ANALYZING THE PHYSICAL ACTIVITY OF THE ELDERLY HOSPITALIZED IN ORTHOPEDIC SERVICES ACCORDING TO THEIR SOCIOECONOMIC AND INJURY
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Abstract
Bu çalışma hastanelerin ortopedi servisinde yatan yaşlıların sosyoekonomik durumları ve yaralanma öykülerine göre fiziksel aktivitelerini değerlendirmek amacıyla yapılmıştır. Kesitsel nitelikteki araştırmanın kapsamını ortopedi servisinde yatan 105 hasta oluşturmaktadır. Veri değerlendirmede 25 soruluk Anket Formu ve Yaşlılar için Fiziksel Aktivite Ölçeği (PASE) kullanılmıştır. Kadınların, gelir düzeyi düşük olanların, düzenli ibadet yapanların, 75 yaş üzerinde olanların, okuryazar olmayanların, nitelikli konutlarda oturmayanların ve medeni durumu dul ile boşanmış olanların istatiksel olarak fiziksel aktivite puanları daha düşüktür. Yaşlıların %62’si yılda en az bir defa düşmüştür ve bu düşmelerin çoğunluğu yaralanma ile sonuçlanmıştır. Çalışmaya katılan yaşlıların fiziksel aktivite puan ortalaması ise 99,61’dir. Sosyoekonomik değişkenlerdeki olumsuz değişimler yaşlıların fiziksel aktivitesine olumsuz yansıyabilmektedir. Düşük sosyoekonomik özelliğe sahip yaşlıların daha az fiziksel aktivite yaptığı, bu yaşlıların daha fazla düşme ve düşmeye bağlı yaralanmalarla yüzleştiği bu çalışmada görülmüştür. Bütün bu olumsuzlarla birlikte düşük sosyoekonomik düzeye sahip yaşlılarda düşmeye bağlı meydana gelen yaralanma neticesinde daha fazla ortopedi servisinde yatmaları ve bunun neticesinde fiziki kısıtlılıklarının artması fiziksel aktivitelerini daha da azaltabilmektedir. Uzman önerisi ile fiziksel aktivite yapanlar ve fiziksel aktivitenin önemi bilen yaşlıların daha az düşme ile yaralanma öyküsünün olması fiziksel aktivitenin bilinçli yapılmasının önemini öne çıkarmaktadır. Başta düşük soyoekonomik düzeye sahip yaşlılar olmak üzere her yaştaki yaşlıların fiziksel aktivite bilinci artırılmalıdır. Yaşlıların fiziksel aktivite puanının düşük olduğu bu çalışmada görülmüştür. Yaralanma sonrasında ortopedi servisinde yatılması yaşlıların fiziksel aktivite kısıtlığını artırabilmektedir. Yaşlıların durumuna göre uygun aktif ve pasif egzersizler öğretilmeli ve ihtiyaç halinde sağlık çalışanın desteğiyle yürütülmelidir.
Keywords
Abstract
This study was performed in order to analyze the physical activity of the elderly hospitalized in orthopedic services of hospitals according to their socioeconomic status and injury history. The scope of this cross-sectional study consists of 105 patients hospitalized in the orthopedic services. A 25-question Questionnaire Form and Physical Activity Scale for the Elderly (PASE) were used for data evaluation. Significantly lower physical activity scores were determined in women with low income, those who regularly pray, being over 75 years old and being illiterate, those who do not live in qualified houses, and whose marital status is widowed or divorced. 62% of the elderly fell at least once within a year, and the majority of these falls resulted in injury. The average physical activity score of the elderly who have participated in the study is 99.61. Negative changes in socioeconomic variables may negatively affect the physical activity of the elderly. It has been determined in this study that the elderly with low socioeconomic status do less physical activity, and these elderly people have experienced more falls and fall-related injuries. In addition to all these negative aspects, elderly people with low socioeconomic status are hospitalized in orthopedic services mostly due to the injuries caused by falling and thus, their physical limitations increase and this can further reduce their physical activities. The fact that those doing physical activity with the recommendation of a specialist and those who know the importance of physical activity have fewer falling and injury history emphasizes the importance of doing physical activity consciously. Physical activity awareness of the elderly at all ages, especially those with low socioeconomic status, should be increased. This study has revealed that the physical activity scores of the elderly are low. Hospitalization of the elderly in the orthopedic services following injury may increase their physical activity limitation Appropriate active and passive exercises should be taught according to the condition of the elderly and these exercises should be performed with the support of a health worker when needed.
Keywords
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