COVID-19 PANDEMİ SÜRECİNDE ROMATİZMAL HASTALIĞI OLAN BİREYLERDE TELEREHABİLİTASYONUN ETKİLERİ

Abstract

Amaç: Bu çalışma romatizmal hastalığı olan bireylerde telerehabilitasyonun yorgunluk, depresyon, anksiyete, hastalık aktivitesi, uyku kalitesi ve yaşam kalitesi üzerine etkilerini incelemek için tasarlandı. Yöntem: Çalışmaya romatizmal hastalığı bulunan 28 hasta katıldı. Hastalar çalışma grubu (n=16) ve kontrol grubu (n=12) olmak üzere iki gruba ayrıldı. Çalışma grubuna video-konferans yöntemiyle germe, kuvvetlendirme, solunum, postür ve gevşeme egzersizlerini içeren bir egzersiz programı uygulanırken kontrol grubuna bir uygulama yapılmadı. Değerlendirmeler yüz yüze iletişimi engellemek için SurveyMonkey kullanılarak yapıldı. Anksiyete ve depresyon Hastane Anksiyete ve Depresyon Ölçeği, yorgunluk Yorgunluk Şiddet ölçeği, uyku kalitesi Pittsburg Uyku Kalitesi İndeksi ve yaşam kalitesi Sağlık Değerlendirme Anketi ile değerlendirildi. Hastalık aktivitesi ise hastalığa spesifik ölçümler kullanılarak değerlendirildi. Sonuçlar: Çalışma grubunda tedavi sonrasında anksiyete (p=0.009), yorgunluk (p=0.003) ve uyku kalitesinde (p=0.011) anlamlı fark elde edilmişken, kontrol grubunda değerlendirilen parametrelerde anlamlı fark gözlenmemiştir (p>0.05). Bununla birlikte, çalışma grubunun değerleri daha iyi olmasına rağmen, yorgunluk, yaşam kalitesi, depresyon, anksiyete ve uyku kalitesi değerlendirmelerindeki değişimlerde gruplar arası anlamlı fark bulunamamıştır (p>0,05). Tartışma: Romatolojik hastalıklarda telerehabilitasyonun güvenilir ve etkili bir yöntem olduğu görüldü.

Keywords

• COVID-19
• Depresyon
• Romatizmal Hastalıklar
• Telerehabilitasyon
• Yorgunluk

THE EFFECTS OF TELEREHABILITATION IN RHEUMATIC DISEASES DURING COVID-19 PANDEMIC

Abstract

Purpose: This study was designed to investigate the effects of telerehabilitation on fatigue, depression, anxiety, disease activity, sleep quality and quality of life in patients with rheumatic diseases. Methods: This study included 28 patients with rheumatic diseases. Patients were divided into two groups as intervention group (IG) (n=16) and control group (CG) (n=12). Both groups kept on their regular medical care and an IG group additionally had exercise program. An exercise program including strengthening, stretching, breathing, posture and relaxation exercises was practiced to the IG via video-conference method while no additional therapy was applied to the CG. Assessments were performed using SurveyMonkey to avoid face to face connection. Anxiety and depression were assessed with Hospital Anxiety and Depression Scale (HADS), fatigue was assessed with Fatigue Severity Scale (FSS), sleep quality was assessed with Pittsburg Sleep Quality Index (PSQI) and quality of life was assessed with Health Assessment Questionnaire (HAQ). Additionally, disease activity was evaluated with disease-specific measurements. Results: Significant differences were found in anxiety (p=0.009), fatigue (p=0.003) and sleep quality (p=0.011) in group-by-time assessments in IG while no significant group-by-time difference were observed in any assessments in CG (p>0.05). No significant differences was observed in delta measurements of fatigue, quality of life, depression, anxiety and sleep quality within groups although patients in IG had better outcomes for all parameters compared to CG (p>0.05). Conclusion: Telerehabilitation was found to be a safe and effective method for patients with rheumatic diseases.

Keywords

• COVID-19
• Depression
• Fatigue
• Rheumatic Diseases
• Telerehabilitation

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