Anxiety Levels in Severe COVID-19 Patients Before and After Undergoing Upper Arm Exercises and Breathing Exercises at H. Adam Malik Hospital Medan

Year 2023, Volume: 5 Issue: 2, 140 - 145, 27.06.2023

Nurul Citta Banu Putri Amira Permatasari Tarigan Pandiaman Pandia Andika Pradana Putri Chairani Eyanoer Elmeida Effendy Sudirman Parningotan Sinaga

Abstract

Senior lecturer in Department of Pulmonology, Universitas Sumatra Utara

Keywords

COVID-19. Upper arm exercises, breathing exercise, anxiety

Anxiety Levels in Severe COVID-19 Patients Before and After Undergoing Upper Arm Exercises and Breathing Exercises at H. Adam Malik Hospital Medan

Abstract

Background: The number of COVID-19 cases in Indonesia has reached more than 1.5 million, of which 121,011 people are still in treatment. Stress and anxiety are the dominant psychological aspects of COVID-19 pandemic and have been shown to affect overall quality of life. Therefore, this research purpose to assess the level of anxiety in severe COVID-19 patients before and after undergoing upper arm exercises and breathing exercises.
Methods : This study is a clinical trial using a two-group pretest-posttest quasi-experimental study design on 36 patients who diagnosed with confirmed COVID-19 severe severity who were treated in isolation room for 6 months period who met the inclusion and exclusion criteria. Then, conduct baseline examinations such as: vital signs, laboratories, and Hospital Anxiety and Depression Scale (HADS) in the emergency room for COVID-19 patients before undergoing physiotherapy. A comparison of the results of HADS measurements was made between before and after the intervention (upper arm exercises and breathing exercises). If the data were normally distributed, paired t-test was used (p<0.05). If the data is not normally distributed, Wilcoxon's test is used
Results: The study sample was dominated by men with a total of 23 people (63.9%) compared to 13 women (36.1%). Conditions before exercise, found 18 people (50%) moderate cases, 17 people (47.2%) severe cases and 1 person (2.8%) mild cases. In the post-exercise condition, there were 15 people (41.7%) with moderate cases, 12 people (33.3%) severe cases and 9 people (25%) mild cases. Out Of 53 severe COVID-19 patients who performed upper arm exercises and breathing exercises, the average HADS measurement results before exercise was 14.27 + 2.02 and after exercise 12.19 + 3.20. It was found that mean difference before and after exercise was 2.0833 + 2.11. After t paired test was done, a significance p value was found = 0.000 (p<0.05).
Conclusion : Anxiety level in severe COVID-19 patients significantly difference before and after undergoing upper arm exercises and breathing exercises.

Keywords

COVID-19, Upper arm exercises, breathing exercises, anxiety

References

• Reference 1