100 patients in the orthopedics and traumatology clinic of a university hospital between February and December 2021. The data of the study were collected using the Personal Information Form, FRAIL Scale, Eating Attitude Test and Coopersmith Self-Esteem Scale. Data were analyzed using descriptive statistics, chi-square, Mann-Whitney U, Kruskal-Wallis and Independent Sample t tests, and p values <0.05 were considered significant. Results: Of the patients whose average age was 75.24 (±7.86) years, 50% were male and 56.1% were overweight. It was determined that 94% of the patients were frail and 6% were pre-frail. While the patients' self-esteem score was 14.70 (±3.91), their eating attitude score was found to be 28.33 (±5.80). A low-level, positive, statistically significant relationship was detected between eating attitude and self-esteem (r=0.236, p=0.018). A low-level, negative and statistically significant difference was found between the patients' ages and their self-esteem (r=-0.230, p=0.021) and eating attitude (- 0.310, p=0.002). Conclusion: In the study, it was determined that frail elderly patients had low eating attitudes and self-esteem and that there was a statistically significant relationship between these two parameters. Evaluating the frailty levels, eating attitudes and self-esteem of orthopedic patients in the preoperative period will contribute to beter management of the treatment and care process.

Keywords: Frailty; ortophaedic surgery; rating attitude; self esteem; geriatric
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