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    EXERCISES IN THE TREATMENT OF ELDERLY PATIENTS WITH KNEE OSTEOARTHRITIS: FACTORS AFFECTING THE EFFICIENCY OF PATIENT EDUCATION
    (Gunes Kitabevi Ltd Sti, 2013) Onat, Sule Sahin; Unsal Delialioglu, Sibel; Ucar, Demet
    Introduction: The aim of this study was to investigate the significance of patient education, factors affecting the education, compliance of patients to exercises and the reasons of nonconformity among elderly patients with knee osteoarthritis. Materials and Method: During the initial assessments of 482 patients with knee OA, information was provided about the disease, and the benefits of exercises were explained and individual exercise programs were designed. After three months, pharmacological treatments and compliance to exercises and the reasons of failure to comply were questioned. Pain levels were measured with Visual Analog Scale (VAS). Results: 60.2% of the patients were found to be not complying with their exercise programs. Rates of literacy and speaking the same language with the doctor among these patients were significantly lower than the group complying with their exercises but the mean age was higher. The most common reasons for not doing the exercises were finding them tiring and boring, doubting their effectiveness and being older. The initial VAS values of both groups were similar, however the control VAS values of the compliant group were significantly lower. Conclusion: Informing the patients with knee osteoarthritis about the significance of management and exercises is of importance for the success of the treatment. In this study, the patient's education level, speaking the same language and factors affecting communication such as hearing loss have emerged as the most important parameters that convince the patients to implement exercises.
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    THE RISK OF DEPRESSION IN ELDERLY INDIVIDUALS, THE FACTORS WHICH RELATED TO DEPRESSION, THE EFFECT OF DEPRESSION TO FUNCTIONAL ACTIVITY AND QUALITY OF LIFE
    (Gunes Kitabevi Ltd Sti, 2014) Onat, Sule Sahin; Delialioglu, Sibel Unsal; Ucar, Demet
    Introduction: The aim of this study is to determine the increased risk of depression and factors related with depression in elderly individuals, to investigate the effect of depression to functional status and quality of life. Materials and Method: A total of 160 elderly individuals over 65 years old were participated. Demographic data of elderly individuals were enrolled. Standardized Mini Mental Test was used to determine the mental situation, Yesavage Geriatric Depression Scale for risk of depression Functional Activity Score for functional situation and SF-36 health survey scoring for the quality of life. Results: Eighty one of the total elderly participants had risk of depression, 79 ones had not. There were no differences between elderly individuals who had increased risk of depression and had not for sex, marital status, smoking cigarettes. Increased risk of depression was found more in elderly individuals who were illiterate, had more chronic diseases and used much more pills, had knee osteoarthritis and used accessory devices, had low B-12 and folic acid levels. We found functional activity score low in elderly individuals who had increased risk of depression. Both of physical and mental health scores of SF-36 were lower in elderly individuals had increased risk of depression. The progress depression in elderly age, poor functional status was shown to be a risk factor. A linear relationship was found between depression scores and functional activity scores, quality of life scores. Conclusion: Increased risk of depression and related factors in elderly individuals were determined. Increased risk of depression in elderly individuals effects the functional status and quality of life of elderly negatively.