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  • Küçük Resim
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    Comprehensive activities of daily living profile of individuals with dementia living in nursing home
    (2023) Soyuer, Ferhan; Süzen, İrem
    Objective: In this study, it was aimed to comprehensively determine the activities of daily living of elderly people with and without dementia living in nursing homes. Materials and methods: The cognitive status of the individuals participating in the study was evaluated with the trained and Untrained Mini Mental Test (MMT). Participants’ Mini Mental Test total scores were divided into 3 groups as 24-28 normal, 18-23 mild dementia, and 8-17 dementia. Activities of Daily Living was evaluated with the Katz Daily Living Scale (Katz), Lawton and Broady Instrumental Activity of Daily Living Scale (EADL). Results: 106 people, 48 (45.3%) female and 58 (54.7%) male, participated in the study. It was determined that the mean age of the participants was 76.86±8.37 years, and the mean BMI was 27.47±5.36 kg/m². According to MMT; The normal group consists of 31 (29.2%), the mild dementia group consists of 43 (40.6%) and the dementia group consists of 32 (30.2%). The mean Katz score of the normal group was 17.74±0.68, the mean Kazt score of the mild dementia group was 17.46±1.42, and the mean Kazt score of the dementia group was 16.43±2.16. Katz bath activity, continence activity; It showed a statistically significant difference between MMT groups (P<0.05). The mean EADL test score was 19.03±5.061 in the normal group, 19.53±4.65 in the mild dementia group, and 15.21±5.66 in the dementia group. EGYA total scores; There was a statistically significant difference between MMT groups (P<0.05). EGYA phone, cooking, housework, laundry, travel, medicine parameters; There was a statistically significant difference between MMT groups (p<0.05). Conclusion: As MMT values of elderly individuals staying in nursing homes decrease; basic and instrumental activities of daily living are also affected.
  • Küçük Resim
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    Examination of the correlation between hand grip strength and muscle mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes
    (Work, 2022) Soyuer, Ferhan; Cankurtaran, Feyzan; Menevşe, Özlem; Ertürk Zararsız, Gözde
    Abstract. BACKGROUND: Aging is a process that includes progressive physiological changes. Grip strength is an important indicator of current health in the elderly. OBJECTIVE: The aim of the study was to examine the correlation between dominant-hand grip strength (HGS) and cognitive function, mid-upper arm circumference, muscle-bone mass, balance, mobility, and daily life activities in elderly individuals living in nursing homes and determine the effect rates of these factors on HGS. METHODS: Seventy-two elderly individuals aged over 65 who lived in a nursing home were included in the study. Dominant HGS and mid-upper forearm circumference were measured. Muscle and bone masses were measured with bioelectrical impedance analysis. Mid-upper arm circumference was measured using a non-elastic tape. HGS was measured using a hand dynamometer. Cognitive function was evaluated with the Standardized Mini-Mental Test (SMMT); mobility and balance were evaluated with the Timed Up and Go Test (TUGT) and Berg Balance Scale (BBS); the Katz Activities of Daily Living Scale (KATZ ADL) was used to evaluate daily life activities. RESULTS: There was a significant correlation between HGS and muscle and bone masses (p < 0.001). A significant correlation was found between HGS and TUGT, ADL (p = 0.001, p = 0.016). There was no significant correlation between HGS and BBS (p = 0.2). There was a correlation between HGS and SMMT at the statistical significance limit (p = 0.055). On HGS, the Body Mass Index had a 64.9% effect; the muscle mass had a 30.9% effect; the TUGT had a 27.7% effect. These parameters were found to explain 59.9% of the variance. CONCLUSION: As a global indicator of muscle strength, HGS can be used to predict age-related functional changes. Approaches to increase physical activity levels in elderly can be effective in reducing age-related negativities.
  • Küçük Resim
    Öğe
    Yaşlanmada Postüral Kontrol, İkili Görev ve Fiziksel Aktivite
    (Hipokrat Yayınevi, 2022) Soyuer, Ferhan
    Yaşlanma fizyolojik açıdan kaçınılmaz, olağan bir süreçtir. Yaşlanma ile birlikte ortaya çıkan fizyolojik değişiklikler, belirgin bir sağlık sorunu olarak algılanmasa da günlük yaşam aktivitelerinde olumsuzluklar yaratır. Normal yaşlanmanın etkileri kişinin aktiviteleri için kısıtlayıcı olabilir. Normal yaşlanma ile bireylerde sıklıkla yürüyüş, denge ve mobilite problemleri görülmektedir. Normal yürümenin ve dengenin etkinliği ve mobilitenin sürdürülebilmesi için sadece duyu-motor sistem yeterli değildir. Yürütücü işlev kontrolü (eylem kararı ve integrasyonu) ile bilişsel (yön bulma becerisi, vizyospasyal algı, dikkat) ve afektif (mizaç, temkinlilik ve risk alma) katkı zorunludur.