Volume 21, Issue 3 (10-2024)
J Res Dev Nurs Midw 2024, 21(3): 38-42 |
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Aydemir A, Yidirim Gürkan D, Korkmaz M, Sarikaya M. Association of pain and frailty in older adults with Gonarthrosis referred to a university hospital in Türkiye. J Res Dev Nurs Midw 2024; 21 (3) :38-42
URL: http://nmj.goums.ac.ir/article-1-1762-en.html
URL: http://nmj.goums.ac.ir/article-1-1762-en.html
1- Faculty of Health Sciences, Department of Midwifery Giresun University, Turkey
2- Faculty of Health Sciences, Department of Public Health Nursing, Yozgat Bozok University, Turkey ,dilek.yildirim@yobu.edu.tr
3- Medical School, Deparment of Orthopedics and Traumatology, Yozgat Bozok University, Turkey
2- Faculty of Health Sciences, Department of Public Health Nursing, Yozgat Bozok University, Turkey ,
3- Medical School, Deparment of Orthopedics and Traumatology, Yozgat Bozok University, Turkey
Abstract: (437 Views)
Background: Gonarthrosis (GA) is a chronic degenerative disease. This study aimed to determine the frailty level of patients with GA aged 65 and over and to investigate the effect of pain on frailty.
Methods: The population of this cross-sectional study consisted of patients and their relatives who applied to the orthopedics and traumatology outpatient clinic of a university hospital for examination, follow-up and treatment from October 1, 2021, to January 31, 2022. The study was completed with 160 elderly people aged 65 years and over. Data were collected using Personal Information Form, Tilburg Frailty Indicator (TFI), Get Up and Go Test (GGT), and Geriatric Pain Scale (GPS). Simple descriptive statistics, as well as correlation and multiple linear regression analysis, were used to analyze the data using SSPS 20. The significance level was set at p <0.05.
Results: In this study, 45.6% of the participants were found to have moderate pain (52.42±12.40), 70% were frail (7.58±2.13), and 36.9% had a fall risk (17.15±7.57). The mean TFI (7.48±2.38), GGT (12.01±6.16), and GPS (71.37±14.20) scores of the participants with GA were significantly higher than those without GA. The frailty scores of the participants with severe pain and a high risk of falling were significantly higher (p <0.05). Moreover, the pain severity of the participants accounted for 47.7% of the frailty level. According to our regression model, the variable affecting the severity of major pain was GA stage IV (p=0.000), which increased pain by 3.260 (2.456-3.944) times.
Conclusion: The study provides ample evidence supporting the potential importance of pain severity assessment and pain management to prevent frailty in patients with GA aged 65 and over.
Methods: The population of this cross-sectional study consisted of patients and their relatives who applied to the orthopedics and traumatology outpatient clinic of a university hospital for examination, follow-up and treatment from October 1, 2021, to January 31, 2022. The study was completed with 160 elderly people aged 65 years and over. Data were collected using Personal Information Form, Tilburg Frailty Indicator (TFI), Get Up and Go Test (GGT), and Geriatric Pain Scale (GPS). Simple descriptive statistics, as well as correlation and multiple linear regression analysis, were used to analyze the data using SSPS 20. The significance level was set at p <0.05.
Results: In this study, 45.6% of the participants were found to have moderate pain (52.42±12.40), 70% were frail (7.58±2.13), and 36.9% had a fall risk (17.15±7.57). The mean TFI (7.48±2.38), GGT (12.01±6.16), and GPS (71.37±14.20) scores of the participants with GA were significantly higher than those without GA. The frailty scores of the participants with severe pain and a high risk of falling were significantly higher (p <0.05). Moreover, the pain severity of the participants accounted for 47.7% of the frailty level. According to our regression model, the variable affecting the severity of major pain was GA stage IV (p=0.000), which increased pain by 3.260 (2.456-3.944) times.
Conclusion: The study provides ample evidence supporting the potential importance of pain severity assessment and pain management to prevent frailty in patients with GA aged 65 and over.
Type of study: Original Article |
Subject:
Nursing
References
1. Veronese N, Maggi S, Trevisan C, Noale M, De Rui M, Bolzetta F, et al. Pain increases the risk of developing frailty in older adults with osteoar- thritis. Pain Med. 2017;18(3):414-427. [View at Publisher] [DOI] [PMID] [Google Scholar]
2. Kawano MM, Araújo ILA, Castro MC, Matos MA. Assessment of quality of life in patients with knee osteoarthritis. Acta Ortop Bras. 2015;23(6):307-10. [View at Publisher] [DOI] [PMID] [Google Scholar]
3. Rezende MU, Campos GC, Pailo AF. Current concepts in osteoarthritis. Acta Ortop Bras. 2013;21(2):120-2. [View at Publisher] [DOI] [PMID] [Google Scholar]
4. Geng R, Li J, Yu C, Zhang C, Chen F, Chen J, et al. Knee osteoarthritis: Current status and research progress in treatment. Experimental and Therapeutic Medicine. 2023;26(4):481. [View at Publisher] [DOI] [PMID] [Google Scholar]
5. Bijlsma JW, Berenbaum F, Lafeber FP. Osteoarthritis: an update with relevance for clinical practice. Lancet. 2011;377(9783):2115-26. [View at Publisher] [DOI] [PMID] [Google Scholar]
6. Stubbs B, Binnekade TT, Soundy A, Schofield P, Huijnen IP, Eggermont LH. Are older adults with chronic musculoskeletal pain less active than older adults without pain? A systematic review and meta-analysis. Pain Medicine. 2013:14(9):1316-31. [View at Publisher] [DOI] [PMID] [Google Scholar]
7. Eggermont LH, Leveille SG, Shi, L, Kiely DK, Shmerling RH, Jones RN, et al. Pain characteristics associated with the onset of disability in older adults: the maintenance of balance, independent living, intellect, and zest in the Elderly Boston Study. J Am Geriatr Soc. 2014;62(6):1007-16. [View at Publisher] [DOI] [PMID] [Google Scholar]
8. Ardoino I, Franchi C, Nobili A, Mannucci PM, Corli O. Pain and frailty in hospitalized older adults. Pain Ther. 2020;9(2):727-40 [View at Publisher] [DOI] [PMID] [Google Scholar]
9. Shega JW, Dale W, Andrew M, Paice J, Rockwood K, Weiner DK. Persistent pain and frailty: a case for homeostenosis. J Am Geriatr Soc
. 2012;60(1):113-7. [View at Publisher] [DOI] [PMID] [Google Scholar]
10. Marcucci M, Franchi C, Nobili A, Mannucci PM, Ardoino I. REPOSI investigators. Defining aging phenotypes and related outcomes: clues to recog- nize frailty in hospitalized older patients. J Gerontol A Biol Sci Med Sci. 2017;72(3):395-402. [View at Publisher] [DOI] [PMID] [Google Scholar]
11. Reyes PO, Perea EG, Marcos AP. Chronic pain and frailty in community-dwelling older adults: A systematic review. Pain Manag Nurs. 2019;20(4):309-15. [View at Publisher] [DOI] [PMID] [Google Scholar]
12. Fried LP, Tangen CM, Walston J, Newman AB, Hirsch C, Gottdiener J, et al. Frailty in older adults: evidence for a phenotype. J Gerontol A Biol Sci Med Sci. 2001;56(3):M146-56. [View at Publisher] [DOI] [PMID] [Google Scholar]
13. Guccione AA, Felson DT, Anderson JJ, Anthony JM, Zhang Y, Wilson PW, et al. The effects of specific medical conditions on the functional limitations of elders in the Framingham Study. Am J Public Health. 1994;84(3):351-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
14. Bindawas SM, Vennu V, Stubbs B. Longitudinal relationship between knee pain status and incident frailty: data from the osteoarthritis initiative. Pain Med. 2018;19(11):2146-53. [View at Publisher] [DOI] [PMID] [Google Scholar]
15. Gobbens RJJ, van Assen MALM, Luijkx KG, Wijnen-Sponselee MT, Schols JMGA. Determinants of Frailty. J Am Med Dir Assoc. 2010;11(5):356-64. [View at Publisher] [DOI] [PMID] [Google Scholar]
16. Arslan M, Koç EM, Sözmen MK. The Turkish adaptation of the Tilburg frailty indicator: a validity and reliability study. Turkish Journal of Geriatrics (Turk Geriatri Derg). 2018;21(2):173-83. [View at Publisher] [DOI] [Google Scholar]
17. Arslan M. Adaptation of the Tilburg Vulnerability Scale to Turkish: A Study of Validity and Reliability [dissertation]. [İzmir]:Izmir Katip Çelebi University;2017.
18. Ferrell BA, Stein WM, Beck JC. The Geriatric Pain Measure: validity, reliability and factor analysis. J Am Geriatr Soc. 2000;48(12):1669-73. [View at Publisher] [DOI] [PMID] [Google Scholar]
19. Dursun G, Bektas H. Cultural validation and reliability of the Turkish version of the Geriatric Pain Measure in the elderly. Pain Pract. 2017;17(5):505-13. [View at Publisher] [DOI] [PMID] [Google Scholar]
20. Barry E, Galvin R, Keogh C, Horgan F, Fahey T. Is the Timed Up and Go test a useful predictor of risk of falls in community dwelling older adults: a systematic review and meta- analysis. BMC Geriatr. BMC Geriatr. 2014;14(1):14. [View at Publisher] [DOI] [PMID] [Google Scholar]
21. Podsiadlo D, Richardson S. The Timed "Up & Go": A Test of Basic Functional Mobility for Frail Elderly Persons. J Am Geriatr Soc. 1991;39(2):142-8. [View at Publisher] [DOI] [PMID] [Google Scholar]
22. Beyea J, McGibbon CA, Sexton A, Noble J, O'Connell C. Convergent validity of a wearable sensor system for measuring sub-task performance during the timed up-and-go test. Sensors. 2017;17(4):934. [View at Publisher] [DOI] [PMID] [Google Scholar]
23. Tavşancıl E. Measuring attitudes and data analysis with SPSS (3. Baskı). Ankara:Nobel;2006. [View at Publisher]
24. Coelho T, Paúl C, Gobbens RJ, Fernandes L. Multidimensional frailty and pain in community dwelling elderly. Pain Medicine. 2017;18(4):693-701. [View at Publisher] [DOI] [PMID] [Google Scholar]
25. Castell MV, van der Pas S, Otero A, Siviero P, Dennison E, Denkinger M, et al. Osteoarthritis and frailty in elderly individuals across six European countries: Results from the European Project on OsteoArthritis (EPOSA). BMC Musculoskelet Disord. 2015;16(1):359. [View at Publisher] [DOI] [PMID] [Google Scholar]
26. Wanaratna K, Muangpaisan W, Kuptniratsaikul V, Chalermsri C, Nuttamonwarakul A. Prevalence and factors associated with frailty and cognitive frailty among community-dwelling elderly with knee osteoarthritis. J Community Health. 2019;44(3):587-95. [View at Publisher] [DOI] [PMID] [Google Scholar]
27. Meessen JMTA, Leichtenberg CS, Tilbury C, Kaptein BL, Koster LA, Slagboom PE, et al. Frailty in end-stage hip or knee osteoarthritis: validation of the Groningen Frailty Indicator (GFI) questionnaire. Rheumatol Int. 2018;38(5):917-24. [View at Publisher] [DOI] [PMID] [Google Scholar]
28. Misra D, Felson DT, Silliman RA, Nevitt M, Lewis CE, James Torner J, et al. Knee osteo- arthritis and frailty: Findings from the multicenter osteoarthritis study and osteoarthritis initiative. J Gerontol A Biol Sci Med Sci. 2015;70(3):339-44. [View at Publisher] [DOI] [PMID] [Google Scholar]
29. Lee JS, Auyeung TW, Leung J, Kwok T, Woo J. Transitions in frailty states among community-living older adults and their associated factors. J Am Med Dir Assoc. 2014;15(4):281-6. [View at Publisher] [DOI] [PMID] [Google Scholar]
30. Saka SD, Gözüm S. Pain prevalence and pain self-management practices in the elderly living in the community. Cukurova Medical Journal. 2020;45(2): 595-603. [View at Publisher] [DOI] [Google Scholar]
31. Çiçekçi E, Ozisler Z, Ozel S, Unsal-Delialioglu S, Ozisler C. The factors of musculoskeletal pain in geriatric patients and the relationship between pain and quality of life. Int J Clin Med. 2017;8(8):504-13. [View at Publisher] [DOI] [Google Scholar]
32. Arslan DE, Kutlutürkan S, Akça NK. Pain and autonomy level of the elderly with knee osteoarthritis in Central Anatolia. Cukurova Medical Journal. 2020;45(2):475-81. [View at Publisher] [Google Scholar]
33. Scheuing WJ, Reginato AM, Deeb M, Kasman SA. The burden of osteoarthritis: Is it a rising problem? Best Pract Res Clin Rheumatol. 2023;37(2):101836. [View at Publisher] [DOI] [PMID] [Google Scholar]
34. Yılmaz T, Başpınar MM, Arslan NG, Yalçınkaya EY, Basat O. Is There an Effect of Pain and Radiological Stage on Quality of Life and Sleep in Patients with Osteoarthritis? J PMR Sci. 2021;24(2):97-106. [View at Publisher] [DOI] [Google Scholar]
35. Erdoğanoğlu Y, Solak BN, Şimşek M, Erdil ME. [Investigation of the relationship between pain severity and body image, self-esteem, depression and functional level in patients with early and late stage osteoarthritis: a pilot study]. Journal of Exercise Therapy and Rehabilitation. 2019;6(3):188-94. [View at Publisher] [Google Scholar]
36. Knights AJ, Redding SJ, Maerz T. Inflammation in osteoarthritis: the latest progress and ongoing challenges. Current Opinion in Rheumatology. 2023;35(2):128-34. [View at Publisher] [DOI] [PMID] [Google Scholar]
37. Thirumaran AJ, Deveza LA, Atukorala I, Hunter DJ. Assessment of Pain in Osteoarthritis of the Knee. J Pers Med. 2023;13(7):1139. [View at Publisher] [DOI] [PMID] [Google Scholar]
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