Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer
Yıl: 2019 Cilt: 52 Sayı: 2 Sayfa Aralığı: 277 - 281 Metin Dili: İngilizce İndeks Tarihi: 06-12-2019
Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer
Öz: INTRODUCTION: The ability to meet daily needs decreases with advancing age. As a result of both thedisease and the treatments applied to the elderly patients who are followed up with the diagnosis of cancer, dailyliving activities are affected. The aim of this study was to evaluate the factors affecting activities of daily livingin geriatric cancer patients.METHODS: In this study, patients aged 65 years and older who were followed up in the Medical Oncologyoutpatient clinic were evaluated. In addition to demographic and disease characteristics, a questionnaireincluding Lawton–Brody Instrumental Activities of Daily Living Scale (IADL) was applied.RESULTS: 129 patients aged 65 years and older were evaluated in the study. When the IADL scores wereevaluated; it was found that IADL scores were higher in those under 75 years, those who do not have anychildren, and those with an education equal to or greater than primary school level. In multivariate analysis; loweducation level was associated with low IADL scores (OR: 5.4(%95 CI 1.1-26.2), p= 0.035).CONCLUSION: Evaluation of IADL is precious for determining the palliation or rehabilitation needs andcognitive/ physical functionality. Especially patients with low education level should be evaluated with IADLand patient under risk should be further evaluated with multidimensional geriatric assessment tools.
Anahtar Kelime: Konular:
Geriatrik Kanser Hastalarında Günlük Yaşam Aktivitelerini Etkileyen Faktörler
Öz: GİRİŞ: İlerleyen yaşla birlikte günlük ihtiyaçları karşılama becerisi azalmaktadır. Kanser tanısı ile izlenen yaşlı hastaların, gerek hastalık gerekse uygulanan tedavilerin sonucu olarak günlük yaşam aktiviteleri etkilenmektedir. Çalışmada, geriatrik kanser hastalarının günlük yaşam aktivitelerini etkileyen faktörlerin değerlendirilmesi amaçlanmıştır. GEREÇ-YÖNTEM: Çalışmada, Tıbbi Onkoloji poliklinikte takip edilen, 65 yaş ve üzeri hastalar yüz yüze görüşme yöntemi ile değerlendirildi. Demografik ve hastalık özellikleri yanı sıra Lawton-Brody enstrümantal günlük yaşam aktivite (EGYA) ölçeğini içeren bir anket uygulandı. BULGULAR: Çalışmada, 65 yaş ve üzeri 129 hasta değerlendirildi. EGYA skorlarının değerlendirilmesinde; 75 yaş altında olanlarda, çocuğu olmayanlarda, ilkokul ve üzeri eğitim seviyesine sahip olanlarda EGYA skorları daha yüksek saptandı; Çok değişkenli analizde; eğitim seviyesi düşük olması, düşük EGYA skorları ile ilişkili bulundu. (OR: 5.4(%95 GA 1.1-26.2), p= 0.035) SONUÇ: Günlük yaşam aktivitelerinin değerlendirilmesi hastanın palyatif bakım veya rehabilitasyon ihtiyacının değerlendirilmesinde ve kognitif/fiziksel işlevselliğin incelenmesinde kolay ve hızlı bir değerlendirme aracıdır. Özellikle düşük eğitim seviyesine sahip geriatrik kanser hastalar GYA ölçeği ile değerlendirilip, risk altında olanlar çok yönlü geriatrik değerlendirme yöntemleri ile incelenmelidir.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
- Yancik R, Ries LA. Aging and cancer in America. Demographic and epidemiologic perspectives. Hematol Oncol Clin North Am. 2000;14:17-23.
- Cohen HJ, Feussner JR, Weinberger M et al. A controlled trial of inpatient and outpatient geriatric evaluation and management. N Engl J Med. 2002;346:905-12.
- Extermann M, Aapro M, Bernabei R et al. Use of comprehensive geriatric assessment in older cancer patients: recommendations from the task force on CGA of the International Society of Geriatric Oncology (SIOG). Crit Rev Oncol Hematol. 2005;55:241-52.
- Yavuzer H ZM. Çok Yönlü Geriatrik Değerlendirme. Turkiye Klinikleri J Intern Med. 2016;1:17-23.
- Scott WK, Macera CA, Cornman CB, Sharpe PA. Functional health status as a predictor of mortality in men and women over 65. J Clin Epidemiol. 1997;50:291-6.
- Aparicio T, Bouche O, Francois E et al. Geriatric analysis from PRODIGE 20 randomized phase II trial evaluating bevacizumab + chemotherapy versus chemotherapy alone in older patients with untreated metastatic colorectal cancer. Eur J Cancer. 2018;97:16-24.
- Chaibi P, Magne N, Breton S et al. Influence of geriatric consultation with comprehensive geriatric assessment on final therapeutic decision in elderly cancer patients. Crit Rev Oncol Hematol. 2011;79:302-7.
- Lawton MP, Brody EM. Assessment of older people: self-maintaining and instrumental activities of daily living. Gerontologist. 1969;9:179-86.
- Sonmez OU, Arslan UY, Esbah O et al. Effects of comorbidities and functional living activities on survival in geriatric breast cancer patients. Contemp Oncol (Pozn). 2014;18:204-10.
- Neo J, Fettes L, Gao W, Higginson IJ, Maddocks M. Disability in activities of daily living among adults with cancer: A systematic review and metaanalysis. Cancer Treatment Reviews. 2017;61:94- 106.
- Girones R, Torregrosa D, Diaz-Beveridge R. Comorbidity, disability and geriatric syndromes in elderly breast cancer survivors. Results of a singlecenter experience. Crit Rev Oncol Hematol. 2010;73:236-45.
- Grov EK, Fossa SD, Dahl AA. Activity of daily living problems in older cancer survivors: a population-based controlled study. Health Soc Care Community. 2010;18:396-406.
- Guadagnoli E, Mor V. Daily living needs of cancer outpatients. J Community Health. 1991;16:37-47.
- Chavan PP KS, Yu X. Physical and Functional Limitations in US Older Cancer Survivors. Journal of Palliative Care & Medicine. 2017;7.
- Ran L, Jiang X, Li B et al. Association among activities of daily living, instrumental activities of daily living and health-related quality of life in elderly Yi ethnic minority. BMC Geriatr. 2017;17:74.
- Pei L ZX, Wang Y, Chai QW, Wang JY, Sun CY, Zhang Q. Factors associated with activities of daily living among the disabled elders with stroke. international journal of nursing sciences. 2016;3:29-34.
| APA | ALKAN A (2019). Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. , 277 - 281. |
| Chicago | ALKAN ALİ Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. (2019): 277 - 281. |
| MLA | ALKAN ALİ Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. , 2019, ss.277 - 281. |
| AMA | ALKAN A Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. . 2019; 277 - 281. |
| Vancouver | ALKAN A Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. . 2019; 277 - 281. |
| IEEE | ALKAN A "Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer." , ss.277 - 281, 2019. |
| ISNAD | ALKAN, ALİ. "Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer". (2019), 277-281. |
| APA | ALKAN A (2019). Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. ACTA ONCOLOGICA TURCICA, 52(2), 277 - 281. |
| Chicago | ALKAN ALİ Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. ACTA ONCOLOGICA TURCICA 52, no.2 (2019): 277 - 281. |
| MLA | ALKAN ALİ Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. ACTA ONCOLOGICA TURCICA, vol.52, no.2, 2019, ss.277 - 281. |
| AMA | ALKAN A Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. ACTA ONCOLOGICA TURCICA. 2019; 52(2): 277 - 281. |
| Vancouver | ALKAN A Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer. ACTA ONCOLOGICA TURCICA. 2019; 52(2): 277 - 281. |
| IEEE | ALKAN A "Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer." ACTA ONCOLOGICA TURCICA, 52, ss.277 - 281, 2019. |
| ISNAD | ALKAN, ALİ. "Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer". ACTA ONCOLOGICA TURCICA 52/2 (2019), 277-281. |
