Turkiye Klinikleri Journal of Medical Sciences

.: ORIGINAL RESEARCH
Nörolojik Hastalığı Bulunan Yaşlılarda Düşme Riskinin Analizi
Analysis of Fall Risk Factors in Elderly with Neurological Disease
Musa ÇIRAKa,b, Hatice Selin IRMAKa,c
aİstanbul Üniversitesi Sağlık Bilimleri Fakültesi, İstanbul Geronteknoloji Araştırma ve Uygulama Merkezi (İst-GETAM), İstanbul, TÜRKİYE
bİstanbul Bakırköy Dr. Sadi Konuk Eğitim Araştırma Hastanesi, Beyin ve Sinir Cerrahisi Kliniği, İstanbul, TÜRKİYE
cİstanbul Üniversitesi-Cerrahpaşa, Sağlık Bilimleri Fakültesi, Gerontoloji Bölümü, İstanbul, TÜRKİYE
Turkiye Klinikleri J Med Sci. 2020;40(3):297-305
doi: 10.5336/medsci.2020-75946
Article Language: TR
Full Text
ÖZET
 Amaç: En az bir nörolojik hastalığı olan 65 yaş ve üzerindeki yaşlı bireylerde düşme riskine etki eden faktörleri ortaya koymaktır. Gereç ve Yöntemler: Çalışmada, en az bir nörolojik hastalığı olan, 65 yaş ve üzerindeki 200 yaşlı birey, düşme riski açısından değerlendirmeye alınmıştır. Veriler, sosyodemografik veri formu ve İtaki Düşme Riski Ölçeği kullanılarak toplanmıştır. Nörolojik hastalığı olan yaşlı bireylerde, düşme riski puanını etkileyen faktörlerin belirlenmesi için doğrusal regresyon analizi yapılmıştır. Katılımcıların yaşları, cinsiyetleri, kronik hastalık sayıları, baş dönmesi, inkontinans durumları, ortostatik hipotansiyon, riskli ilaç kullanım ve engel durumları bağımsız değişkenler; İtaki Düşme Riski puanları ise bağımlı değişken olarak modele dâhil edilmiştir. Bulgular: Çalışmaya katılan yaşlıların yaş ortalaması 71,5±6,34 yıl olup; %70,5'i kadınlardan, %29,5'i erkeklerden oluşmaktadır. Yaşlıların tamamının en az bir kronik hastalığa sahip olduğu ve kullandıkları ilaç sayısının ortalama 3,68±2,43 olduğu bulunmuştur. Ayrıca yaşlıların %67,3'ünün riskli ilaç kullanımı, %55,57'inin inkontinansı, %81'inin baş dönmesi ve %70,5'inin ortostatik hipotansiyonunun olduğu belirlenmiştir. Doğrusal regresyon analizi sonucunda katılımcıların inkontinans, baş dönmesi, ortostatik hipotansiyon, ilaç sayıları ve riskli ilaç kullanım durumları düşme riski puanlarını etkileyen faktörler; yaşları, cinsiyetleri, kronik hastalık sayıları ve engel durumları ise düşme puanları üzerinde etkili olmayan faktörler olarak bulunmuştur. Baş dönmesi, inkontinansı, ortostatik hipotansiyonu ve riskli ilaç kullanımı olan yaşlılarda, düşme riski puanlarının yüksek olduğu bulunmuştur. Ayrıca yaşlılarda kullanılan ilaç sayısı ile düşme riski puanı arasında pozitif yönde güçlü bir ilişki bulunmuştur. Kullanılan ilaç sayısı arttıkça, düşme riski puanları da artmaktadır. Sonuç: Nörolojik hastalığı olan yaşlı bireylerde, düşme risk faktörlerinin belirlenmesi amacıyla yapılan bu çalışmanın sonucunda, düşme riski üzerinde etkili olan en önemli faktörler ortostatik hipotansiyon varlığı ve riskli ilaç kullanımı durumu olarak bulunmuştur.

Anahtar Kelimeler: Düşme riski; yaşlılar; nörolojik hastalık
ABSTRACT
 Objective: The aim of this study is to determine the factors that affect the risk of falls in elderly individuals aged 65 years and over with at least one neurological disease. Material and Methods: In this study, 200 elderly individuals with at least one neurological disease (aged 65 and over) were evaluated for the risk of falling. Data were collected using sociodemographic data form and Itaki Fall Risk Scale. Linear regression analysis was performed to determine the factors affecting the fall risk score in elderly individuals with neurological disease. Age, gender, number of chronic diseases, dizziness, incontinence, orthostatic hypotension, risky drug use and disability status were included as independent variables, while the Falling Risk scores were included as dependent variables. Results: The mean age of the participants was 71.5±6.34 years; 70.5% of them are women and 29.5% are men. It was found that all elderly people had at least one chronic disease and the mean number of drugs used was 3.68±2.43. In addition, 67.3% of the elderly had risky drug use, 55.5% had incontinence, 81% had dizziness and 70.5% had orthostatic hypotension. As a result of the linear regression analysis, the factors affecting the participants' incontinence status, dizziness status, orthostatic hypotension status, number of drugs and risky drug use status fall risk scores; age, sex, number of chronic diseases and disability status were found to be ineffective factors on fall scores. The risk of falls was found to be higher in the elderly with dizziness, incontinence, orthostatic hypotension and risky drug use. In addition, a strong positive correlation was found between the number of drugs used in the elderly and the fall risk score. As the number of drugs used increases, fall risk scores increase. Conclusion: As a result of this study which was conducted to determine the fall risk in elderly individuals with neurological disease, the most important factors affecting fall risk were found to be the presence of orthostatic hypotension and the presence of risky drug use.

Keywords: Falling risk; elderly people; neurological disease
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5.2. Within hereby "Terms of Use", "Turkiye Klinikleri" reserves the rights for "Turkiye Klinikleri" services, "Turkiye Klinikleri" information, the products associated with "Turkiye Klinikleri" copyrights, "Turkiye Klinikleri" trademarks, "Turkiye Klinikleri" trade looks or its all rights for other entity and information it has through this website unless it is explicitly authorized by "Turkiye Klinikleri".

6. CHANGES IN THE TERMS OF USE

"Turkiye Klinikleri" in its sole discretion may change the hereby "Terms of Use" anytime announcing within the "SITE". The changed terms of the hereby "Terms of Use" will become valid when they are announced. Hereby "Terms of Use" cannot be changed by unilateral declarations of users.

7. FORCE MAJEURE

"Turkiye Klinikleri" is not responsible for executing late or never of this hereby "Terms of Use", privacy policy and "USER Contract" in any situation legally taken into account as force majeure. Being late or failure of performance or non-defaulting of this and similar cases like this will not be the case from the viewpoint of "Turkiye Klinikleri", and "Turkiye Klinikleri" will not have any damage liability for these situations. "Force majeure" term will be regarded as outside of the concerned party's reasonable control and any situation that "Turkiye Klinikleri" cannot prevent even though it shows due diligence. Also, force majeure situations include but not limited to natural disasters, rebellion, war, strike, communication problems, infrastructure and internet failure, power cut and bad weather conditions.

8. LAW AND AUTHORISATION TO FOLLOW

Turkish Law will be applied in practicing, interpreting the hereby "Terms of Use" and managing the emerging legal relationships within this "Terms of Use" in case of finding element of foreignness, except for the rules of Turkish conflict of laws. Ankara Courts and Enforcement Offices are entitled in any controversy happened or may happen due to hereby contract.

9. CLOSING AND AGREEMENT

Hereby "Terms of Use" come into force when announced in the "SITE" by "Turkiye Klinikleri". The users are regarded to agree to hereby contract terms by using the "SITE". "Turkiye Klinikleri" may change the contract terms and the changes will be come into force by specifying the version number and the date of change on time it is published in the "SITE".

 

30.03.2014

Privacy Policy

We recommend you to read the terms of use below before you visit our website. In case you agree these terms, following our rules will be to your favor. Please read our Terms of Use thoroughly.

www.turkiyeklinikleri.com website belongs to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. and is designed in order to inform physicians in the field of health

www.turkiyeklinikleri.com cannot reach to user’s identity, address, service providers or other information. The users may send this information to the website through forms if they would like to. However, www.turkiyeklinikleri.com may collect your hardware and software information. The information consists of your IP address, browser type, operating system, domain name, access time, and related websites. www.turkiyeklinikleri.com cannot sell the provided user information (your name, e-mail address, home and work address, phone number) to the third parties, publish it publicly, or keep it in the website. Gathered information has a directing feature to be a source for the website’s visitor profile, reporting and promotion of the services.

www.turkiyeklinikleri.com uses the taken information:

-To enhance, improve and maintain the quality of the website

-To generate visitor’s profile and statistical data

-To determine the tendency of the visitors on using our website

-To send print publications/correspondences

-To send press releases or notifications through e-mail

-To generate a list for an event or competition

By using www.turkiyeklinikleri.com you are considered to agree that;

-Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. cannot be hold responsible for any user’s illegal and immoral behavior,

-Terms of use may change from time to time,

-It is not responsible for other websites’ contents it cannot control or the harms they may cause although it uses the connection they provided.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. may block the website to users in the following events:

-Information with wrong, incomplete, deceiving or immoral expressions is recorded to the website,

-Proclamation, advertisement, announcement, libelous expressions are used against natural person or legal identity,

-During various attacks to the website,

-Disruption of the website because of a virus.

Written, visual and audible materials of the website, including the code and the software are under protection by legal legislation.

Without the written consent of Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. the information on the website cannot be downloaded, changed, reproduced, copied, republished, posted or distributed.

All rights of the software and the design of the website belong to Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc.

Ortadoğu Advertisement Presentation Publishing Tourism Education Architecture Industry and Trade Inc. will be pleased to hear your comments about our terms of use. Please share the subjects you think may enrich our website or if there is any problem regarding our website.

info@turkiyeklinikleri.com