Turkiye Klinikleri Journal of Health Sciences

.: ORIGINAL RESEARCH
The Effect of Balance Function on the Activities of Daily Living in the Elderly: Descriptive Study
Yaşlılarda Denge Fonksiyonunun Günlük Yaşam Aktiviteleri Üzerine Etkisi: Tanımlayıcı Araştırma
Sevim GÜLERa , Erdoğan ÖZb
aAdıyaman Traninig and Research Hospital, Clinic of Ophthalmology, Adıyaman, Türkiye
bAdıyaman Provincial Health Directorate, Adıyaman, Türkiye
Turkiye Klinikleri J Health Sci. 2024;9(3):562-71
doi: 10.5336/healthsci.2023-100512
Article Language: EN
Full Text
ABSTRACT
 Objective: The present was carried out to determine the effect of balance on the activities of daily living in the elderly. Material and Methods: The study was conducted descriptively with 353 volunteer patients aged 65 and over who applied to family health centers No. 2 and No. 8 in Adıyaman Center between December 2022 and February 2023. Data were collected with the ''Personal Information Form'', ''Berg Balance Scale'' and ''Lawton and Brody Instrumental Activities of Daily Living (IADL) Scale''. In statistical analysis of data, number, percentage, average, Mann-Whitney U, Kruskall-Wallis and Spearman Correlation tests, and Linear regression analysis were applied to the predictiveness of the scales. Results: The patients' Berg Balance Scale (BBS), IADL scale mean score (respectively, 42.7±7.7; 6.5±1.4) and men's BBS and IADL Scale mean scores are significantly higher than women's scores (p<0.001). It was determined that the BBS scores of those who are single and who live alone, the scores of those who have chronic diseases, those who do not have chronic diseases, those who do not exercise, and those who use assistive devices and continuous drugs are significantly lower. According to the multiple regression analysis, It has been observed that there is a relationship between the BBS and IADL in elderly individuals and that these averages are significantly affected positively (BBS score IADL (β=2.416, p<0.001) and IADL Scale score BBS (β=0.081, p<0.001). Conclusion: It was determined that elderly individuals have a low risk of balance disorders, their independence levels in IADL are good, and many variables affect balance function.

Keywords: Balance function; elderly; instrumental activities of daily living; risk of fall
ÖZET
 Amaç: Bu çalışma yaşlılarda dengenin günlük yaşam aktivitelerine etkisini belirlemek amacıyla yapıldı. Gereç ve Yöntemler: Araştırma, Aralık 2022 - Şubat 2023 tarihleri arasında Adıyaman merkezde 2 Nolu ve 8 Nolu Aile Sağlığı Merkezlerine başvuran, 65 yaş ve üzerinde olan 353 gönüllü hasta ile tanımlayıcı olarak yapıldı. Veriler ''Kişisel Bilgi Formu'', ''Berg Denge Ölçeği'' ve ''Lawton ve Brody Enstrümental Günlük Yaşam Aktiviteleri Ölçeği (EGYA)'' ile toplandı. Verilerin istatistiksel analizinde sayı, yüzde, ortalama, Mann Whitney U, Kruskall Wallis ve Spearman Korelasyon testleri ile ölçeklerin yordayıcılığında Linear Regresyon analizi uygulandı. Bulgular: Hastaların Berg Denge Ölçeği (BBS), EGYA Ölçeği puan ortalaması (sırasıyla 42,7±7,7; 6,5±1,4) ve erkeklerin BBS ve EGYA Ölçeği puan ortalamaları kadınlara göre anlamlı derecede yüksekti (p<0,001). Bekâr ve yalnız yaşayanların BDÖ puanları, kronik hastalığı olanların puanı kronik hastalığı olmayanların, egzersiz yapmayanların, yardımcı cihaz ve sürekli ilaç kullananların puanının anlamlı düzeyde daha düşük olduğu belirlendi. Yapılan çoklu regresyon analizine göre; yaşlı bireylerde BDÖ ölçeği ile EGYA arasında ilişki olduğu ve bu ortalamaların pozitif yönlü anlamlı düzeyde etkilendiği görülmüştür (BBS skoru IADL (β=2,416, p<0,001) ve IADL Scale skoru BBS (β=0,081, p<0,001). Sonuç: Yaşlı bireylerin denge bozukluğu riskinin düşük olduğu, IADL'deki bağımsızlık düzeylerinin iyi olduğu ve birçok değişkenin denge fonksiyonunu etkilediği belirlendi.

Anahtar Kelimeler: Denge fonksiyonu; yaşlı; enstrümental günlük yaşam aktiviteleri; düşme riski
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