与老年癌症患者日常生活活动相关的因素

A. Alkan
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引用次数: 1

摘要

随着年龄的增长,满足日常需求的能力会下降。由于疾病和对被诊断为癌症的老年患者进行的治疗,日常生活活动受到影响。本研究的目的是评估影响老年癌症患者日常生活活动的因素。方法:在本研究中,对在肿瘤内科门诊随访的65岁及以上患者进行评估。除人口统计学和疾病特征外,还采用了包括Lawton-Brody日常生活工具活动量表(IADL)在内的问卷。结果:129例65岁及以上患者纳入研究。评估IADL评分时;研究发现,75岁以下、没有孩子以及受教育程度等于或高于小学水平的人的IADL得分更高。在多元分析中;低教育水平与低IADL评分相关(OR: 5.4(%95 CI 1.1-26.2), p= 0.035)。结论:IADL的评估对于确定姑息或康复需求和认知/身体功能是宝贵的。尤其对受教育程度较低的患者应采用IADL进行评估,对有风险的患者应进一步采用多维老年评估工具进行评估。
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Factors Associated with Activities Of Daily Living In Geriatric Patients With Cancer
INTRODUCTION: The ability to meet daily needs decreases with advancing age. As a result of both the disease and the treatments applied to the elderly patients who are followed up with the diagnosis of cancer, daily living activities are affected. The aim of this study was to evaluate the factors affecting activities of daily living in geriatric cancer patients. METHODS: In this study, patients aged 65 years and older who were followed up in the Medical Oncology outpatient clinic were evaluated. In addition to demographic and disease characteristics, a questionnaire including 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 were evaluated; it was found that IADL scores were higher in those under 75 years, those who do not have any children, and those with an education equal to or greater than primary school level. In multivariate analysis; low education 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 and cognitive/ physical functionality. Especially patients with low education level should be evaluated with IADL and patient under risk should be further evaluated with multidimensional geriatric assessment tools.
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