PULMONER HİPERTANSİYONLU BİREYLERDE KİNEZYOFOBİ

Year 2019, Volume: 30 Issue: 3, 168 - 175, 20.12.2019

Özge Ertan Gökşen Kuran Aslan Buket Akıncı Nigar Gülfer Okumuş

https://doi.org/10.21653/tjpr.665154

Cited By: 3

Abstract

Amaç: Bu çalışmanın amacı pulmoner hipertansiyonlu (PH) bireylerde kinezyofobinin egzersiz
kapasitesi, günlük yaşam aktiviteleri (GYA) ve yaşam kalitesi ile ilişkisini araştırmak ve demografik
ve klinik özelliklere göre karşılaştırmaktı.
Yöntem: Çalışmaya 37 PH’li hasta dahil edildi. Kinezyofobi değerlendirmesi, Kalp İçin Tampa
Kinezyofobi Derecelendirmesi (KTKD) ile yapıldı. Yaşam kalitesi, Nottingham Sağlık Profili (NSP)
ile belirlendi. Günlük yaşam aktiviteleri, London Chest Günlük Yaşam Aktiviteleri Ölçeği (LCGYAÖ)
ile değerlendirildi. Egzersiz kapasitesi, altı dakika yürüme testi (6DYT) ile ölçüldü ve 6DYT mesafesi
hesaplandı.
Sonuçlar: KTKD toplam skor, 6DYT sonrası dispne algılaması (p=0,016), NSP toplam skoru
(p=0,024), NSP alt gruplarından emosyonel reaksiyonlar (p<0,001) ve ağrı (p=0,018) ile pozitif yönlü
ilişkili bulundu. KTKD toplam skor ve KTKD alt grup skorları ile yaş, pulmoner arter basıncı, 6DYT
mesafesi ve LCGYAÖ arasında anlamlı ilişki yoktu (p>0,05). Çoklu doğrusal regresyon analizinde;
dispne algılaması (p=0,006) ve emosyonel reaksiyonların (p<0,001) KTKD toplam skorunu etkilediği
bulundu (R2=0,439, F(2,34)=13,309, p<0,001). Düşük eğitim seviyesi (p=0,023) ve dispne sebebi ile
GYA etkilenimi (p=0,029) olan olgularda KTKD toplam skoru daha yüksek saptandı.
Tartışma: Çalışmanın sonuçları PH’li bireylerde, kinezyofobinin eforla algılanan nefes darlığındaki
artış ve emosyonel reaksiyonlardan etkilendiğini ve azalmış yaşam kalitesi ile ilişkili olduğunu
gösterdi. Ayrıca düşük eğitim seviyesine sahip PH’li bireylerde kinezyofobi düzeyinin arttığı görüldü.

Keywords

Egzersiz, Günlük Yaşam Aktivitesi

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