The effect of marital status on health quality and fall risk of elderly people

ÇAKAR, Engin; SOYDAN CERİT, Fatma; DURMUŞ, Oğuz; DİNÇER, Ümit; KIRALP, Mehmet Zeki

The effect of marital status on health quality and fall risk of elderly people

Engin ÇAKAR, (GATA Haydarpaşa Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Oğuz DURMUŞ, (GATA Haydarpaşa Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Ümit DİNÇER, (GATA Haydarpaşa Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Mehmet Zeki KIRALP, (GATA Haydarpaşa Eğitim ve Araştırma Hastanesi, Fiziksel Tıp ve Rehabilitasyon Anabilim Dalı, İstanbul, Türkiye)

Fatma SOYDAN CERİT (TSK Çamlıca Özel Bakım Merkezi, İstanbul, Türkiye)

Türk Geriatri Dergisi

6 1

Yıl: 2011 Cilt: 14 Sayı: 4 Sayfa Aralığı: 331 - 336 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022

The effect of marital status on health quality and fall risk of elderly people

Öz:

Giriş: Evlilik, yaşlı sağlığı üzerinde önemli etkiye sahip bir faktördür. Hiç evlenmemiş, dul veya boşanmışlarla karşılaştırıldığında evli olma durumu daha iyi sağlık kalitesi açısından önemli bir sosyal faktör olarak tanımlanmıştır. Bu çalışmanın amacı, yaşlılarda hayat kalitesi, denge ve düşme riski ile psikolojik iyilik hali üzerine medeni durumun etkilerini araştırmaktır. Gereç ve Yöntem: Çalışmaya bakımevinde yaşayan 100 birey dahil edildi (38 evli, 62 bekar, ortalama yaş 80.54±6.33 yıl, yaş aralığı 65-96 yıl). Dinamik denge ve düşme riski Biodeks Denge Sistemi, sağlıkla ilişkili hayat kalitesinin değerlendirilmesi kısa form 36 (KF 36) ile yapıldı. Psikolojik iyilik halinin değerlendirilmesi için geriatrik depresyon skalası (GDS) kullanıldı. Bulgular: Evli grupta, yaş ayarlaması yapıldıktan sonra yapılan değerlendirmede KF36'nın fiziksel fonksiyon, sosyal fonksiyon ve genel mental sağlık alt skala skorları, postural stabilite testinin anterior/posterior stabilite ortalama skoru ve düşme riski testinin toplam stabilite indeksi skoru ile ortalama GDS skoru istatistiksel olarak daha iyi tespit edildi. Sonuç: Bu örnek grupta elde edilen bulgulara göre, yaşlı popülasyonda evlilik; düşük düşme riski ile fiziksel fonksiyon, sosyal fonksiyon ve genel mental sağlık açısından daha iyi sağlık kalitesi ve daha iyi duygu durum ile yakın ilişkili görünmektedir

Anahtar Kelime:

Konular: Cerrahi

Yaşlılarda evliliğin yaşam kalitesi ve düşme riskine etkileri

Öz:

Introduction: Marriage has important influences on the health of elders. Marital status has been identified as an important social factor associated with better health compared with the never married, widowed, or divorced. The aim of this study was to analyze the impact of marital status on older adults with regard to quality of life, balance and fall risk and psychological well being. Materials and Method: One hundred subjects who are living in a long term care facility were recruited (38 marreid, 62 single, mean age 80.54±6.33 years, range 65-96 years). Biodex Balance System for the assessment of the dynamic balance and fall risk, short form 36 (SF 36) for the health related quality of life and Geriatric Depression Scale (GDS) for the evaluation of the psychological well-being were used. Results: After adjustment for age, married group’s physical functioning, social functioning, general mental health subscale scores of the SF 36, the mean anterior/posterior score of postural stability test and overall stability index of fall risk test and mean GDS score were statistically better. Conclusion: In this representative older adult population, these findings suggest that the marriage was related with lower fall risk and better health quality with regard to physical functioning, social functioning and general mental health, and also better psychological well being.

Anahtar Kelime:

Konular: Cerrahi

Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık

1. Dhar HL. Gender, aging, health and society. J Assoc Physicians India 2001;49:1012-20. (PMID: 11848308).
2. Sudha S, Suchindran C, Mutran EJ, Rajan, SI, Sarma PS. Marital status, family ties, and self-rated health among elders in South India. J. Cross. Cult. Gerontol 2006;21:103-20. (PMID:17242992).
3. Ikeda A, Iso H, Toyoshima H, et al. JACC Study Group. Marital status and mortality among Japanese men and women: the Japan Collaborative Cohort Study. BMC Public Health 2007;7:73. (PMID:17484786).
4. Grundy E, Sloggett A. Health inequalities in the older population: the role of personal capital, social resources and socio-economic circumstances. Soc Sci Med 2003;56:935-47. (PMID:12593868).
5. Vaca KJ, Vaca BL, Daake CJ. Review of nursing home regulations. Medsurg Nursing 1998;7:165-71. (PMID:9727135).
6. Zahran HS, Kobau R, Moriarty DG, Zack MM, Holt J, Donehoo R. Centers for Disease Control and Prevention (CDC). Health- related quality of life surveillance- United States, 1993- 2002. MMWR Surveill Summ 2005;54:1-35. (PMID:16251867).
7. Gillespie LD, Gillespie WJ, Robertson MC, Lamb SE, Cumming RG, Rowe BH. Interventions for preventing falls in elderly people (Review). Cochrane Database Syst Rev 2003;4, CD000340. (PMID:14583918).
8. Demiral Y, Ergor G, Unal B, et al. Normative data and discriminative properties of short form 36 (SF-36) in Turkish urban population. BMC Public Health 2006;9:247. (PMID:17029646).
9. Ertan T, Eker E. Reliability, validity, and factor structure of the geriatric depression scale in Turkish elderly: are there different factor structures for different cultures? Int Psychogeriatr 2000;12:163-72. (PMID:10937537).
10. Aydog E, Bal A, Aydoğ ST, Cakci A. Evaluation of dynamic postural balance using the Biodex Stability System in rheumatoid arthritis patients. Clin Rheumatol 2006;25:462-7. (PMID:16247584).
11. Steinberg M, Cartwright C, Peel N, Williams G. A sustainable programme to prevent falls and near falls in community dwelling older people: results of a randomized trial. J Epidemiol Community Health 2000;54:227-32. (PMID: 10746118).
12. Tinetti ME, Williams CS. The effect of falls and fall injuries on functioning in community-dwelling older persons. J Gerontol A Biol Sci Med Sci 1998;53:112-9. (PMID: 9520917).
13. Kinosian B, Stallard E, Wieland D. Projected use of long-termcare services by enrolled Veterans. Gerontologist 2007;47:356- 364. (PMID:17565100).
14. Manzoli L, Villari P, Pirone G, Boccia A. Marital status and mortality in the elderly: a systematic review and meta-analysis. Soc Sci Med 2007;64:77-94. (PMID: 17011690).
15 Chang JT, Morton SC, Rubenstein LZ, et al. Interventions for the prevention of falls in older adults: systematic review and meta-analysis of randomized clinical trials. BMJ 2004;328:680- 6. (PMID: 15031239).
16. Jenkins CL. Introduction: widows and divorcees in later life. J Women Aging 2003;15:1-6. (PMID: 14603998).
17. Prigerson HG, Maciejewski PK, Rosenheck RA. Preliminary explorations of the harmful interactive effects of widowhood and marital harmony on health, health service use, and health care costs. Gerontologist 2000;40:349-57. (PMID:10853529).
18. Osler M, McGue M, Lund R, Christensen K. Marital status and twins’ health and behavior: an analysis of middle-aged Danish twins. Psychosom Med 2008;70:482-7. (PMID:18480194).
19. Kuh D, Bassey EJ, Butterworth S, Hardy R, Wadsworth ME. Grip strength, postural control, and functional leg power in a representative cohort of British men and women: associations with physical activity, health status, and socioeconomic conditions. J Gerontol A Biol Sci Med Sci 2005;60:224-31. (PMID:15814867).
20. Michael ST, Crowther MR, Schmid B, Allen RS. Widowhood and spirituality: coping responses to bereavement. J Women Aging 2003;15:145-65. (PMID:14604006).

APA	ÇAKAR E, DURMUŞ O, DİNÇER Ü, KIRALP M, SOYDAN CERİT F (2011). The effect of marital status on health quality and fall risk of elderly people. , 331 - 336.
Chicago	ÇAKAR Engin,DURMUŞ Oğuz,DİNÇER Ümit,KIRALP Mehmet Zeki,SOYDAN CERİT Fatma The effect of marital status on health quality and fall risk of elderly people. (2011): 331 - 336.
MLA	ÇAKAR Engin,DURMUŞ Oğuz,DİNÇER Ümit,KIRALP Mehmet Zeki,SOYDAN CERİT Fatma The effect of marital status on health quality and fall risk of elderly people. , 2011, ss.331 - 336.
AMA	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F The effect of marital status on health quality and fall risk of elderly people. . 2011; 331 - 336.
Vancouver	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F The effect of marital status on health quality and fall risk of elderly people. . 2011; 331 - 336.
IEEE	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F "The effect of marital status on health quality and fall risk of elderly people." , ss.331 - 336, 2011.
ISNAD	ÇAKAR, Engin vd. "The effect of marital status on health quality and fall risk of elderly people". (2011), 331-336.

APA	ÇAKAR E, DURMUŞ O, DİNÇER Ü, KIRALP M, SOYDAN CERİT F (2011). The effect of marital status on health quality and fall risk of elderly people. Türk Geriatri Dergisi, 14(4), 331 - 336.
Chicago	ÇAKAR Engin,DURMUŞ Oğuz,DİNÇER Ümit,KIRALP Mehmet Zeki,SOYDAN CERİT Fatma The effect of marital status on health quality and fall risk of elderly people. Türk Geriatri Dergisi 14, no.4 (2011): 331 - 336.
MLA	ÇAKAR Engin,DURMUŞ Oğuz,DİNÇER Ümit,KIRALP Mehmet Zeki,SOYDAN CERİT Fatma The effect of marital status on health quality and fall risk of elderly people. Türk Geriatri Dergisi, vol.14, no.4, 2011, ss.331 - 336.
AMA	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F The effect of marital status on health quality and fall risk of elderly people. Türk Geriatri Dergisi. 2011; 14(4): 331 - 336.
Vancouver	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F The effect of marital status on health quality and fall risk of elderly people. Türk Geriatri Dergisi. 2011; 14(4): 331 - 336.
IEEE	ÇAKAR E,DURMUŞ O,DİNÇER Ü,KIRALP M,SOYDAN CERİT F "The effect of marital status on health quality and fall risk of elderly people." Türk Geriatri Dergisi, 14, ss.331 - 336, 2011.
ISNAD	ÇAKAR, Engin vd. "The effect of marital status on health quality and fall risk of elderly people". Türk Geriatri Dergisi 14/4 (2011), 331-336.