Yatarak Fizyoterapi Alan Hastalarda Fizik Tedavi Uygulamalarının Ağrı, Umutsuzluk, Anksiyete, Depresyon ve Yaşam Kalitesi Üzerine Etkisi

Yıl 2023, Cilt: 3 Sayı: 1, 31 - 37, 12.04.2023

Yasemin Özyer , Aybike Köse

https://doi.org/10.58252/artukluder.1233330

Öz

Amaç: Bu çalışma, yatarak fizyoterapi alan hastalarda fizik tedavi uygulamalarının ağrı, umutsuzluk, anksiyete, depresyon ve yaşam kalitesi üzerine etkisini araştırmak için planlandı.
Yöntem: Araştırma Samsun İl Sağlık Müdürlüğü’ne bağlı bir devlet hastanesinde fizik tedavi alan, çalışmaya katılmaya gönüllü olan 155 hasta ile yapıldı. Çalışma tanımlayıcı tipte yürütüldü. Veriler; Hasta Anket Formu, Sayısal Ağrı Değerlendirme Ölçeği, Beck Umutsuzluk Ölçeği (BUÖ), Depresyon, Anksiyete, Stres Ölçeği (DASS-21) ve SF-12 Yaşam Kalitesi Ölçeği kullanılarak yüz yüze anket formuyla toplandı.
Bulgular: Çalışmaya katılan bireylerin yaş ortalaması 59.33±15.30 bulundu. Cinsiyet grupları ile karşılaştırıldığında ağrı seviyesi ve anksiyete düzeyi kadınlarda daha fazla olduğu, tedaviden memnun olan hastaların ağrı seviyesi, tedaviden memnun olmayan hastalara oranla daha düşük olduğu, inmeli olan hastaların stres düzeylerinin yüksek ve yaşam kalitesi puanlarının düşük olduğu bulundu. Umutsuzluk puanları düşük düzeyde saptandı. BUÖ ve DASS-21 puanları arasında pozitif yönlü orta düzeyde; Fiziksel Bileşen Özet Puanı ile DASS-21 puanları arasında negatif yönlü zayıf düzeyde; Mental Bileşen Özet Puanı ile DASS-21 puanları arasında negatif yönlü orta düzeyde ilişki saptandı.
Sonuç: Tedavi alan hastaların fizik tedavi uygulamalarından memnun kaldığı, tedavi alma nedenine göre ağrı, stres seviyelerinin ve yaşam kalitelerinin düşük olduğu belirlendi.

Anahtar Kelimeler

Ağrı, Anksiyete, Depresyon, Fizyoterapi, Yaşam kalitesi

Destekleyen Kurum

yok

Proje Numarası

yok

Teşekkür

Çalışmaya katılan tüm herkeze teşekkür ederiz.

Effects of Physical Therapy Applications on Pain, Hopelessness, Anxiety, Depression and Quality of Life in Inpatients Receiving Physiotherapy

Öz

Objective: This study was planned to investigate the effects of physical therapy applications on pain, hopelessness, anxiety, depression and quality of life in inpatients receiving physiotherapy.
Methods: The descriptive type study was conducted with 155 patients who received physical therapy in a state hospital affiliated to Samsun Provincial Health Directorate, and volunteered to participate in the study. Data were collected through the face-to-face interview method by administering the Patient Survey Form (Questionnaire), Numerical Pain Rating Scale, Beck Hopelessness Scale (BHS), Depression, Anxiety and Stress Scale (DASS) and SF-12 Quality of Life Scale.
Results: The mean age of the individuals participating in the study was 59.33±15.30 years. The comparison of the participants demonstrated that pain and anxiety levels were higher in female participants and their hopelessness scores were low, that patients who were satisfied with the treatment had a lower pain level than did the patients who were not satisfied with the treatment, and that patients with paralysis had higher stress levels and lower quality of life scores. There was a moderate positive correlation between the mean scores obtained from the overall BHS and the DASS, a weak negative correlation between the mean scores obtained from the Physical Component Score subscale of the SF-12 Quality of Life Scale and Depression, Anxiety and Stress Scale, and a moderate negative correlation between the mean scores obtained from the Mental Component Score subscale of the SF-12 Quality of Life Scale and Depression, Anxiety and Stress Scale.
Conclusion: It was determined that the patients who received treatment were satisfied with the physical therapy applications, and their pain, stress levels and quality of life were low depending on the reason for the treatment.

Anahtar Kelimeler

Pain, Anxiety, Depression, Physiotherapy, Quality of Life

Proje Numarası

yok

Kaynakça

• Yoncalık M, Aslan E, Mustafa Y. Fizik tedavi ve rehabilitasyon alan hastaların fiziksel aktivite düzeyleri ile sağlıklı yaşam davranışı biçimleri arasındaki ilişkinin incelenmesi. GUJSS. 2017;2(3):57-68.
• Verhagen AP. Physiotherapy management of neck pain. J Physiother. 2021;67(1):5-11.
• Safiri S, Kolahi AA, Hoy D, Buchbinder R, Mansournia MA, Bettampadi D, et al. Global, regional, and national burden of neck pain in the general population, 1990-2017: systematic analysis of the Global Burden of Disease Study 2017. BMJ (Clinical research ed). 2020;368:m791.
• Mittaz Hager A-G, Mathieu N, Lenoble-Hoskovec C, Swanenburg J, De Bie R, Hilfiker R. Effects of three home-based exercise programmes regarding falls, quality of life and exercise-adherence in older adults at risk of falling: Protocol for a randomized controlled trial. BMC Geriatr. 2019;19(1):13.
• Jönsson T, Ekvall Hansson E, Thorstensson CA, Eek F, Bergman P, Dahlberg LE. The effect of education and supervised exercise on physical activity, pain, quality of life and self-efficacy - an intervention study with a reference group. BMC Musculoskelet Disord. 2018;19(1):198.
• Robinson A, McIntosh J, Peberdy H, Wishart D, Brown G, Pope H, et al. The effectiveness of physiotherapy interventions on pain and quality of life in adults with persistent post-surgical pain compared to usual care: A systematic review. PLoS One. 2019;14(12):e0226227.
• Geiss A, Rohleder N, Kirschbaum C, Steinbach K, Bauer HW, Anton F. Predicting the failure of disc surgery by a hypofunctional HPA axis: Evidence from a prospective study on patients undergoing disc surgery. Pain. 2005;114(1-2):104-117.
• Honerlaw KR, Rumble ME, Rose SL, Coe CL, Costanzo ES. Biopsychosocial predictors of pain among women recovering from surgery for endometrial cancer. Gynecol Oncol. 2016;140(2):301-6.
• Graziottin A, Skaper SD, Fusco M. Mast cells in chronic inflammation, pelvic pain and depression in women. Gynecol Endocrinol. 2014;30(7):472-7.
• Amjad F, Mohseni-Bandpei MA, Gilani SA, Ahmad A, Hanif A. Effects of non-surgical decompression therapy in addition to routine physical therapy on pain, range of motion, endurance, functional disability and quality of life versus routine physical therapy alone in patients with lumbar radiculopathy; A randomized. BMC Musculoskelet Disord. 2022;23(1).
• Saper RB, Lemaster C, Delitto A, Sherman KJ, Herman PM, Sadikova E, et al. Yoga, physical therapy, or education for chronic low back pain. Ann Intern Med. 2017;167(2):85.
• Louie DR, Mortenson WB, Durocher M, Schneeberg A, Teasell R, Yao J, et al. Efficacy of an exoskeleton-based physical therapy program for non-ambulatory patients during subacute stroke rehabilitation: A randomized controlled trial. J NeuroEngineering Rehabil. 2021;18(1):1-12.
• Rudberg A-S, Berge E, Laska A-C, Jutterström S, Näsman P, Sunnerhagen KS, et al. Stroke survivors’ priorities for research related to life after stroke. Top Stroke Rehabil. 2021;28(2):153-8.
• Álvarez-Rodríguez J, Leirós-Rodríguez R, Morera-Balaguer J, Marqués-Sánchez P, Rodríguez-Nogueira Ó. The influence of the locus of control construct on the efficacy of physiotherapy treatments in patients with chronic pain: A systematic review. J Pers Med. 2022;12(2):232.
• De Jong M, Peeters F, Gard T, Ashih H, Doorley J, Walker R, et al. A randomized controlled pilot study on mindfulness-based cognitive therapy for unipolar depression in patients with chronic pain. J Clin Psychiatry. 2018;79(1):26-34.
• Schröder G, Knauerhase A, Kundt G, Schober H-C. Effects of physical therapy on quality of life in osteoporosis patients - a randomized clinical trial. Health Qual Life Outcomes. 2012;10(1):101.
• Woo KY, Waters N, Santos VLCdG. Wound Care Essentials Practice Principles. Fifth Edition ed: Wolters Kluwer. Printed in China; 2020.
• Burgos-Mansilla B, Galiano-Castillo N, Lozano-Lozano M, Fernández-Lao C, Lopez-Garzon M, Arroyo-Morales M. Effect of physical therapy modalities on quality of life of head and neck cancer survivors: A systematic review with meta-analysis. J Clin Med. 2021;10(20):4696.
• Yalvaç B. Hemiplejik hastalarda gövde kontrolünün üst ekstremite fonksiyonları, yaşam kalitesi ve depresyona etkisi. Tıp Fakültesi Klinikleri Dergisi. 2020;3(1):15-24.
• Süslü S, Şendir M. İnmeli hastalarda depresif belirtilerin sağlıkla ilişkili yaşam kalitesine etkisi. SBÜHD. 2019;1(1):1-8.
• Upton D. UP. Psychology of Wounds and Wound Care in Clinical Practice. 1.edition ed: Springer Cham 2015.
• Beck AT, Weissman A, Lester D, Trexler L. The measurement of pessimism: The hopelessness scale. J Consult Clin Psychol. 1974;42(6):861-5.
• Ayşegül D, P. R. Beck umutsuzluk ölçeği geçerlilik çalışması. Kriz Dergisi 1993;2(2):311-9.
• Lovibond PF, Lovibond SH. The structure of negative emotional states: Comparison of the Depression Anxiety Stress Scales (DASS) with the beck depression and anxiety inventories. Behav Res Ther. 1995;33(3):335-43.
• Sariçam H. The psychometric properties of Turkish version of Depression Anxiety Stress Scale-21 (DASS-21) in health control and clinical samples. JCBPR. 2018;7(1):19-30.
• Ware J, Kosinski M, Keller S. SF-12: How to Score the SF-12 Physical and Mental Health Summary Scales. 1998.
• Soylu C, Kutuk B. Reliability and validity of the Turkish version of SF-12 Health Survey. Turk Psikiyatri Derg. 2021.
• Berger JM, McKeever RK. Pain Management. In: Reves JG, Barnett SR, McSwain JR, Rooke GA, editors. Geriatric Anesthesiology. Cham: Springer International Publishing; 2018. p. 435-51.
• Mason VL, Mathias B, Skevington SM. Accepting low back pain: Is it related to a good quality of life? Clin J Pain. 2008;24(1):22-9.
• Yılmaz ER, Bulut SD, Eryılmaz F, Eser T, Alataş E, Eryılmaz G, et al. Beyin cerrahi servisinde lomber disk hernisi tanısı ile yatan hastalarda anksiyete-depresyon düzeyleri ve hasta iyileşmesi üzerinde etkileri. Ortadogu Medical Journal. 2014;6(3).
• Çatal AT, Cebeci F. Lomber disk hernisinde ağrı, anksiyete, depresyon döngüsü ve hemşirenin rolü. Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi. 2020;7(1):73-7.
• Soyuer F., Soyuer A. Kronik dönem inme hastalarında depresyon ve fonksiyonel sonuç arasındaki ilişki. Turgut Özal Tıp Merk Derg. 2007;14(3):167-170.
• Williams LS, Ghose SS, Swindle RW. Depression and other mental health diagnoses increase mortality risk after ischemic stroke. Am J Psychiatry. 2004;161(6):1090-5.
• Huang J, Ji J-R, Liang C, Zhang Y-Z, Sun H-C, Yan Y-H, et al. Effects of physical therapy-based rehabilitation on recovery of upper limb motor function after stroke in adults: A systematic review and meta-analysis of randomized controlled trials. Ann Palliat Med. 2022;11(2):521-31.
• David D, Fleminger S, Kopelman M, Lovestone S, Mellers JJA, Sözkesen Matbaacılık. Lishman Organik Psikiyatri (Çeviri Ed. A. Elif Anıl Yağcıoğlu). 2013.
• Aktaş İ, Yıldırım AK, Özkan FÜ, Kaysın MY, Şilte A. Yatarak fizyoterapi alan hastaların yaşam kaliteleri ve maliyet analizi. Marmara Med J. 2013;26(1):34-8.
• Özdemir Ü, Taşcı S. Kronik hastalıklarda psikososyal sorunlar ve bakım. Sağlık Bilimleri Fakültesi Dergisi. 2013;1(1):57-72.