Öz
Amaç
Bu çalışmanın amacı, kronik mekanik bel ağrısı olan hastalarda kinezyofobinin demografik özellikler, ağrı şiddeti, fonksiyonel durum ve yaşam kalitesi ile nasıl ilişkili olduğunu değerlendirmektir.
Gereç ve Yöntem
Kronik mekanik bel ağrısı olan 226 katılımcının ağrı şiddeti görsel analog skala; nöropatik ağrı varlığı douleur nöropatik 4 (DN4) anketi, fonksiyonel engelliliği Oswestry engellilik indeksi (OEE); kinezyofobileri Tampa kinezyofobi ölçeği (TKÖ) ve yaşam kaliteleri kısa form-36 (SF-36) yaşam kalitesi indeksi kullanılarak değerlendirildi. Hastalar kinezyofobi skorlarına göre yüksek (TKÖ ≥37) ve düşük (TKÖ <37) olarak göre gruplandırıldı ve karşılaştırıldı.
Bulgular
Katılımcıların çoğu (%69,4) yüksek düzeyde kinezyofobi bildirmiştir. Ortalama kinezyofobi, fonksiyonel engellilik ve nöropatik ağrı puanları sırasıyla TKÖ=40,7±6,9; OEE=32,0 ±18,5; DN4=1,8±2 olarak saptandı. Kinezyofobi kadın cinsiyet, aktiviteye bağlı ağrı, düşük eğitim düzeyi, ev hanımı olma, engellilik ve düşük yaşam kalitesi ile anlamlı şekilde ilişkiliydi. Çok değişkenli model ile yapılan ileri analiz, fiziksel sağlık nedeniyle sınırlamalar, duygusal iyilik hali ve sosyal işlev alanlarındaki bireysel SF-36 skorlarının, yüksek ve düşük kinesiophobia seviyelerine sahip hastaları ayırt etme konusunda anlamlı ve bağımsız olarak korele olduğunu ortaya koydu.
Sonuç
Sonuç olarak, cinsiyet, aktivite ile ilişkili ağrı, meslek, eğitim düzeyi, engellilik ve yaşam kalitesi kronik mekanik bel ağrısı hastalarında kinezyofobiyi etkileyen önemli faktörlerdir.
Anahtar Kelimeler: Anahtar kelimeler: Kronik bel ağrısı, engellilik, kinezyofobi, yaşam kalitesi
Kaynakça
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