Geriatrik Rehabilitasyon
Özet
Yaşlanma; her canlıda kaçınılmaz olarak yaşanan, karmaşık yapılı ve çok faktörlü sebepleri olan doğumla birlikte başlayan sürecin ilerlemesi ile geri dönülmez yapısal ve fonksiyonel değişiklikler olarak tanımlanmaktadır. İnsanların düzenli tıbbi takiplerini yaptırması, teknolojinin ilerlemesi sonucu hastalıkların tedavisinin gün geçtikçe artması, sosyoekonomik ve kültürel koşulların iyileşmesinin bir sonucu olarak ulusal ve uluslararası alanda ortalama yaşam süresi artmıştır. Bu sebeple sağlıklı, bağımsız ve sosyal bir yaşlılık dönemi geçirebilmek için geriatrik rehabilitasyon daha da önem kazanan alanlardan biri haline gelmiştir. Geriatrik rehabilitasyon; yaşlanma ile meydana gelen fizyolojik, psikolojik, mental ve sosyal yönden oluşan olumsuzlukların bir veya birkaçı sebebiyle bireylerde meydana getirdiği fonksiyon kaybını azaltmak, azalan yaşam kalitesini yeniden artırmak amacıyla hasta ve ailesinin de sürece dahil edildiği ve farklı disiplinlerin iş birliği sonucu oluşturulan ve yürütülen bilim dalıdır. Geriatrik rehabilitasyonun başarılı olabilmesi için gereken adımların, ekibin ve rehabilitasyon hizmetinin verildiği alanların bilinmesi hem bireysel hem de toplumsal anlamda yaşlılık dönemi için son derece önemlidir. Bu sebeple bu çalışmanın hem literatüre hem de alana katkı sağlayacağı düşünülmektedir.
Aging is defined as irreversible structural and functional changes with the progression of the process that starts with birth, which inevitably occurs in every living thing, has a complex structure and multifactorial causes. As a result of people having regular medical follow-ups, the treatment of diseases increasing day by day as a result of the advancement of technology, and the improvement of socioeconomic and cultural conditions, the average life expectancy has increased nationally and internationally. For this reason, geriatric rehabilitation has become one of the areas that have become more important in order to have a healthy, independent and social old age. Geriatric rehabilitation is a branch of science that is created and carried out as a result of the cooperation of different disciplines and in which the patient and his/her family are included in the process in order to reduce the loss of function caused by one or more of the physiological, psychological, mental and social problems caused by aging and to increase the quality of life again. Knowing the steps, the team and the areas where rehabilitation services are provided in order for geriatric rehabilitation to be successful is extremely important for both individual and social aging. For this reason, it is thought that this study will contribute to both the literature and the field.
Referanslar
Türkiye İstatistik Kurumu. Erişim Adresi: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2023-53710. Erişim Tarihi: 07.07.2024.
United Nations Department Of Economic And Social Affairs, Population Division. World Data Population Ageing 2020 Highlights: Living Arrangements Of Older Persons. Erişim Adresi: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf. Erişim Tarihi: 07.07.2023.
Achterberg Wp, Cameron Id, Bauer Jm, Et Al. Geriatric rehabilitation-state of the art and future priorities. Journal of the American Medical Directors Association. 2019;20(4):396-8. (Doı: 10.1016/J.Jamda.2019.02.014).
Grund S, Gordon Al, Van Balen R, Et Al. European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement. European Geriatric Medicine. 2020; 11(2): 233–8. (Doı: 10.1007/ S41999-019-00274-1).
Cin A, Hintistan S. Covid-19 pandemisinde geriatrik rehabilitasyon. Geriatrik Bilimler Dergisi. 2024;7(1):42-57. Doi: 10.47141/ geriatrik.1376870.
Karasu, Ç., Biyolojik yaşlanma teorileri: oksidatif stresin rolü. Türkiye Klinikleri Tıp Bilimleri Dergisi.2008;28(6 Suppl 1) :S 1-11.
Datlı Yakaryılmaz, F., (2022). Yaşlanma Biyolojisi ve Fizyolojisi. İçinden Pratik Geriatri. 1-14 Galenos Yayınevi.
Cankurtaran, M., Yaşlılık, Yaşlanma Mekanizmaları, Antiaging ve Yaşam Tarzı Değişiklikleri.2013. Erişim Adresi: Http://Www.Tihud.Org.Tr/Uploads/Content/Kongre/7/7.15.Pdf. Erişim Tarihi: 06.06.2024.
Paker, N., & Kibar, H., (2023). Geriatrik Rehabilitasyonda Temel Yaklaşımlar İçinde Geriatrik Rehabilitasyon İlkeleri ve Ekibi. 151- 160.
Türk Geriatri Derneği. 2012. Erişim Adresi: Https://Www.Geriatri.Org.Tr/Halksagligi?İd=9. Erişim Tarihi: 06.07.2024.
Yavuz BB. Geriatrik Değerlendirme ve Testler. İç Hastalıkları Dergisi.2007; 14:5-17.
Cosin Lz. Geriatric rehabilitation. Lancet.1947;29:804. (Doı:10.1016/S0140-6736(47)90831-3).
Aydın A., (2017). Geriatrik Hastalarda Koruyucu Rehabilitasyon. Geriatrik Ortopedi. 87-95.
Covinsky Ke, Pierluissi E, Johnston Cb. Hospitalization-associated disability: “she was probably able to ambulate, but ı’m not sure.” Jama. 2011; 306(16):1782–93. (Doı: 10.1001/ Jama.2011.1556).
Rommer. Erişim Adresi: Https://Www.Rommer.Com.Tr/Yaslilarda-Rehabilitasyon-Geriatrik-Rehabilitasyon/. Erişim Tarihi: 06.07.2024.
Gill Tm, Allore Hg, Gahbauer Ea, Et Al. Change in disability after hospitalization or restricted activity in older persons. Jama. 2010; 304(17):1919. (Doı:10.1001/Jama.2010.1568).
Hunt T.E. (1980). Practical Conciderations in The Rehabilitation, of The Aged, Journal of the American Geriatrics Society, 28:59.
Holstege Ms, Caljouw Maa, Zekveld Ig, Et Al. Successful geriatric rehabilitation: effects on patients’ outcome of a national program to improve quality of care, the sınger study. Journal of American Medical Directions Association.2017;18(5):383–7. doi: 10.1016/j.jamda.2016.10.011.
Chen L, Xiao LD, De Bellis A. first-time stroke survivors and caregivers’ perceptions of being engaged in rehabilitation. Journal of Advanced Nursing. 2016;72(1): 73–84. (DOI: 10.1111/Jan.12819).
Nielsen LM, Østergaard LG, Maribo T, Et Al. Returning to everyday life after discharge from a short- stay unit at the emergency department-a qualitative study of elderly patients’ experiences. International Journal of Qualitative Studies Health and Well-Being. 2019; 14: 1563428. (DOI: 10.1080/17482631.2018.1563428).
Lubbe Al, Rijn Mv, Groen Wg, Et Al. The Quality Of Geriatric Rehabilitation From The Patients’ Perspective: A Scoping Review Age Ageing. 2023; 52(3): Afad032. (Doı: 10.1093/Ageing/Afad032).
Janssen Mm, Vos W, Luijkx Kg. Development of an evaluation tool for geriatric rehabilitation care. BMC Geriatrics. 2019; 19: 206. (Doı: 10.1186/S12877-019- 1213-0).
Michael Yl, Lin Js, Whitlock Ep, Et Al. Interventions to prevent falls in older adults: an updated systematic review. Evidence Syntheses, No. 80. 2010; Agency For Healthcare Research And Quality. Erişim Adresi. Http://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk51686/. Erişim Tarihi: 06. 07.2024.
Prvu Bettger Ja, Stineman Mg. Effectiveness of multidisciplinary rehabilitation services in postacute care: state-of-the-science. A Review. Archives of Physical Medicine and Rehabilitation. 2007;88(11):1526-34. (Doı: 10.1016/J. Apmr.2007.06.768).
Balen Rv, Gordon Al, Schols Jm, Et Al. What is geriatric rehabilitation and how should it be orga nized? a delphi study aimed at reaching european consensus. European Geriatric Medicine. 2019;10(6):977–87. (Doı: 10.1007/S41999-019-00244-7).
Xu H, Huang S, Qiu C, et al. Monitoring and management of home-quarantined patients with Covid-19 using a wechat-based telemedicine system: retrospective cohort study. J Med Internet Res. 2020;22(7): e19514.
Wang S, Blazer D, Hoenig H. Can health technology enhance the patient provider relationship in rehabilitation? Archives of Physical Medicine and Rehabilitation 2016; 97(9):1403- 6. (DOI: 10.1016/J.Apmr.2016.04.002).
Ang Gc , Low Sl,. How Ch. Approach to falls among the elderly in the community. Singapore Medical Journal. 2020;61(3):116-21. (Doı: 10.11622/Sme- Dj.2020029).
Referanslar
Türkiye İstatistik Kurumu. Erişim Adresi: https://data.tuik.gov.tr/Bulten/Index?p=Istatistiklerle-Yaslilar-2023-53710. Erişim Tarihi: 07.07.2024.
United Nations Department Of Economic And Social Affairs, Population Division. World Data Population Ageing 2020 Highlights: Living Arrangements Of Older Persons. Erişim Adresi: https://www.un.org/development/desa/pd/sites/www.un.org.development.desa.pd/files/undesa_pd-2020_world_population_ageing_highlights.pdf. Erişim Tarihi: 07.07.2023.
Achterberg Wp, Cameron Id, Bauer Jm, Et Al. Geriatric rehabilitation-state of the art and future priorities. Journal of the American Medical Directors Association. 2019;20(4):396-8. (Doı: 10.1016/J.Jamda.2019.02.014).
Grund S, Gordon Al, Van Balen R, Et Al. European consensus on core principles and future priorities for geriatric rehabilitation: consensus statement. European Geriatric Medicine. 2020; 11(2): 233–8. (Doı: 10.1007/ S41999-019-00274-1).
Cin A, Hintistan S. Covid-19 pandemisinde geriatrik rehabilitasyon. Geriatrik Bilimler Dergisi. 2024;7(1):42-57. Doi: 10.47141/ geriatrik.1376870.
Karasu, Ç., Biyolojik yaşlanma teorileri: oksidatif stresin rolü. Türkiye Klinikleri Tıp Bilimleri Dergisi.2008;28(6 Suppl 1) :S 1-11.
Datlı Yakaryılmaz, F., (2022). Yaşlanma Biyolojisi ve Fizyolojisi. İçinden Pratik Geriatri. 1-14 Galenos Yayınevi.
Cankurtaran, M., Yaşlılık, Yaşlanma Mekanizmaları, Antiaging ve Yaşam Tarzı Değişiklikleri.2013. Erişim Adresi: Http://Www.Tihud.Org.Tr/Uploads/Content/Kongre/7/7.15.Pdf. Erişim Tarihi: 06.06.2024.
Paker, N., & Kibar, H., (2023). Geriatrik Rehabilitasyonda Temel Yaklaşımlar İçinde Geriatrik Rehabilitasyon İlkeleri ve Ekibi. 151- 160.
Türk Geriatri Derneği. 2012. Erişim Adresi: Https://Www.Geriatri.Org.Tr/Halksagligi?İd=9. Erişim Tarihi: 06.07.2024.
Yavuz BB. Geriatrik Değerlendirme ve Testler. İç Hastalıkları Dergisi.2007; 14:5-17.
Cosin Lz. Geriatric rehabilitation. Lancet.1947;29:804. (Doı:10.1016/S0140-6736(47)90831-3).
Aydın A., (2017). Geriatrik Hastalarda Koruyucu Rehabilitasyon. Geriatrik Ortopedi. 87-95.
Covinsky Ke, Pierluissi E, Johnston Cb. Hospitalization-associated disability: “she was probably able to ambulate, but ı’m not sure.” Jama. 2011; 306(16):1782–93. (Doı: 10.1001/ Jama.2011.1556).
Rommer. Erişim Adresi: Https://Www.Rommer.Com.Tr/Yaslilarda-Rehabilitasyon-Geriatrik-Rehabilitasyon/. Erişim Tarihi: 06.07.2024.
Gill Tm, Allore Hg, Gahbauer Ea, Et Al. Change in disability after hospitalization or restricted activity in older persons. Jama. 2010; 304(17):1919. (Doı:10.1001/Jama.2010.1568).
Hunt T.E. (1980). Practical Conciderations in The Rehabilitation, of The Aged, Journal of the American Geriatrics Society, 28:59.
Holstege Ms, Caljouw Maa, Zekveld Ig, Et Al. Successful geriatric rehabilitation: effects on patients’ outcome of a national program to improve quality of care, the sınger study. Journal of American Medical Directions Association.2017;18(5):383–7. doi: 10.1016/j.jamda.2016.10.011.
Chen L, Xiao LD, De Bellis A. first-time stroke survivors and caregivers’ perceptions of being engaged in rehabilitation. Journal of Advanced Nursing. 2016;72(1): 73–84. (DOI: 10.1111/Jan.12819).
Nielsen LM, Østergaard LG, Maribo T, Et Al. Returning to everyday life after discharge from a short- stay unit at the emergency department-a qualitative study of elderly patients’ experiences. International Journal of Qualitative Studies Health and Well-Being. 2019; 14: 1563428. (DOI: 10.1080/17482631.2018.1563428).
Lubbe Al, Rijn Mv, Groen Wg, Et Al. The Quality Of Geriatric Rehabilitation From The Patients’ Perspective: A Scoping Review Age Ageing. 2023; 52(3): Afad032. (Doı: 10.1093/Ageing/Afad032).
Janssen Mm, Vos W, Luijkx Kg. Development of an evaluation tool for geriatric rehabilitation care. BMC Geriatrics. 2019; 19: 206. (Doı: 10.1186/S12877-019- 1213-0).
Michael Yl, Lin Js, Whitlock Ep, Et Al. Interventions to prevent falls in older adults: an updated systematic review. Evidence Syntheses, No. 80. 2010; Agency For Healthcare Research And Quality. Erişim Adresi. Http://Www.Ncbi.Nlm.Nih.Gov/Books/Nbk51686/. Erişim Tarihi: 06. 07.2024.
Prvu Bettger Ja, Stineman Mg. Effectiveness of multidisciplinary rehabilitation services in postacute care: state-of-the-science. A Review. Archives of Physical Medicine and Rehabilitation. 2007;88(11):1526-34. (Doı: 10.1016/J. Apmr.2007.06.768).
Balen Rv, Gordon Al, Schols Jm, Et Al. What is geriatric rehabilitation and how should it be orga nized? a delphi study aimed at reaching european consensus. European Geriatric Medicine. 2019;10(6):977–87. (Doı: 10.1007/S41999-019-00244-7).
Xu H, Huang S, Qiu C, et al. Monitoring and management of home-quarantined patients with Covid-19 using a wechat-based telemedicine system: retrospective cohort study. J Med Internet Res. 2020;22(7): e19514.
Wang S, Blazer D, Hoenig H. Can health technology enhance the patient provider relationship in rehabilitation? Archives of Physical Medicine and Rehabilitation 2016; 97(9):1403- 6. (DOI: 10.1016/J.Apmr.2016.04.002).
Ang Gc , Low Sl,. How Ch. Approach to falls among the elderly in the community. Singapore Medical Journal. 2020;61(3):116-21. (Doı: 10.11622/Sme- Dj.2020029).