Katarakt cerrahisinin bilişsel fonksiyon ve biyolojik ritim üzerine etkisi
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Tarih
2023
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Kırıkkale Üniversitesi
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Amaç: Kataraktı olan hastalara uygulanan rutin cerrahi müdahalenin bilişsel fonksiyonlar ve biyolojik ritimle olan ilişkisinin değerlendirilmesi amaçlanmaktadır. Materyal Metot: Araştırmaya Kırıkkale üniversite tıp fakültesi göz hastalıkları polikliniğine başvuran hastalardan katarakt tanılı gönüllüler dahil edildi. Araştırmamıza katılmaya gönüllü olanlara klinik değerlendirme sonrası ve rutin cerrahi müdahale sonrası Biyolojik Ritim Değerlendirme Görüşmesi (BRDG), Montreal Bilişsel Değerlendirme Testi (MoCA) ve Geriatrik Depresyon Ölçeği uygulandı. Veriler SPSS'e girilerek istatistik yapıldı. Bulgular: Uyku alt boyutu ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:7,08;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,19±0,63) son test değerlerinden (2,03±0,63) daha yüksek olduğu tespit edildi. Aktivite alt boyutu ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:3,80;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,39±0,49) son test değerlerinden (2,26±0,52) daha yüksek olduğu tespit edildi. Toplumsal alt boyutu ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:2,80;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,13±0,50) son test değerlerinden (2,06±0,49) daha yüksek olduğu tespit edildi. Yeme alt boyutu ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:19,75;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,22±0,42) son test değerlerinden (2,85±0,58) daha düşük olduğu tespit edildi. Baskın ritim alt boyutu ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:2,97;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,27±0,36) son test değerlerinden (2,18±0,34) daha yüksek olduğu tespit edildi. Biyolojik ritim değerlendirme ölçeği genel ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:-8,65;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (2,24±0,34) son test değerlerinden (2,13±0,36) daha yüksek olduğu tespit edildi. MoCA genel ön ve son test puanları arasında istatistiksel olarak anlamlı bir fark vardı (t:-13,18;p<0,05). Ortalama değerlere bakıldığında ön test değerlerinin (21,58±4,07) son test değerlerinden (23,68±4,21) daha düşük olduğu tespit edildi. Sonuç: Katarakt cerrahisinden sonra hastaların genelinde bilişsel fonksiyonların düzeldiği ve biyolojik ritim bölümlerinde pozitif veya negatif yönde gelişmeler olduğu görüldü. Anahtar Kelimeler: Katarakt, Bilişsel Fonksiyonlar, Biyolojik Ritim, MoCA Ölçeği, Biyolojik Ritim Değerlendirme Görüşmesi, Geriatrik Depresyon Ölçeği
Objective: It is aimed to evaluate the relationship of routine surgical intervention applied to patients with cataracts with cognitive functions and biological rhythm. Material and Method: Volunteers with a diagnosis of cataract from patients who applied to the Kırıkkale University Medical Faculty Ophthalmology Outpatient Clinic will be included in the study. Biological Rhythm Assessment Interview (BRDG), Montreal Cognitive Assessment Test (MOCA) and Geriatric Depression Scale will be administered to those who volunteered to participate in our study after clinical evaluation and after routine surgical intervention. Statistics will be made by entering the data into SPSS. Results: There is a statistically significant difference between the sleep sub-dimension pre- and post-test scores (t:7.08;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.19±0.63) were higher than the post-test values (2.03±0.63). There is a statistically significant difference between the pre-test and post-test scores of the activity sub-dimension (t:3,80;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.39±0.49) were higher than the post-test values (2.26±0.52). There is a statistically significant difference between the social sub-dimension pre- and post-test scores (t:2.80;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.13±0.50) were higher than the post-test values (2.06±0.49). There is a statistically significant difference between the pre- and post-test scores of the eating sub-dimension (t:19.75;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.22±0.42) were lower than the post-test values (2.85±0.58). There is a statistically significant difference between the pre- and post-test scores of the dominant rhythm sub-dimension (t:2.97;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.27±0.36) were higher than the post-test values (2.18±0.34). There is a statistically significant difference between the general pre- and post-test scores of the biological rhythm assessment scale (t:-8.65;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.24±0.34) were higher than the post-test values (2.13±0.36). There is a statistically significant difference between MoCA general pre- and post-test scores (t:-13.18;p<0.05). Looking at the mean values, it was determined that the pre-test values (21.58±4.07) were lower than the post-test values (23.68±4.21). Conclusion: After cataract surgery, it was understood that cognitive functions improved in general and positive or negative developments were observed in the biology rhythm sections. However, looking at the literature, more studies on this subject are needed. Keywords: Cataract, Cognitive Functions, Biological Rhythm, MoCA Scale, Biological Rhythm Assessment Interview, Geriatric Depression Scale
Objective: It is aimed to evaluate the relationship of routine surgical intervention applied to patients with cataracts with cognitive functions and biological rhythm. Material and Method: Volunteers with a diagnosis of cataract from patients who applied to the Kırıkkale University Medical Faculty Ophthalmology Outpatient Clinic will be included in the study. Biological Rhythm Assessment Interview (BRDG), Montreal Cognitive Assessment Test (MOCA) and Geriatric Depression Scale will be administered to those who volunteered to participate in our study after clinical evaluation and after routine surgical intervention. Statistics will be made by entering the data into SPSS. Results: There is a statistically significant difference between the sleep sub-dimension pre- and post-test scores (t:7.08;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.19±0.63) were higher than the post-test values (2.03±0.63). There is a statistically significant difference between the pre-test and post-test scores of the activity sub-dimension (t:3,80;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.39±0.49) were higher than the post-test values (2.26±0.52). There is a statistically significant difference between the social sub-dimension pre- and post-test scores (t:2.80;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.13±0.50) were higher than the post-test values (2.06±0.49). There is a statistically significant difference between the pre- and post-test scores of the eating sub-dimension (t:19.75;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.22±0.42) were lower than the post-test values (2.85±0.58). There is a statistically significant difference between the pre- and post-test scores of the dominant rhythm sub-dimension (t:2.97;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.27±0.36) were higher than the post-test values (2.18±0.34). There is a statistically significant difference between the general pre- and post-test scores of the biological rhythm assessment scale (t:-8.65;p<0.05). Looking at the mean values, it was determined that the pre-test values (2.24±0.34) were higher than the post-test values (2.13±0.36). There is a statistically significant difference between MoCA general pre- and post-test scores (t:-13.18;p<0.05). Looking at the mean values, it was determined that the pre-test values (21.58±4.07) were lower than the post-test values (23.68±4.21). Conclusion: After cataract surgery, it was understood that cognitive functions improved in general and positive or negative developments were observed in the biology rhythm sections. However, looking at the literature, more studies on this subject are needed. Keywords: Cataract, Cognitive Functions, Biological Rhythm, MoCA Scale, Biological Rhythm Assessment Interview, Geriatric Depression Scale
Açıklama
Tıp Fakültesi, Göz Hastalıkları Ana Bilim Dalı
Anahtar Kelimeler
Göz Hastalıkları, Eye Diseases
