Turkiye Klinikleri Journal of Nursing Sciences

.: ORIGINAL RESEARCH
Pain, Physical Activity, and Kinesiophobia Levels in Individuals with Knee Osteoarthritis: A Cross-Sectional Study
Diz Osteoartritli Bireylerde Ağrı, Fiziksel Aktivite ve Kinezyofobi Düzeyleri: Kesitsel Bir Çalışma
Nurhan DOĞANa, Sultan TAŞCIb
aDepartment of Internal Medicine Nursing, Amasya University Faculty of Health Sciences, Amasya, Türkiye
bDepartment of Internal Medicine Nursing, Erciyes University Faculty of Health Sciences, Kayseri, Türkiye
Turkiye Klinikleri J Nurs Sci. 2022;14(4):1144-54
doi: 10.5336/nurses.2022-89904
Article Language: EN
Full Text
ABSTRACT
 Objective: This study was conducted to determine the levels of pain, physical activity and kinesiophobia of individuals with knee osteoarthritis and to examine the relationship between these variables. Material and Methods: This cross-sectional and analytical study was conducted on 290 people who applied to the physical therapy and rehabilitation center of a university hospital in the Central Black Sea Region, diagnosed with bilateral knee osteoarthritis at least 6 months ago, and had a pain level of 4 or more on the Visual Analogue Scale- Pain. Results: Indicating that women, individuals who are single, people with chronic diseases and using drugs when they have pain; pain, physical function, stiffness and kinesiophobia mean scores were higher than other groups (p<0.05). Most of the individuals had low physical activity levels. There is a moderately positive correlation between kinesiophobia score and pain, physical function, stiffness scores (p<0.05). At the same time, there was a significant positive correlation between pain score and stiffness, physical function scores (p<0.05). Conclusions: It was determined that the total mean score of pain and kinesiophobia of individuals with osteoarthritis was moderate, physical activity score is low. Female gender, being single, having a chronic disease and using medication when in pain that has been determined that there are important factors affecting pain and kinesiophobia. It is important for nurses to evaluate pain and decrease in physical activity and kinesiophobia levels in individuals with osteoarthritis at an early stage.

Keywords: Pain; physical activity; nursing; kinesiophobia; osteoarthritis
ÖZET
 Amaç: Bu çalışma, diz osteoartritli bireylerin ağrı, fiziksel aktivite ve kinezyofobi düzeylerini belirlemek ve bu değişkenler arasındaki ilişkiyi incelemek amacıyla yapılmıştır. Gereç ve Yöntemler: Kesitsel ve analitik türdeki bu çalışma, Orta Karadeniz Bölgesi'nde bir üniversite hastanesinin fizik tedavi ve rehabilitasyon merkezine başvuran, en az 6 ay önce bilateral diz osteoartriti tanısı almış ve Görsel Analog Ağrı Skalası'nda ağrı düzeyi 4 veya üzeri olan 290 bireyle gerçekleştirilmiştir. Bulgular: Kadınların, bekâr bireylerin, kronik hastalığı olan ve ağrısı olduğunda ilaç kullananların; ağrı, fiziksel fonksiyon, tutukluk ve kinezyofobi puan ortalamaları diğer gruplara göre daha yüksekti (p<0,05). Bireylerin çoğu düşük fiziksel aktivite seviyelerine sahipti. Kinezyofobi puanı ile ağrı, fiziksel fonksiyon, tutukluk puanları arasında orta düzeyde pozitif bir ilişki vardır (p<0,05). Aynı zamanda ağrı skoru ile sertlik, fiziksel fonksiyon skorları arasında pozitif yönde anlamlı bir ilişki saptanmıştır (p<0,05). Sonuç: Osteoartritli bireylerin ağrı ve kinezyofobi toplam puan ortalamalarının orta düzeyde, fiziksel aktivite puanlarının düşük olduğu belirlenmiştir. Kadın cinsiyet, bekâr olmak, kronik bir hastalığa sahip olmak ve ağrılıyken ilaç kullanmanın, ağrı ve kinezyofobiyi etkileyen önemli faktörlerden olduğu tespit edilmiştir. Hemşirelerin, osteoartritli bireylerde ağrı ve fiziksel aktivitedeki azalmayı ve kinezyofobi düzeylerini erken dönemde değerlendirmesi önemlidir.

Anahtar Kelimeler: Ağrı; fiziksel aktivite; hemşirelik; kinezyofobi; osteoartrit
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