Determining the functional autonomy level of preoperative elderly patients: A Turkish case study

Authors

  • Nevra Kalkan Gazi University
  • Ayişe Karadağ Koç University

Keywords:

Elderly patient, Functional autonomy, Functional independence, Preoperative, Nursing.

Abstract

Purpose: This study was conducted to determine the functional autonomy level of preoperative elderly patients.

Method and materials: In this descriptive and cross-sectional study, the statistical sample comprised 153 preoperative elderly patients who were hospitalized at a university hospital general surgery, neurosurgery, urological, and orthopaedic clinics in Ankara. Data were collected using a personal information form, which was based on the researcher’s work and the Functional Autonomy Measurement System. Data were obtained through face-to-face interviews conducted between October 1 and December 31, 2012.

Results: Patients’ total scale median score was -4.5 (min:-60, max:0), activities of daily living subscale median score was -3.5 (min:-53, max:0), communication subscale median score was 0.0 (min:-4, max:0), and mental functions subscale median score was -1.0 (min:-3, max:0). The factors affecting the level of functional independence the most were as follows (in order): using walking aids, polypharmacy, education status, nutrition status, and participation in social activities.  While use of walking aids and polypharmacy have the most effect on decrease in functional independence level; primary school and higher education, regular nutritional status and participation in social activities have the most effect on increase in functional independence level.

Conclusions: In this study, the functional independence level of the elderly patients was on the border of the maximal scale score.

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Author Biographies

Nevra Kalkan, Gazi University

MsN, Research Assistant 

I am a research assistant and PhD student in surgical nursing department in Gazi University.

Ayişe Karadağ, Koç University

RN., ET/WOCN., MsN., PhD., Prof.Dr.

References

Abd-Al-Atty, M. F., Abou-Hashem, R. M., & Abd Elaziz, K. M. (2012). Functional capacity of recently hospitalized elderly in relation to nutritional status. European Geriatric Medicine, 3(6), 356–359. doi.org/10.1016/j.eurger.2012.08.003

Arslantas, D., Ünsal, A., Metintas, S., Koc, F., & Arslantas, A. (2009). Life quality and daily life activities of elderly people in rural areas, Eskişehir (Turkey). Archives of Gerontology and Geriatrics, 48(2), 127-131. doi: 10.1016/j.archger.2007.11.005.

Asouhidou, I., Asteri, T., Sountoulides, P., Natsis, K., & Georgiadis, G. (2009). Early postoperative mortality in the elderly: a pilot study. BMC Research Notes, 2, 118. doi.org/10.1186/1756-0500-2-118

Atlı, T. (2012). Yaşlıda unutkanlığa yaklaşım. Klinik Gelişim, 25, 24-28.

Beğer, T., & Yavuzer, H. (2012). Yaşlılık ve yaşlılık epidemiyolojisi. Klinik Gelişim, 25, 1-3.

Boltz, M., Resnick, B., Capezuti, E., Shuluk, J., & Secic, M. (2012). Functional decline in hospitalized older adults: can nursing make a difference? Geriatric Nursing, 33(4), 272-279. doi.org/10.1016/j.gerinurse.2012.01.008

Bozkurt, Ü. & Yılmaz, M. (2016). The determination of functional independence and quality of life of older adults in a Nursing Home. International Journal of Caring Sciences, 9(1), 198-210.

Bulut, H., Tanrikulu, G., Dal, U., & Kapucu, S. (2013). How much do ED patients know about medication prescribed for them on discharge? A pilot study in Turkey. Journal of Emergency Nursing, 39(3), 27-32. doi: 10.1016/j.jen.2008.12.017.

Byers, A. L., Sheeran, T., Mlodzianowski, A. E., Meyers, B. S., Nassisi, P., & Bruce, M. L. (2008). Depression and risk for adverse falls in older home health care patients. Research in Gerontological Nursing, 1(4), 245-251. doi:10.3928/19404921-20081001-03.

Çeçen, D., & Özbayır, T. (2010). Cerrahi kliniklerinde yatan yaşlı hastaların genel sağlık durumlarının değerlendirilmesi [Evaluation of the general health status of the geriatric patients who are treated in surgical clinics]. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 26(3), 11-22.

Çeçen, D., & Özbayır, T. (2011). Cerrahi kliniklerinde yatan yaşlı hastalarda düşme riskinin belirlenmesi ve düşmeyi önlemeye yönelik yapılan girişimlerin değerlendirilmesi [Evaluation of practies related to falling prevention and determination of falling risk of elderly patients who are treated in surgical clinics]. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 27(1), 11-23.

Cingil, D., & Bodur, S. (2008). Karaman il merkezinde yaşayan yaşlıların bağımlılık düzeyleri, demografik ve medikal özelliklerinin incelenmesi [The investigation of demographic and medical properties and levels of dependent in activities of daily living of older adults living in Karaman]. Atatürk Üniversitesi Hemşirelik Yüksek Okulu Dergisi, 11(3), 33-39.

Demir, S.G., Erdil, F. (2013). Effectiveness of home monitoring according to the model of living in hip replacement surgery patient. Journal of Clinical Nursing, 22, 1226-1241. doi: 10.1111/jocn.12255.

Erel, S., & Uygur, F. (2010). Toplumda ve huzurevinde yaşayan yaşlı bireylerin fiziksel performansı ve yaşam kalitesinin karşılaştırılması [Comparison of physical performance and quality of life of elder individuals living in the community and in nursing homes]. Fizyoterapi Rehabilitasyon, 21(1), 35-42.

Finlayson, E., & Birkmeyer, J. D. (2009). Surgical outcomes. In: J.B. Halter, J. G. Ouslander, M. E. Tinetti, S. Studenski, K. P. High and S. Asthana (Eds), Hazzard's geriatric medicine and gerontology. Sixth Edition. Mc Graw Hill Medical, pp.431-437.

Gabeau, D., & Rosenthal, R. A. (2001). Preoperative evaluation of the elderly surgical patient. In: R. A. Rosenthal, M. E. Zenilman, and M. R. Katlic (Eds), Principless and practice of geriatric surgery. First Edition. New York: Springer-Verlag, pp.126-143.

Hacıhasanoğlu, R., Yıldırım, A., & Karakurt, P. (2012). Loneliness in elderly individuals, level of dependence in activities of daily living (ADL) and influential factors. Archives of Gerontology and Geriatrics, 54(1), 61–66. doi: 10.1016/j.archger.2011.03.011

Hacker, E. D., Zimmerman, S., & Burgener, S. C. (2014). Measurement of quality of life outcomes. Research in Gerontological Nursing, 7(1), 7-12. doi: 10.3928/19404921-20131126-02.

Hébert, R., Guilbault, J., Desrosiers, J., & Dubuc, N. (2001). The functional autonomy measurement system (smaf): a clinical-based ınstrument for measuring dısabilities and handicaps in older people. Geriatrics Today, 141-147.

Kim, S., Brooks, A. K., & Groban, L. (2015). Preoperative assessment of the older surgical patient: honing in on geriatric syndromes. Clinical Interventions in Aging, 10, 13-27. doi: 10.2147/CIA.S75285

King, M. B., Whipple, R. H., Gruman, C. A., Judge, J. O., Schmidt, J. A., & Wolfson, L. I. (2002). The performance enhancement project: Improving physical performance in older persons. Archives of Physical Medicine and Rehabilitation, 83(8), 1060-1069.

Karabulut, N., & Çetinkaya, F. (2011). Cerrahi kliniklerinde çalışan hemşirelerin hasta bakımında karşılaştıkları güçlükler ve motivasyon düzeyleri [Motivation levels and difficuilties encountered in the patient care of the nurses working in surgery clinics]. Journal of Anatolia Nursing and Health Sciences, 14(1), 14-23.

Mizokami, F., Koide, Y., Noro, T., & Futura, K. (2012). Polypharmacy with common diseases in hospitalized elderly patients. The American Journal of Geriatric Pharmacotherapy, 10(2), 123-128. doi: 10.1016/j.amjopharm.2012.02.003

Monarch, S., & Wren, K. (2004). Geriatric anesthesia implications. Journal of PeriAnesthesia Nursing, 19(6), 379-384.

Nascimento, C. M., Ribeiro, A. Q., Cotta, R. M. M., Acurcio, F. A., Peixoto, S. V., Priore, S. E., & Franceschini S. C. (2012). Factors associated with functional ability in Brazilian elderly. Archives of Gerontology and Geriatrics, 54(2), e89–e94. doi: 10.1016/j.archger.2011.08.005

Olgun, N., Aslan, F. E., Yücel, N., Öntürk, Z. K., & Laçin, Z. (2013). Yaşlıların sağlık durumlarının değerlendirilmesi [Assessment of health status of the elderly]. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi, 4(2), 72-78.

Onem, Y., Terekeci, H., Küçükardalı, Y., Sahan, B., Solmazgül, E., Şenol, M.G., ... Oktenli, C. (2010). Albumin, hemoglobin, body mass index, cognitive and functional performance in elderly persons living in nursing homes. Archives of Gerontology and Geriatrics, 50(1), 56–59. doi: 10.1016/j.archger.2009.01.010

Özer, E., & Özdemir L. (2009). Yaşlı bireyde akılcı ilaç kullanımı ve hemşirenin sorumlulukları [Rational drug usage in elderly and nurse’s responsibilities]. Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 42-51.

Öztürk, A., Şimşek, T. T., Yümin, E. T., Sertel, M., & Yümin, M. (2011). The relationship between physical, functional capacity and quality of life (QoL) among elderly people with a chronic disease. Archives of Gerontology and Geriatrics, 53(3), 278–283. doi: 10.1016/j.archger.2010.12.011

Öztürk, L., Erkılıç, E., Dal, H., Gümüş, T., & Kanbak O. (2010). Altmış beş yaş ve üzeri ameliyat olan hastalarda cerrahi bölüm ve anestezi yöntemlerinin incelenmesi [A survey for the types of surgery and anesthetic methods in the patients aged 65 years and older]. Akademik Geriatri, 2, 40-44.

Tezcan, S., & Seçkiner, P. (2012). Türkiye'de demografik değişim; yaşlılık perspektifi [The perspective of old age], D. Aslan and M. Ertem. (Eds). Yaşlı sağlığı: sonuçlar ve çözümler. First Edition. Palme, pp.1-8.

Totur, B., & Korkmaz, D. (2011). Geriatrik cerrahide hasta bakımı [Patient care in geriatric surgery]. Ege Üniversitesi Hemşirelik Yüksekokulu Dergisi, 27(2), 61-68.

Tuna, Z., & Çelik S. Ş. (2014). Discharge training and counseling: Functional autonomy and post-discharge problems of elderly patients undergoing coronary artery bypass graft surgery. Turk Gogus Kalp Damar Cerrahisi Dergisi, 22(3), 1-7. doi: 10.5606/tgkdc.dergisi.2014.9623

Tuna, Z., & Çelik, S. Ş. (2012). Otonomi değerlendirme ölçeği'nin 65 yaş ve üstü bireylerde geçerlilik-güvenirlik çalışması [The validity and reliability study of the “functional autonomy measurement system” among 65 years and over age group]. Hacettepe Üniversitesi Sağlık Bilimleri Fakültesi Hemşirelik Dergisi, 51-61.

Tunçay, S. U., Özdinçler, A. R., & Erdinçler, D. S. (2011). Geriatrik hastalarda düşme risk faktörlerinin günlük yaşam aktiviteleri ve yaşam kalitesine etkisi [The effect of risk factors for falls on activities of daily living and quality of life in geriatric patients]. Turkish Journal of Geriatrics, 14(3), 245-252.

Türkiye İstatistik Kurumu Haber Bülteni (Turkish Statistical Institute). (2014, June). İstatistiklerle Yaşlılar (Statistics on the elderly), 2013. Retrieved from http://www.tuik.gov.tr/PreHaberBultenleri.do?id=16057

Ucuzal, M., & Akyolcu, N. (2008). Yaşlı hastalarda ameliyat sonrası bilişsel değişiklikler [Postoperative cognitive changes in elderly]. Turkish Journal of Geriatrics, 11(3), 119-127.

Ulusel, B., Soyer, A., & Uçku, R. (2004). Toplum içinde yaşayan yaşlılarda günlük yaşam etkinliklerinde bağımlılık düzeyi ve etkileyen risk etmenleri [Dependence in daily living activities among community dwelling elderly: prevelance and risk factors]. Turkish Journal of Geriatrics, 7(4), 199-205.

Varlı, M., Aras, S. D., & Atlı, T. (2009). Yaşlıda üriner inkontinans ve tedavisi [Urinary incontinence and treatment in the elderly]. Akademik Geriatri, 1, 45-58.

World Health Organization. (2002, April). Active aging a policy framework. Retrieved from http://apps.who.int/iris/bitstream/10665/67215/1/WHO_NMH_NPH_02.8.pdf

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Published

2017-09-25

How to Cite

Kalkan, N., & Karadağ, A. (2017). Determining the functional autonomy level of preoperative elderly patients: A Turkish case study. Journal of Human Sciences, 14(3), 2827–2838. Retrieved from https://www.j-humansciences.com/ojs/index.php/IJHS/article/view/4836

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Section

Nursing and Midwifery