Title Povezanost uporabe anksiolitika s kvalitetom života u osoba starije životne dobi Title (english) The Association Between the Use of Anxiolytics and the Quality of Life in Elderly People Author Ana Konječić Mentor Branka Vidrih (mentor)Mentor Vjekoslav Peitl (komentor)Committee member Branka Aukst Margetić (predsjednik povjerenstva)Committee member Maja Vilibić (član povjerenstva)Committee member Branka Vidrih (član povjerenstva)Granter Catholic University of Croatia Defense date and country 2023-12-22, Croatia Scientific / art field, BIOMEDICINE AND HEALTHCARE Abstract Uvod: Anksiolitici su skupina lijekova koji se koriste u liječenju anksioznosti poremećaja. Dugotrajna upotreba ovih lijekova može imati negativan utjecaj na kvalitetu života, osobito kod starijih osoba.
Cilj: Procijeniti povezanost uporabe anksiolitika s kvalitetom života u osoba starije životne dobi te utvrditi koji čimbenici utječu na korištenje anksiolitika u ovoj populaciji.
Metode: Provedena je anketna studija na uzorku od 100 osoba starijih od 65 godina koje redovito koriste anksiolitike. Korištena je standardizirana skala, Skala kvalitete života Svjetske zdravstvene organizacije (eng. World Health Organization Quality of Life -WHO QOL – BREF) kako bi se procijenila povezanost konzumacije anksiolitika s kvalitetom života. Prikupljeni su i sociodemografski podaci te informacije o načinu korištenja anksiolitika.
Rezultati: Istraživanje je pokazalo da osobe starije životne dobi koje koriste anksiolitike imaju nižu kvalitetu života u usporedbi s općom populacijom starijih osoba te statistički značajnu povezanost između dobi i tjelesnog zdravlja kao i između spola i percepcije tjelesnog zdravlja. Također, utvrđena je statistički značajna povezanost između dobi i psihičkog zdravlja, što ukazuje na različite razine psihičkog zdravlja među različitim dobima. Nisu pronađene statistički značajne razlike između dobne skupine i socijalnih odnosa, niti između spola i socijalnih odnosa. Analiza anksioznih simptoma je pokazala da je anksioznost bila prisutna u značajnom postotku ispitanika. Polustrukturirani intervju je dao uvid u razloge korištenja anksiolitika, vrstu korištenih anksiolitika, trajanje njihove uporabe, kvalitetu života ispitanika te simptome anksioznosti i nuspojave anksiolitika.
Najznačajniji čimbenici povezani s korištenjem anksiolitika u istraživanoj populaciji bili su: prisutnost kroničnih bolesti, ženski spol te niže obrazovanje. U pogledu upotrebe anksiolitika, istraživanje pokazuje da je njihova upotreba prilično visoka među starijim osobama, s gotovo polovicom ispitanika koji navode redovitu uporabu. Žene su češće korisnice anksiolitika u usporedbi s muškarcima, a veća vjerojatnost upotrebe primijećena je kod ispitanika s višom razinom obrazovanja i onih koji žive sami. Većina ispitanika (69%) smatra da anksiolitici poboljšavaju njihovo emocionalno stanje i smanjuju simptome anksioznosti, pozitivno utječući na njihovu kvalitetu života, kvalitetu sna i društvenu aktivnost, bez primjetnih negativnih
dugoročnih učinaka. Međutim, neki ispitanici su izvijestili o negativnim učincima anksiolitika, uključujući utjecaj na kognitivne funkcije i povećan rizik od nuspojava, što ukazuje na potrebu za daljnjim istraživanjima kako bi se detaljnije istražili učinci anksiolitika.
Zaključak: Ovo istraživanje potvrdilo je povezanost uporabe anksiolitika sa kvalitetom života kod starijih osoba te je ukazalo na potrebu za multidisciplinarnim pristupom u liječenju anksioznosti u ovoj populaciji. Nadalje, rezultati upućuju na potrebu za edukacijom starijih osoba o dugoročnim posljedicama korištenja anksiolitika i alternativnim načinima liječenja anksioznosti.
Abstract (english) Introduction: Anxiolytics are a group of medications used in the treatment of anxiety. Prolonged use of these drugs can have a negative impact on the quality of life, especially in older individuals.
Objective: To assess the association between the use of anxiolytics and the quality of life in elderly individuals, and to determine which factors influence the use of anxiolytics in this population.
Methods: A survey study was conducted on a sample of 100 individuals over the age of 65 who regularly use anxiolytics. The World Health Organization Quality of Life - WHO QOL - BREF scale was used to assess the association between anxiolytic consumption and quality of life. Sociodemographic data were collected, along with information on the manner of anxiolytic use.
Results: The study showed that elderly individuals using anxiolytics have a lower quality of life compared to the general older population, with statistically significant associations between age and physical health as well as between gender and the perception of physical health. Also, a statistically significant association was found between age and mental health, indicating different levels of mental health among different age groups. No statistically significant differences were found between age group and social relationships, nor between gender and social relationships. Analysis of anxiety symptoms showed that anxiety was present in a significant proportion of the participants. Semi-structured interviews provided insight into the reasons for using anxiolytics, the types of anxiolytics used, the duration of their use, the quality of life of the participants, and the symptoms of anxiety and side effects of anxiolytics.
The most significant factors associated with the use of anxiolytics in the studied population were the presence of chronic diseases, female gender, and lower education. Regarding the use of anxiolytics, the study shows that their use is quite high among older individuals, with nearly half of the participants reporting regular use. Women were more frequent users of anxiolytics compared to men, and a higher likelihood of use was observed in participants with higher education levels and those living alone. Most participants (69%) believe that anxiolytics improve their emotional state and reduce symptoms of anxiety, positively impacting their quality of life, sleep quality, and social activity, without noticeable negative long-term effects.
However, some participants reported negative effects of anxiolytics, including impacts on cognitive functions and an increased risk of side effects, pointing to the need for further research to explore the effects of anxiolytics in more detail.
Conclusion: This research confirmed the association between the use of anxiolytics and the quality of life in older individuals and highlighted the need for a multidisciplinary approach in treating anxiety in this population. Furthermore, the results suggest the need for educating older individuals about the long-term consequences of using anxiolytics and alternative methods of treating anxiety.
Keywords
anksiolitici
starije osobe
kvaliteta života
životni stil
anksioznost
Keywords (english)
anxiolytics
older adults
quality of life
lifestyle
anxiety
Language croatian URN:NBN urn:nbn:hr:224:371974 Study programme Title: Department of Nursing Type of resource Text File origin Born digital Access conditions Access restricted to students and staff of home institution Terms of use Created on 2024-01-16 13:38:53
