The Effectiveness of Home-Based Pulmonary Rehabilitation in Elderly Patients with COVID-19 Infection

Öz

While Coronavirus disease-2019 (COVID-19) affects the whole world, most affected group is geriatric individuals. There is a need for strategies for geriatric individuals returning to society and their social life. The aim of this study is to investigate the effect of an 8-week home-based Pulmonary Rehabilitation program on quality of life, depression, anxiety and functional capacity in geriatric individuals with COVID-19. Twenty-five patients were included in this prospective study. Patients over 65 years of age with COVID-19 were evaluated. Physical capacity with the 6-minute walking test (6MWT), dyspnea status with the Medical Research Council Dyspnea Scale, quality of life with the Short Form-36 (SF-36), depression and anxiety with the Hospital Anxiety and Depression Scale were evaluated. The mean age of the patients included in the study was 68.9 ± 6.4 years. 56% of the patients were men and 44% were women. When pre-treatment and post-treatment values were compared, a significant improvement was found in the 6MWT, dyspnea scores, SF-36 and all subgroups, anxiety and depression scores (p <0.05). This study shows that the home-based Pulmonary Rehabilitation program is an effective method on parameters such as quality of life, depression and physical capacity in geriatric individuals with COVID-19. Prospective large-scale studies are needed to validate our current results.

Anahtar Kelimeler

• Covid-19
• pulmonary rehabilitation
• quality of life

COVID-19 Geçirmiş Geriatrik Hastalarda Ev-Temelli Pulmoner Rehabilitasyonun Etkinliği

Öz

Coronavirüs hastalığı-2019 (COVID-19) tüm dünyayı etkilerken en çok etkilenen grup geriatrik bireylerdir. Geriatrik bireylerin topluma ve sosyal yaşamlarına dönmeleri için bazı stratejilere ihtiyaç vardır. Bu çalışmanın amacı, COVID-19'lu geriatrik bireylerde 8 haftalık ev temelli Pulmoner Rehabilitasyon programının yaşam kalitesi, depresyon, anksiyete ve fonksiyonel kapasite üzerine etkisini araştırmaktır. Bu prospektif çalışmaya 25 hasta dahil edildi. COVID-19 geçirmiş 65 yaş üstü hastalar değerlendirildi. Fiziksel kapasite 6 dakikalık yürüme testi (6DYT) ile, dispne durumlar Medical Research Council Dispne Skalası ile, yaşam kalitesi Kısa Form-36 (KF-36) ile, depresyon ve anksiyete durumları ise Hastane Anksiyete ve Depresyon Ölçeği ile değerlendirildi. Çalışmaya dahil edilen hastaların ortalama yaşı 68.9 ± 6.4 idi. Hastaların% 56'sı erkek,% 44'ü kadındı. Tedavi öncesi ve tedavi sonrası değerler karşılaştırıldığında 6DYT, dispne skorları, SF-36, anksiyete ve depresyon skorlarında anlamlı iyileşme saptandı (p <0.05). Bu çalışma, ev tabanlı Pulmoner Rehabilitasyon programının COVID-19'lu geriatrik bireylerde yaşam kalitesi, depresyon ve fiziksel kapasite gibi parametreler üzerinde etkili bir yöntem olduğunu göstermektedir. Mevcut sonuçlarımızı doğrulamak için ileriye dönük büyük örneklem büyüklüğüne sahip çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• Covid-19
• pulmoner rehabilitasyon
• yaşam kalitesi

Kaynakça

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