COVID-19 GEÇİRİP İYİLEŞMİŞ KİŞİLER VE KONTROLLERDE COVID-19 PANDEMİSİNİN FİZİKSEL VE SOSYAL ETKİLERİNİN KARŞILAŞTIRILMASI: BİR VAKA KONTROL ÇALIŞMASI

Öz

Amaç: COVID-19 pandemisinin hastalığı geçirip iyileşmiş kişiler ve kontrollerde yorgunluk ve dispne düzeyi, solunum fonksiyonu, zihinsel yorgunluk, uyku kalitesi ve sosyal etkilerini karşılaştırmak ve her iki grupta bu özellikler arasındaki ilişkiyi araştırmaktır. Yöntem: Bu çalışmaya COVID-19 hastalığı geçirip iyileşmiş kişiler (n=176) ve kontroller (n=176) olmak üzere toplam 352 katılımcı katıldı. Aşağıdaki ölçekler çevirim-içi olarak kullanıldı: Yorgunluk ve dispne düzeyini araştırmak için Görsel Analog Skalası (GAS), solunum fonksiyonunu ölçmek için Tek Nefes Sayımı (TNS) testi, zihinsel yorgunluğu değerlendirmek için Wood Mental Yorgunluk Envanteri (WMYE), bireylerin uyku kalitesini değerlendirmek için Pittsburg Uyku Kalitesi İndeksi (PUKİ) ve pandeminin sosyal etkilerini araştırmak için Sosyal Etkiler Anketi (SEA). Sonuçlar: COVID-19 hastalığı geçirip iyileşmiş kişilerde kontrollere göre daha yüksek düzeyde yorgunluk, dispne ve zihinsel yorgunluk bildirildi (p<0,05). Her iki grupta da yorgunluk ve dispne düzeyleri arasında orta-düşük düzeyde pozitif ilişki tespit edildi. COVID-19 hastalığı geçirip iyileşmiş kişilerde solunum fonksiyonları ve uyku kalitesinin kontrollerden daha düşük olduğu görüldü. COVID-19 hastalığı geçirip iyileşmiş kişilerde zihinsel yorgunluk ile uyku kalitesi arasında pozitif bir ilişki mevcuttu (p<0,05). Ayrıca, pandeminin sosyal etkilerinin COVID-19 hastalığı geçirip iyileşmiş kişilerde ve kontrollerde benzer olduğu bulundu (p>0,05). Tartışma: Uzun süreli COVID-19 iyileşme süresinden sonra bile yorgunluk ve nefes darlığı, zihinsel yorgunluk, zayıf solunum fonksiyonu ve uyku bozuklukları gibi semptomlar devam etmektedir. Bu nedenle, COVID-19 hastalığı geçirip iyileşmiş kişilerde bu sorunları azaltabilmek amacıyla tedavi stratejileri geliştirilmesi gereklidir.

Anahtar Kelimeler

• COVID-19
• Nefes Darlığı
• Yorgunluk
• Uyku
• Sosyal Faktörler

THE COMPARISON OF THE PHYSICAL AND SOCIAL INFLUENCES OF THE COVID-19 PANDEMIC IN CONVALESCENTS AND CONTROLS: A CASE-CONTROL STUDY

Abstract

Purpose: To compare the fatigue and dyspnea level, respiratory function, mental fatigue, sleep quality, and social influence of the COVID-19 pandemic in convalescent and controls and to explore the relationship between these characteristics in both groups. Methods: A total of 352 participants, including COVID-19 convalescent (n=176) and controls (n=176), participated in this study. The following instruments were used by online technologies: Visual Analog Scale (VAS) to investigate fatigue and dyspnea level, Single Breath Counting (SBC) test to measure respiratory function, Wood Mental Fatigue Inventory (WMFI) to evaluate mental fatigue, Pittsburg Sleep Quality Index (PSQI) to assess the sleep quality and Social Influences Survey Questionnaire (SISQ) to investigate social influences of the pandemic. Results: COVID-19 convalescents reported higher levels of tiredness, dyspnea, and mental fatigue than controls (p<0.05). In both groups, there was a moderate-low positive relationship between fatigue and dyspnea levels. The respiratory functions and sleep quality of COVID-19 convalescents were lower than controls. There was a positive correlation between mental fatigue and sleep quality for the COVID-19 convalescents (p<0.05). Furthermore, the social influences of the pandemic were comparable in COVID-19 convalescents and controls (p>0.05). Conclusion: Even after long-term COVID-19 recovery, symptoms like increased fatigue and dyspnea, mental fatigue, poor respiratory function, and sleep disturbances persist. Therefore, it is necessary to develop treatment strategies in order to alleviate these problems.

Keywords

• COVID-19
• Dyspnea
• Fatigue
• Sleep
• Social Factors

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