{"id":12080,"date":"2026-01-03T17:38:35","date_gmt":"2026-01-03T17:38:35","guid":{"rendered":"https:\/\/csiag.eu\/?p=12080"},"modified":"2026-01-04T18:20:53","modified_gmt":"2026-01-04T18:20:53","slug":"pocd-demans-alzheimer","status":"publish","type":"post","link":"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/","title":{"rendered":"POCD - Demans ve Alzheimer"},"content":{"rendered":"<div id=\"ez-toc-container\" class=\"ez-toc-v2_0_86 counter-hierarchy ez-toc-counter ez-toc-grey ez-toc-container-direction\">\n<div class=\"ez-toc-title-container\">\n<p class=\"ez-toc-title\" style=\"cursor:inherit\">\u0130\u00e7indekiler tablosu<\/p>\n<span class=\"ez-toc-title-toggle\"><\/span><\/div>\n<nav><ul class='ez-toc-list ez-toc-list-level-1' ><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-1\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#POCD\" >POCD<\/a><ul class='ez-toc-list-level-3' ><li class='ez-toc-heading-level-3'><a class=\"ez-toc-link ez-toc-heading-2\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Testmethoden\" >Test y\u00f6ntemleri<\/a><ul class='ez-toc-list-level-4' ><li class='ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-3\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Montreal_Cognitive_Assessment_MoCA\" >Montreal Bili\u015fsel De\u011ferlendirme (MoCA)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-4\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Six_Cognitive_Item_Test_6CIT\" >Alt\u0131 Bili\u015fsel Madde Testi (6CIT)<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-4'><a class=\"ez-toc-link ez-toc-heading-5\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Cognitive_Failure_Questionnaire_CFQ\" >Bili\u015fsel Ba\u015far\u0131s\u0131zl\u0131k Anketi (CFQ)<\/a><\/li><\/ul><\/li><\/ul><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-6\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Einfluss_von_Narkotika_auf_postoperative_POCD\" >Narkotiklerin ameliyat sonras\u0131 POCD \u00fczerindeki etkisi<\/a><\/li><li class='ez-toc-page-1 ez-toc-heading-level-2'><a class=\"ez-toc-link ez-toc-heading-7\" href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/#Demenz_Alzheimer\" >Demans &amp; Alzheimer<\/a><\/li><\/ul><\/nav><\/div>\n<span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>\n<p class=\"wp-block-paragraph\">POCD aras\u0131ndaki farklar nelerdir (<strong>P<\/strong>do\u011fu<strong>o<\/strong>peratif <strong>C<\/strong>ognitive <strong>D<\/strong>ysfunction), demans ve Alzheimer ve mevcut t\u0131bbi \u00e7al\u0131\u015fma durumu nedir? Bu konu a\u015fa\u011f\u0131da ayr\u0131nt\u0131l\u0131 olarak analiz edilecek ve a\u00e7\u0131klanacakt\u0131r. <\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bir ba\u015fka makalede (halen devam etmekte olan), u\u00e7ucu ya\u011flar\u0131n kullan\u0131m olanaklar\u0131 ve yukar\u0131da belirtilen klinik tablolar \u00fczerindeki etkileri g\u00f6sterilmektedir. T\u00fcm ifadeler ba\u011f\u0131ms\u0131z bilimsel \u00e7al\u0131\u015fmalarla desteklenmektedir.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"POCD\"><\/span>POCD<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">POCD genellikle ameliyattan sonra anestezinin bir sonucu olarak ortaya \u00e7\u0131kar. Her ya\u015ftan insan etkilenir, ancak \u00e7o\u011funlukla 60 ya\u015f\u0131n \u00fczerindeki hastalar etkilenir. \u00dc\u00e7 ay sonra, yakla\u015f\u0131k 10 % hala POCD'den muzdariptir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Genel sa\u011fl\u0131k durumlar\u0131na, ya\u015flar\u0131na, \u00f6nceki hastal\u0131klar\u0131na ve operasyonun kapsam\u0131na, e\u011fitim seviyelerine ve ayr\u0131ca kullan\u0131lan narkotiklere ba\u011fl\u0131 olarak, genellikle <a href=\"http:\/\/Cognitive dysfunction 1\u20132 years after non-cardiac surgery in the elderly\" target=\"_blank\" rel=\"noreferrer noopener\">ge\u00e7ici<\/a> Bili\u015fsel i\u015flevlerde bozulma (\u00f6rn. haf\u0131za, konsantrasyon, \u00f6\u011frenme yetene\u011fi).<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">POCD olu\u015fma riski, operasyondan \u00f6nce ve sonra \u00e7e\u015fitli testler kullan\u0131larak tahmin edilebilir. Belirleyici fakt\u00f6r her zaman operasyondan \u00d6NCE (preoperatif) toplanan kar\u015f\u0131la\u015ft\u0131rmal\u0131 verilerin mevcudiyetidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130statistiksel olarak konu\u015fursak <a href=\"http:\/\/Predictors of Cognitive Dysfunction after Major Noncardiac Surgery\" target=\"_blank\" rel=\"noreferrer noopener\">i\u015fgal alt\u0131nda<\/a>, o <\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>36,6 18-39 ya\u015f aras\u0131 %<\/li>\n\n\n\n<li>30,4 40-59 ya\u015f grubunun %'si ve<\/li>\n\n\n\n<li>41,4 60 ya\u015f \u00fcst\u00fc hastalar\u0131n %'si.<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">taburcu olduktan sonra POCD'den muzdaripti.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Daha ileri <a href=\"https:\/\/www.aerzteblatt.de\/archiv\/postoperative-kognitive-dysfunktion-2960a89b-577d-4f15-9307-8e9ae082b804\" target=\"_blank\" rel=\"noreferrer noopener\">Makale<\/a> Alman T\u0131p Dergisi 2014.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Testmethoden\"><\/span>Test y\u00f6ntemleri<span class=\"ez-toc-section-end\"><\/span><\/h3>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6ncesinde k\u0131sa bir \u00f6zet:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MoCA<\/strong> bu <strong>en iyi onaylanm\u0131\u015f test<\/strong> y\u00fcksek hassasiyetle POCD taramas\u0131 i\u00e7in<\/li>\n\n\n\n<li><strong>6CIT<\/strong> olarak kullan\u0131labilir <strong>Ultra h\u0131zl\u0131 tarama<\/strong> kullan\u0131labilir, ancak e\u011fitim gerektirir<\/li>\n\n\n\n<li><strong>CFQ<\/strong> o <strong>uygun de\u011fil<\/strong> <strong>objektif bir \u00f6l\u00e7\u00fc olarak<\/strong> POCD i\u00e7in, daha ziyade \u00f6znel bili\u015fsel \u015fikayetler ve psikolojik s\u0131k\u0131nt\u0131lar i\u00e7in<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Her \u00fc\u00e7 test y\u00f6nteminin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/p>\n\n\n\n<figure class=\"wp-block-table\"><table class=\"has-fixed-layout\"><thead><tr><th><strong>Test<\/strong><\/th><th><strong>S\u00fcre<\/strong><\/th><th><strong>Puanlar<\/strong><\/th><th><strong>A\u00e7\u0131klama<\/strong><\/th><th><strong>G\u00fc\u00e7l\u00fc Y\u00f6nler<\/strong><\/th><th><strong>S\u0131n\u0131rlamalar<\/strong><\/th><\/tr><\/thead><tbody><tr><td><strong>MoCA<\/strong><\/td><td>10 dakika<\/td><td>0-30<\/td><td>En iyi onaylanm\u0131\u015f<\/td><td>Y\u00fcksek hassasiyet (MCI i\u00e7in 90%), genel ve b\u00f6lgesel anestezi alt\u0131nda POCD'yi tespit eder<\/td><td>E\u011fitim gerektirir, daha uzun uygulama<\/td><\/tr><tr><td><strong>6CIT<\/strong><\/td><td>2 dakika<\/td><td>0-28*<\/td><td>H\u0131zl\u0131 tarama<\/td><td>\u00c7ok h\u0131zl\u0131d\u0131r, MoCA ile iyi korelasyon g\u00f6sterir (r=-0,86)<\/td><td>E\u011fitim olmadan ger\u00e7ek d\u00fcnya ortamlar\u0131nda d\u00fc\u015f\u00fck g\u00fcvenilirlik<\/td><\/tr><tr><td><strong>CFQ<\/strong><\/td><td>5-10 dakika<\/td><td>0-100<\/td><td>\u00d6znel \u015fikayetler<\/td><td>G\u00fcnl\u00fck i\u015flevleri yakalar, \u00f6z bildirim<\/td><td>Objektif testlerle korelasyon g\u00f6stermez, daha ziyade psikolojik s\u0131k\u0131nt\u0131y\u0131 \u00f6l\u00e7er<\/td><\/tr><\/tbody><\/table><\/figure>\n\n\n\n<ol class=\"wp-block-list\"><\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">*Dikkat - Daha y\u00fcksek puanlar daha zay\u0131f bili\u015fselli\u011fe i\u015faret eder!<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Montreal_Cognitive_Assessment_MoCA\"><\/span>Montreal Bili\u015fsel De\u011ferlendirme (MoCA)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/Nasreddine et al. (2005): &quot;The Montreal Cognitive Assessment, MoCA: a brief screening tool for mild cognitive impairment&quot; - Journal of the American Geriatrics Society\" target=\"_blank\" rel=\"noreferrer noopener\">Test tan\u0131m\u0131 ve uygulamas\u0131<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">MoCA bir <strong>10 dakikal\u0131k bili\u015fsel tarama arac\u0131<\/strong> maksimum ile <strong>30 puan<\/strong>.<br>Test \u015funlar\u0131 de\u011ferlendirir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>K\u0131sa s\u00fcreli bellek<\/li>\n\n\n\n<li>G\u00f6rsel-uzamsal beceriler (visuospatial skills)<\/li>\n\n\n\n<li>Y\u00fcr\u00fctme fonksiyonlar\u0131<\/li>\n\n\n\n<li>Dikkat ve \u00e7al\u0131\u015fma belle\u011fi (dikkat, \u00e7al\u0131\u015fma belle\u011fi)<\/li>\n\n\n\n<li>Dil (language)<\/li>\n\n\n\n<li>Oryantasyon<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>\u0130\u00e7 tutarl\u0131l\u0131k<\/strong>Orijinal versiyonda Cronbach's alpha de\u011feri 0,83't\u00fcr.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Kesme puan\u0131 26 puand\u0131r:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>MMSE<\/strong>MCI tespiti i\u00e7in duyarl\u0131l\u0131k 18%<\/li>\n\n\n\n<li><strong>MoCA<\/strong>MCI tespiti i\u00e7in duyarl\u0131l\u0131k 90%<\/li>\n\n\n\n<li><strong>Hafif Alzheimer bunamas\u0131 i\u00e7in<\/strong>MMSE 78% Duyarl\u0131l\u0131\u011f\u0131 MoCA 100%'ye kar\u015f\u0131<\/li>\n\n\n\n<li><strong>\u00d6zg\u00fcnl\u00fck<\/strong>MMSE 100%, MoCA 87%<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Ba\u011flant\u0131:<\/strong> <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/15817019\/\" target=\"_blank\" rel=\"noopener\">https:\/\/pubmed.ncbi.nlm.nih.gov\/15817019\/<\/a><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Genel anestezi ile ameliyat \u00f6ncesi ve ameliyat sonras\u0131 24 saat<\/strong>:\n<ul class=\"wp-block-list\">\n<li>MMSE: 27.17\u00b11.93 \u2192 26.23\u00b12.77 (p=0.003)<\/li>\n\n\n\n<li>MoCA: 24.32\u00b13.19 \u2192 22.87\u00b13.88 (p=0.000)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>Spinal anestezi i\u00e7in ameliyat \u00f6ncesi ve ameliyat sonras\u0131 24 saat<\/strong>:\n<ul class=\"wp-block-list\">\n<li>MMSE: Anlaml\u0131 bir fark yok<\/li>\n\n\n\n<li>MoCA: 24.35\u00b12.84 \u2192 23.13\u00b14.08 (p=0.019)<\/li>\n<\/ul>\n<\/li>\n\n\n\n<li><strong>POCD insidans\u0131<\/strong>: MoCA 32.9% vs. MMSE 15.2% (p=0.018)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Dikkat<\/strong>MoCA her iki anestezi grubunda, MMSE ise yaln\u0131zca genel anestezi grubunda bili\u015fsel gerileme tespit etmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u011fer \u00e7al\u0131\u015fmalar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8580134\/\" target=\"_blank\" rel=\"noreferrer noopener\">Min\u00f6r elektif cerrahi sonras\u0131 ya\u015fl\u0131 hastalarda MoCA ile MMSE'nin kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8580134\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ya\u015fl\u0131larda Min\u00f6r Elektif Cerrahi Sonras\u0131 Mini-Mental Durum Muayenesi ve Montreal Kognitif De\u011ferlendirme ile Ameliyat Sonras\u0131 Kognitif Gerilemenin Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10811182\/\" target=\"_blank\" rel=\"noreferrer noopener\">Omurga cerrahisinde POCD i\u00e7in bir risk fakt\u00f6r\u00fc olarak MCI<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8925052\/\" target=\"_blank\" rel=\"noreferrer noopener\">MoCA kullan\u0131larak POCD tan\u0131m\u0131<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8925052\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ya\u015fl\u0131 cerrahi hastalar\u0131nda ameliyat sonras\u0131 bili\u015fsel i\u015flev bozuklu\u011fu, artan sa\u011fl\u0131k hizmeti kullan\u0131m\u0131 ile ili\u015fkili: \u00fcst-orta gelirli bir \u00fclkeden prospektif bir \u00e7al\u0131\u015fma<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC9764502\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ameliyat \u00f6ncesi ortamda Telefon-MoCA (T-MoCA)<\/a><\/li>\n\n\n\n<li><a href=\"http:\/\/Wang et al. (2022): &quot;Early Cognitive Dysfunction in Elderly Patients after Total Knee Arthroplasty: An Analysis of Risk Factors and Cognitive Functional Levels&quot; - Journal of Healthcare Engineering\" target=\"_blank\" rel=\"noreferrer noopener\">\u00c7e\u015fitli \u015fiddet derecelerinde POCD i\u00e7in risk fakt\u00f6rleri<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7028034\/\" target=\"_blank\" rel=\"noreferrer noopener\">Klinik uygulamada MoCA kesme de\u011ferleri<\/a><br><br><strong>normal bili\u015f i\u00e7in<\/strong>:<br><strong>\u226526 puan<\/strong>95% Hassasiyet<\/li>\n\n\n\n<li><strong>hafif demans\u0131n d\u0131\u015flanmas\u0131 i\u00e7in<\/strong>:<br><strong>\u226521 puan<\/strong>98% negatif prediktif de\u011fer (NPV)<\/li>\n\n\n\n<li><strong>d\u0131\u015flama i\u00e7in MCI<\/strong>:<br><strong>\u226526 puan<\/strong>94% NPV<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC7028034\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ya\u015fl\u0131l\u0131k psikiyatrisinde bili\u015fsel tarama i\u00e7in Montreal Bili\u015fsel De\u011ferlendirme'nin (MoCA) tan\u0131sal do\u011frulu\u011fu: Klinik uygulamada kesme puanlar\u0131n\u0131n belirlenmesi. Sa\u011fl\u0131kl\u0131 kontrollerin neden oldu\u011fu spektrum yanl\u0131l\u0131\u011f\u0131ndan ka\u00e7\u0131nma<\/a><\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Six_Cognitive_Item_Test_6CIT\"><\/span>Alt\u0131 Bili\u015fsel Madde Testi (6CIT)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10200246\/\" target=\"_blank\" rel=\"noreferrer noopener\">Test tan\u0131m\u0131 ve uygulamas\u0131<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu <strong>6CIT<\/strong> (ayr\u0131ca bkz. <strong>Kingshill Versiyon 2000<\/strong>) ortalama y\u00fcr\u00fctme s\u00fcresi sadece 2,05 dakika ve maksimum pi puan\u0131 28'dir, bu da en k\u00f6t\u00fc bili\u015fselli\u011fi tan\u0131mlarken, daha d\u00fc\u015f\u00fck de\u011ferler daha iyi bili\u015fselli\u011fi ifade eder. Test de\u011ferlendirir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Haf\u0131za<\/li>\n\n\n\n<li>Dikkat<\/li>\n\n\n\n<li>Dil<\/li>\n\n\n\n<li>Y\u00fcr\u00fctme fonksiyonlar\u0131<\/li>\n\n\n\n<li>Motorize h\u0131z<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Tan\u0131 grubuna g\u00f6re medyan skorlar<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>SCD (\u00d6znel Bili\u015fsel Gerileme)<\/strong> - 2 puan<\/li>\n\n\n\n<li><strong>MCI (Hafif Bili\u015fsel Bozukluk)<\/strong> - 5 puan<\/li>\n\n\n\n<li><strong>Demans<\/strong> - 17 puan<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u011fer \u00e7al\u0131\u015fmalar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10200246\/\" target=\"_blank\" rel=\"noreferrer noopener\">Alt\u0131 Maddelik Bili\u015fsel Bozukluk Testinin (6CIT) Bir Bellek Klini\u011fi Pop\u00fclasyonunda Yayg\u0131n Olarak Kullan\u0131lan K\u0131sa Bili\u015fsel Tarama Ara\u00e7lar\u0131yla Kar\u015f\u0131la\u015ft\u0131r\u0131lmas\u0131<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/24256425\/\" target=\"_blank\" rel=\"noreferrer noopener\">Birinci basamak hastalar\u0131nda demans tarama testi olarak 6CIT'nin uygunlu\u011fu<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/32342018\/\" target=\"_blank\" rel=\"noreferrer noopener\">Ameliyat \u00d6ncesi Ortamda H\u0131zl\u0131 Y\u00fcz Y\u00fcze Bili\u015fsel Tarama: Testle \u0130lgili Hususlar ve Perioperatif De\u011ferlendirme ve Kalite Geli\u015ftirme Derne\u011fi'nin (SPAQI) \u00d6nerileri<\/a><\/li>\n\n\n\n<li><\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Cognitive_Failure_Questionnaire_CFQ\"><\/span>Bili\u015fsel Ba\u015far\u0131s\u0131zl\u0131k Anketi (CFQ)<span class=\"ez-toc-section-end\"><\/span><\/h4>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7126941\/\" target=\"_blank\" rel=\"noreferrer noopener\">Test tan\u0131m\u0131 ve orijinal geli\u015ftirme<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bu <strong>CFQ<\/strong> bir <strong>\u00f6z bildirim anketi<\/strong> 25 soru ile alg\u0131, haf\u0131za ve motor fonksiyonlardaki hatalar\u0131 de\u011ferlendirir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>M\u00fclkler<\/strong>:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Yan\u0131t \u00f6l\u00e7e\u011fi<\/strong>0 (\u201eHi\u00e7bir zaman\u201c) ila 4 (\u201e\u00c7ok s\u0131k\u201c)<\/li>\n\n\n\n<li><strong>Toplam puan aral\u0131\u011f\u0131<\/strong>0-100 (y\u00fcksek de\u011ferler daha fazla bili\u015fsel bozuklu\u011fa i\u015faret eder)<\/li>\n\n\n\n<li><strong>\u0130stikrar<\/strong>Uzun d\u00f6nemler boyunca nispeten istikrarl\u0131 (durum \u00f6l\u00e7\u00fcm\u00fc yerine \u00f6zellik)<\/li>\n\n\n\n<li><strong>D\u0131\u015f kriterlerle korelasyon<\/strong>E\u015fler taraf\u0131ndan yap\u0131lan derecelendirmelerle anlaml\u0131 korelasyon<\/li>\n\n\n\n<li><strong>Psikiyatrik belirtiler ile korelasyon<\/strong>Evet (MHQ - Ruh Sa\u011fl\u0131\u011f\u0131 Anketi)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Sonu\u00e7lara d\u00f6rt alt alan dahildir:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Haf\u0131za<\/strong> 0-32 puan ile<\/li>\n\n\n\n<li><strong>Dikkat da\u011f\u0131n\u0131kl\u0131\u011f\u0131<\/strong> 0-36 puan ile<\/li>\n\n\n\n<li><strong>Blunders (hata)<\/strong> 0-28 puan ile<\/li>\n\n\n\n<li><strong>\u0130simler<\/strong> 0-8 puan ile<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">POCD-tipik kapsam:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Haf\u0131za<\/li>\n\n\n\n<li>Dikkat<\/li>\n\n\n\n<li>Dil<\/li>\n\n\n\n<li>Y\u00fcr\u00fctme fonksiyonlar\u0131<\/li>\n\n\n\n<li>Motorize h\u0131z<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u011fer \u00e7al\u0131\u015fmalar:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/7126941\/\" target=\"_blank\" rel=\"noreferrer noopener\">Bili\u015fsel Ba\u015far\u0131s\u0131zl\u0131klar Anketi (CFQ) ve korelasyonlar\u0131<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5140732\/\" target=\"_blank\" rel=\"noreferrer noopener\">Endoskopik Sin\u00fcs Cerrahisi Kronik Rinosin\u00fczitli Hastalarda Bili\u015fsel \u0130\u015flev Bozuklu\u011funu \u0130yile\u015ftiriyor<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC6385821\/\" target=\"_blank\" rel=\"noreferrer noopener\">Koroner Arter Bypass Grefti Sonras\u0131 Ameliyat Sonras\u0131 Bili\u015fsel \u0130\u015flev Bozuklu\u011fu<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10685926\/\" target=\"_blank\" rel=\"noreferrer noopener\">Kalp kapa\u011f\u0131 cerrahisi sonras\u0131 bili\u015fsel e\u011fitimin bili\u015fsel i\u015flevler ve sa\u011fl\u0131kla ili\u015fkili ya\u015fam kalitesi \u00fczerindeki on iki ayl\u0131k takip etkileri: randomize bir klinik \u00e7al\u0131\u015fma<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC10044453\/\" target=\"_blank\" rel=\"noreferrer noopener\">Bili\u015fsel Ba\u015far\u0131s\u0131zl\u0131klar Anketinin Fakt\u00f6r Yap\u0131s\u0131 ve Yap\u0131 Ge\u00e7erlili\u011finin Yeniden De\u011ferlendirilmesi<\/a><\/li>\n\n\n\n<li><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/10579381\/\" target=\"_blank\" rel=\"noreferrer noopener\">Psikiyatride bili\u015fsel ba\u015far\u0131s\u0131zl\u0131klar anketi<\/a><\/li>\n<\/ul>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Einfluss_von_Narkotika_auf_postoperative_POCD\"><\/span>Narkotiklerin ameliyat sonras\u0131 POCD \u00fczerindeki etkisi<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">\u0130ntraven\u00f6z olarak uygulanan <em>Propofol<\/em> Buna g\u00f6re <a href=\"http:\/\/Postoperative cognitive dysfunction. Possible neuronal mechanisms and practical consequences for clinical routine\" target=\"_blank\" rel=\"noreferrer noopener\">\u00c7al\u0131\u015fma<\/a> sevofluran ile inhalasyon anestezisine k\u0131yasla daha d\u00fc\u015f\u00fck deliryum ve POCD insidans\u0131. \u00c7al\u0131\u015fma yaln\u0131zca \u00fccretli versiyon olarak <a href=\"https:\/\/link.springer.com\/article\/10.1007\/s00101-012-2024-2\" target=\"_blank\" rel=\"noreferrer noopener\">Tam metin<\/a> Daha \u00f6nce.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">POCD insidans\u0131 sevofluran (57,1%) ile propofole (32,3%) k\u0131yasla daha y\u00fcksekti ve deliryum insidans\u0131 da sevofluran ile 34,2% ile sadece 8,8% olan propofole k\u0131yasla daha y\u00fcksekti.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\"><span class=\"ez-toc-section\" id=\"Demenz_Alzheimer\"><\/span>Demans &amp; Alzheimer<span class=\"ez-toc-section-end\"><\/span><\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Demans bir sendromdur ve semptomlar\u0131 tan\u0131mlar <a href=\"https:\/\/www.nia.nih.gov\/health\/alzheimers-and-dementia\/alzheimers-disease-fact-sheet\" target=\"_blank\" rel=\"noreferrer noopener\">Alzheimer hastal\u0131\u011f\u0131<\/a> hastal\u0131k, bu semptomlar\u0131n spesifik bir nedenidir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Demans alt b\u00f6l\u00fcmlere ayr\u0131l\u0131r (<a href=\"http:\/\/Relative frequencies of Alzheimer disease, Lewy body, vascular and frontotemporal dementia, and hippocampal sclerosis in the State of Florida Brain Bank\" target=\"_blank\" rel=\"noreferrer noopener\">Frekans<\/a>):<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Alzheimer hastal\u0131\u011f\u0131<\/strong> - (77%)<\/li>\n\n\n\n<li><strong>Lewy cisimcikli demans (LBD)<\/strong> - (26%)<\/li>\n\n\n\n<li><strong>Vask\u00fcler demans (VaD)<\/strong> - (18%)<\/li>\n\n\n\n<li><strong>Hipokampal skleroz (HS)<\/strong> - (13%) <\/li>\n\n\n\n<li><strong>Frontotemporal demans (FTD)<\/strong> - (5%)<\/li>\n\n\n\n<li><strong>Karma demans<\/strong><br>LBD hastalar\u0131nda e\u015f zamanl\u0131 Alzheimer hastal\u0131\u011f\u0131 - (66%)<br>VaD hastalar\u0131nda e\u015f zamanl\u0131 Alzheimer hastal\u0131\u011f\u0131 - (77%)<br>HS hastalar\u0131nda e\u015f zamanl\u0131 Alzheimer hastal\u0131\u011f\u0131 - (66%)<\/li>\n<\/ul>\n\n\n\n<p class=\"wp-block-paragraph\">Mevcut bilgilere g\u00f6re (01.2026), demans\u0131n t\u00fcm t\u00fcrleri tedavi edilemez olarak kabul edilmektedir. Sadece ilerleme yava\u015flat\u0131labilir. Bilinen ila\u00e7lara ek olarak <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12131090\/\" target=\"_blank\" rel=\"noreferrer noopener\">ba\u015fka bir 138 ara\u015ft\u0131r\u0131ld\u0131<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u00d6nleme a\u00e7\u0131s\u0131ndan, y\u00fcksek e\u011fitim, fiziksel aktivite, iyi ba\u015fa \u00e7\u0131kma becerileri ve g\u00fc\u00e7l\u00fc bir sosyal a\u011f\u0131n demans risk fakt\u00f6rlerini azaltmada olumlu bir etkiye sahip oldu\u011fu g\u00f6sterilmi\u015ftir.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Di\u011fer \u00e7al\u0131\u015fmalar:<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">... devam edecek ...<\/p>","protected":false},"excerpt":{"rendered":"<p><span class=\"span-reading-time rt-reading-time\" style=\"display: block;\"><span class=\"rt-label rt-prefix\">Okuma s\u00fcresi<\/span> <span class=\"rt-time\"> 4<\/span> <span class=\"rt-label rt-postfix\">dakika<\/span><\/span>Was sind die Unterschiede zwischen POCD (Postoperative Cognitive Dysfunction), Demenz und Alzheimer und wie ist die aktuelle, medizinische Studienlage? Dies soll nachfolgend untersucht und detailliert dargelegt werden. In einem weiteren Beitrag (noch in Bearbeitung) werden M\u00f6glichkeiten der Anwendung \u00c4therischer \u00d6le und deren Wirkung auf o.g. Krankheitsbilder aufgezeigt. Alle Aussagen werden mittels unabh\u00e4ngiger wissenschaftlicher Studien belegt.&hellip;&nbsp;<a href=\"https:\/\/csiag.eu\/tr\/blog\/2026\/01\/03\/pocd-demenz-alzheimer\/\" rel=\"bookmark\">Daha fazlas\u0131n\u0131 oku \"<span class=\"screen-reader-text\">POCD - Demans ve Alzheimer<\/span><\/a><\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"","_lmt_disable":"","neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[1],"tags":[],"class_list":["post-12080","post","type-post","status-publish","format-standard","hentry","category-uncategorized"],"modified_by":"Achim Goerner","_links":{"self":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/12080","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/comments?post=12080"}],"version-history":[{"count":0,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/posts\/12080\/revisions"}],"wp:attachment":[{"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/media?parent=12080"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/categories?post=12080"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/csiag.eu\/tr\/wp-json\/wp\/v2\/tags?post=12080"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}