Şiddetli COVID-19 Sonrası Yeni Bir Başlangıç: Uzun Dönem Hayat Kalitesi Çalışması

Öz

ÖZ Amaç: Koronavirüs (2019-nCoV) sebep olduğu pandemi ile önemli bir morbidite ve mortalite nedeni olarak sağlık sistemini ele geçirmiştir. Uzun dönem fiziksel, mental ve kognitif bozukluklar oluşturarak sağlık ilişkili hayat kalitesini düşürmektedir. Amacımız, ağır dereceli COVID-19 tanısı almış hastaların hastanede takipleri esnasında ve taburculuktan bir yıl sonrasındaki süreçte hayat kalitesi ve solunum fonksiyonu açısından değerlendirilmesi ile COVID-19'un uzun dönemde hastalar üzerindeki etkisini araştırmaktır. Gereç ve Yöntemler: Bu çalışma, retrospektif kesitsel tiptedir. Hastalara yoğun bakım taburculuklarının birinci günü yüz yüze ve on ikinci ayında yüz yüze ve teletıp uygulaması ile uygulanan Nothingam Sağlık Profili (NSP) anketi ve Modifiye Medikal Araştırma Kurulu Skalası (mMRC) verileri dosyalardan tarandı. İstatiksel analizlerde Wilcoxon Signed-Rank testi kullanıldı, p < ,05 değeri anlamlı kabul edildi. Bulgular: Hastaların ilk NSP skalasına göre ortalamaları, ağrı; 29,5±37,6, duygusal reaksiyon; 23,4±25,5, uyku; 39±36,1, sosyal izolasyon; 25±33,2, fiziksel aktivite; 65±33,7, enerji: 98,2±9,1, birinci bölüm toplam puanı; 280,3±95,1 (p ˂ .001) olarak bulunmuştur. On ikinci ay yapılan NSP skalası ortalama puanlarında istatistiksel olarak anlamlı düşüş saptanmasına rağmen yükseklik devam etmektedir. Sonuç: COVID-19 geçiren hastaların post-COVID sendromu açısından takiplerinin yapılıp, gerekli önlemlerin alınması toplum sağlığı açısından büyük öneme sahiptir.

Anahtar Kelimeler

• Post Covid-19 sendromu
• Nottingham Sağlık Profili Anketi
• Halk Sağlığı

A New Beginning After Severe COVID-19: Long-Term Quality of Life Study

Abstract

ABSTRACT Objective: The pandemic caused by coronavirus (2019-nCoV) overwhelmed the health systems and became an important cause of morbidity and mortality. It reduces health-related quality of life by causing long-term physical, mental and cognitive disorders. Our aim is to evaluate the long-term effects of COVID-19 on patients by assessing quality of life and respiratory functions of the patients with severe COVID-19 during hospital follow-up and one year after discharge. Material and Methods: This is a retrospective cross-sectional study. Data from the Nothingam Health Profile (NSP) questionnaire and the Modified Medical Research Council Scale (mMRC), which were administered to patients in person on the first day of their ICU discharge and again in person and via telemedicine at month 12, were scanned from the files. Wilcoxon Signed-Rank test was used for statistical analyses, p < .05 value was considered significant. Results: The patients’ mean scores according to the NHP scale were 29.5±37.6 for pain, 23.4±25.5 for emotional variables, 39±36.1 for sleep, 25±33.2 for social isolation, 65±33.7 for physical activity, 98.2±9.1 for energy, and the total score for part 1 was 280.3±95.1 (p ˂ .001). Although a statistically significant decrease was detected in the mean scores of the NHP scale at the 12th month, the increase remained. Conclusion: It is of great importance for public health that patients with COVID-19 are followed up and treated in terms of post-COVID syndrome.

Keywords

• Post Covid-19 syndrome
• Nottingham Health Profile Questionnaire
• Public Health

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