KOAH’ta Vücut Farkındalığı ve Hastaların Klinik Durumlarıyla İlişkisi

Yıl 2025, Cilt: 3 Sayı: 1, 1 - 11, 01.01.2025

Seda Karaca , Aysel Yıldız Özer , Sait Karakurt , Mine Gülden Polat

https://doi.org/10.61535/bseusbfd.1372216

Cited By: 1

Öz

Vücut farkındalığındaki bozuklukların tespiti, KOAH'lı hastaların klinik değerlendirmesi ve tedavi planlaması için önemli bir veri olabilir. Bu çalışmada, KOAH'lı hastalarda vücut farkındalığını değerlendirmeyi ve hastaların kliniği ile ilişkisini incelemeyi amaçladık. 114 denek çalışmaya alındı ve iki gruba ayrıldı: KOAH grubu (n:56) ve kontrol grubu (n:58). Grupların hastalık şiddeti (KOAH Değerlendirme Testi), fonksiyonel kapasite (6 Dakika Yürüme Testi), dispne (Modifiye Borg Ölçeği), vücut farkındalığı (Vücut Farkındalığı Anketi), depresyon (Beck Depresyon Envanteri) ve anksiyete (Beck Anksiyete Envanteri) düzeyleri değerlendirildi. Kontrol grubu ile karşılaştırıldığında, KOAH grubunun vücut farkındalığı seviyesi daha düşük; anksiyete ve depresyon düzeyleri daha yüksekti (p<0,001). KOAH grubunda vücut farkındalığı ile hastalık şiddeti, dispne, fonksiyonel kapasite, depresyon ve anksiyete arasında ilişki saptandı (p<0,05). KOAH'lı hastalar sağlıklı erişkinlere kıyasla önemli ölçüde bozulmuş vücut farkındalığı göstermektedir. Ayrıca KOAH’ta vücut farkındalığı seviyesi klinik parametrelerle ilişkilidir.

Anahtar Kelimeler

Vücut Farkındalığı, KOAH, Klinik Durum

Body Awareness in COPD and Its Relation with Patients’ Clinic States

Öz

The detection of impairments in body awareness can provide important data for the clinical assessment and treatment planning of patients with COPD. In this study, we aimed to evaluate body awareness in patients with COPD, and to examine its relationship with patients’ clinics. A total of 114 subjects were divided into two groups: the COPD group (n:56) and the control group (n:58). Disease severity (COPD Assessment Test), functional capacity (6 Minute Walk Test), dyspnea (Modified Borg Scale), body awareness (Body Awareness Questionnaire), depression (Beck Depression Inventory) and anxiety (Beck Anxiety Inventory) levels of the groups were evaluated. Compared to the control group, the COPD group had lower levels of body awareness and higher levels of anxiety and depression (p<0.001). Body awareness in the COPD group was correlated with disease severity, dyspnea, functional capacity, anxiety and depression (p<0.05). Patients with COPD show significantly impaired body awareness compared to healthy subjects. In addition, there is an association between the level of body awareness in COPD and clinical parameters.

Anahtar Kelimeler

Body Awareness, COPD, Clinic State

Etik Beyan

This study was conducted in accordance with the Declaration of Helsinki and approved by the university ethics committee. Subjects were informed about the aims and procedures of the study and informed consent was given after they agreed to participate.

Kaynakça

• Adeloye, D., Song, P., Zhu, Y., Campbell, H., Sheikh, A., & Rudan, I. (2022). Global, regional, and national prevalence of, and risk factors for, chronic obstructive pulmonary disease (COPD) in 2019: a systematic review and modelling analysis. The Lancet Respiratory Medicine, 10(5), 447-458. https://doi.org/10.1016/S2213-2600(21)00511-7
• American Thoracic Society (ATS) (2002). ATS statement: guidelines for the six-minute walk test. American journal of respiratory and critical care medicine, 166(1), 111–117. https://doi.org/10.1164/ajrccm.166.1.at1102
• Blakemore, A., Dickens, C., Guthrie, E., Bower, P., Kontopantelis, E., Afzal, C., & Coventry, P. A. (2014). Depression and anxiety predict health-related quality of life in chronic obstructive pulmonary disease: systematic review and meta-analysis. International journal of chronic obstructive pulmonary disease, 9, 501-512. https://doi.org/10.2147/COPD.S58136
• Bugajski, A., Morgan, H., Wills, W., Jacklin, K., Alleyne, S., Kolta, B., ... & Rechenberg, K. (2023). Anxiety and Depressive Symptoms in Patients with COPD: Modifiable Explanatory Factors. Western journal of nursing research, 45(4), 316-326. https://doi.org/10.1177/01939459221129949
• Dodd, J. W., Hogg, L., Nolan, J., Jefford, H., Grant, A., Lord, V. M., ... & Hopkinson, N. S. (2011). The COPD assessment test (CAT): response to pulmonary rehabilitation. A multicentre, prospective study. Thorax, 66(5), 425-429. https://doi.org/10.1136/thx.2010.156372
• Egan, M., Tannahill, C., Petticrew, M., & Thomas, S. (2008) Psychosocial risk factors in home and community settings and their associations with population health and health inequalities: A systematic meta-review. BMC Public Health, 8, 1-13. https://doi.org/10.1186/1471-2458-8-239
• Farver-Vestergaard, I., Danielsen, J. T. T., Løkke, A., & Zachariae, R. (2022). Psychosocial intervention in chronic obstructive pulmonary disease: meta-analysis of randomized controlled trials. Psychosomatic Medicine, 84(3), 347-358. https://doi.org/10.1097/PSY.0000000000001043
• Freire, A. P. C. F., Ferreira, A. D., Santos, C. P., Araújo, I. C. D., Uzeloto, J. S., Silva, B. S. D. A., ... & Ramos, E. M. C. (2020). Body image in COPD and its relation with physical activity levels, lung function and body composition: An observational study. The Clinical Respiratory Journal, 14(12), 1182-1190. https://doi.org/10.1111/crj.13259
• Gard, G., Nyboe, L., & Gyllensten, A. L. (2020) Clinical reasoning and clinical use of basic body awareness therapy in physiotherapy – a qualitative study? European Journal of Physiotherapy, 22(1), 29-35. https://doi.org/10.1080/21679169.2018.1549592
• Gatti, G., Giordano, M., & Mollica, C. (2023). Psychopathological Problems in Chronic Obstructive Pulmonary Disease (COPD): An Holistic “Mind-Body” Comprehension. In Noninvasive Mechanical Ventilation and Neuropsychiatric Disorders: Essential Practical Approaches, 3, 145-160. https://doi.org/10.1007/978-3-031-27968-3_13
• Hisli, N. (1988). Beck Depresyon Envanterinın Geçerliği Üzerine Bir Çalışma. Psikoloji Dergisi, 6, 118-126.
• Hurst, J. R., Skolnik, N., Hansen, G. J., Anzueto, A., Donaldson, G. C., Dransfield, M. T., & Varghese, P. (2020). Understanding the impact of chronic obstructive pulmonary disease exacerbations on patient health and quality of life. European journal of internal medicine, 73, 1-6. https://doi.org/10.1016/j.ejim.2019.12.014
• Jenkins, S. C. (2007). 6-Minute walk test in patients with COPD: clinical applications in pulmonary rehabilitation. Physiotherapy, 93(3), 175-182. https://doi.org/10.1016/j.physio.2007.02.001
• Karaca, S., & Bayar, B. (2021). Turkish version of body awareness questionnaire: validity and reliability study. Türk Fizyoterapi ve Rehabilitasyon Dergisi, 32(1), 44-50. https://doi.org/10.21653/tjpr.660186
• Kendrick, K. R., Baxi, S. C., & Smith, R. M. (2000). Usefulness of the modified 0-10 Borg scale in assessing the degree of dyspnea in patients with COPD and asthma. Journal of Emergency Nursing, 26(3), 216-222. https://doi.org/10.1016/S0099-1767(00)90093-X
• Li, Z., Liu, S., Wang, L., & Smith, L. (2020). Mind–body exercise for anxiety and depression in copd patients: A systematic review and meta-analysis. International journal of environmental research and public health, 17(1), 22. https://doi.org/10.3390/ijerph17010022
• Lin, T. F., & Shune, S. (2023). The mind–body–breath link during oral intake in chronic obstructive pulmonary disease: a grounded theory analysis. Dysphagia, 38(1), 367-378. https://doi.org/10.1007/s00455-022-10473-x
• Liu, S. J., Ren, Z., Wang, L., Wei, G. X., & Zou, L. (2018). Mind–body (Baduanjin) exercise prescription for chronic obstructive pulmonary disease: a systematic review with meta-analysis. International journal of environmental research and public health, 15(9), 1830. https://doi.org/10.3390/ijerph15091830
• Mathews, A. M. (2023). The Functional and Psychosocial Consequences of COPD. Respiratory Care, 68(7), 914-926. https://doi.org/10.4187/respcare.10542
• Mehling, W. E. (2020). If it all comes down to bodily awareness, how do we know? Assessing bodily awareness. Kinesiology Review, 9(3), 254-260. https://doi.org/10.1123/kr.2020-0021
• Mehling, W. E., Wrubel, J., Daubenmier, J., Price, C. J., Kerr, C. E., Silow, T.,…Steward, A. (2011) Body Awareness: a phenomenological inquiry into the common ground of mind-body therapies. Philos Ethics Humanity Medicine 6(6). https://doi.org/10.1186/1747-5341-6-6
• Mehling, W. E., Gopisetty, V., Daubenmier, J., Price, C.J., Hecht, F.M., & Steward, A. (2009) Body Awareness: Construct and Self-Report Measures. PLOS ONE 4(5), e5614. https://doi.org/10.1371/journal.pone.0005614
• NaimGad, E., Houssien Nasr, M., Mohamed Mohamed, Y., & Fathi Mahmoud, S. (2022). Biopsychosocial Needs of Patients with Chronic Obstructive Pulmonary Disease. Egyptian Journal of Health Care, 13(4), 1100-1113. https://doi.org/10.21608/ejhc.2022.266943
• Shields, S. A., Mallory, M. E., & Simon, A. (1989). The Body Awareness Questionnaire: Reliability and validity. Journal of Personality Assessment, 53(4), 802–815. https://doi.org/10.1207/s15327752jpa5304_16
• Tinetti, M., Dindo, L., Smith, C. D., Blaum, C., Costello, D., Ouellet, G., ... & Naik, A. (2019). Challenges and strategies in patients’ health priorities-aligned decision-making for older adults with multiple chronic conditions. PloS one, 14(6), e0218249. https://doi.org/10.1371/journal.pone.0218249
• Ulusoy, M., Sahin, N. H., & Erkmen, H. (1998). Turkish version of the Beck Anxiety Inventory: psychometric properties. Journal of cognitive psychotherapy, 12(2), 163.
• Weisberg, J., Wanger, J., Olson, J., Streit, B., Fogarty, C., Martin, T., & Casaburi, R. (2002). Megestrol acetate stimulates weight gain and ventilation in underweight COPD patients. Chest, 121(4), 1070-1078. https://doi.org/10.1378/chest.121.4.1070
• Yohannes, A. M. (2021). COPD patients in a COVID-19 society: depression and anxiety. Expert Review of Respiratory Medicine, 15(1), 5-7. https://doi.org/10.1080/17476348.2020.178783
• Yohannes, A. M., Murri, M. B., Hanania, N. A., Regan, E. A., Iyer, A., Bhatt, S. P., ... & COPDGene Investigators. (2022). Depressive and anxiety symptoms in patients with COPD: A network analysis. Respiratory medicine, 198, 106865. https://doi.org/10.1016/j.rmed.2022.106865