Covid 19 Pandemi’sinde Behçet hastalığı ve Ailesel Akdeniz Ateşi hastalığında fiziksel aktivite düzeyi, uyku, yorgunluk ve yaşam kalitesi

Öz

Amaç: Çalışmamızın birincil amacı, Behçet ve Ailesel Akdeniz Ateşi (AAA) olan hastalarda, fiziksel aktivite, uyku, yorgunluk, ağrı ve yaşam kalitesi düzeylerindeki değişimlerin karantina öncesi ve sırasındaki karşılaştırılmasıdır. İkincil amacı, Behçet ve AAA'lı hastaların Covid-19 Pandemi sırasındaki egzersiz davranışlarını belirlemektir. Yöntem: Bu kesitsel çalışmaya toplam 21 Behçet Hastası (Ortalama yaş 42 yıl, %57’si kadın) ve 21 AAA hastası (Ortalama yaş 39 yıl, %71,4’ü kadın) dahil edildi. Hastalara Uluslararası Fiziksel Aktivite Anketi- Kısa Form, Kısa Form 36 ve Egzersiz Aşamaları Değişim Anketi uygulandı. Uyku memnuniyeti, yorgunluk ve ağrı Sayısal Derecelendirme Ölçeği ile değerlendirildi. Bulgular: Başlangıçta sosyodemografik verilerde ve gruplar arasında uyku süresi dışındaki tüm sonuçlarda istatistiksel olarak anlamlı fark olmadığı bulundu (p>0,05). Fiziksel aktivite, ağrı, yorgunluk, uyku ve yaşam kalitesi hem Behçet hem de AAA hastalarında karantina öncesi ile karşılaştırıldı. Behçet hastalarında ağrı ve yorgunluk düzeyinin arttığı hem Behçet hem de AAA hastalarında ise fiziksel aktivite ve yaşam kalitesinin azaldığı bulundu (p<0,05). Behçet hastalarında fiziksel aktivite ile yaşam kalitesinin ruh sağlığı alt boyutu arasında anlamlı bir ilişki bulundu. Ayrıca çalışmamızda Behçet hastalarının sadece %9,5’i ve AAA hastalarının sadece %14,3'ü 6 aydan uzun süredir egzersiz yaptığını belirtmiştir. Sonuç: Her iki gruptaki hastalar fiziksel olarak inaktifti ve çoğunluğu egzersiz yapmıyordu. Bu durum karantina döneminde arttı. Behçet ve AAA hastalarında bu semptomlara olumlu etki yapabilmek için kişiselleştirilmiş egzersiz tedavisi planlanabilir ve fiziksel aktivite düzeyleri arttırılabilir.

Anahtar Kelimeler

• Behçet Hastalığı
• Ailevi Akdeniz Ateşi
• Pandemi
• Fiziksel aktivite
• Romatoloji

Physical activity level, sleep, fatigue and quality of life in Behçet’s Disease and Familial Mediterranean Fever Disease during the Covid 19 Pandemic

Öz

Purpose: The primary aim of our study was to compare the changes in physical activity, sleep, fatigue, pain, and quality of life levels before and during confinement in patients with Behçet’s Disease (BD) and Familial Mediterranean Fever (FMF) disease (FMFD). The secondary aim of the present study was to determine the exercise behavior of patients with BD and FMF during the Covid 19 Pandemic. Methods: A total of 21 patients with BD (mean age was 42 years, 57.1% were female) and 21 patients with FMF (Mean age was 39 years, 71.4% were female) were included in this cross sectional study. Internal Physical Activity Questionnaire- Short Form, Short Form 36 and Exercise Stages of Change Questionnaire were administered to all participants. Sleep satisfaction, fatigue and pain was assessed with the Numeric Rating Scale. Results: There were no significant differences in sociodemographic data and all outcome scores except sleep duration between the groups at baseline (p>0.05). Physical activity, pain, fatigue, sleep, and quality of life were compared with pre-confinement in both BD and FMF patients. It was found that the level of pain and fatigue increased in BD patients, and physical activity and quality of life decreased in both BD and FMF patients (p<0.05). We found a significant relationship between physical activity and mental health subscale of quality of life in BD patients (p<0.05). In addition, only 9.5% of BD patients and only 14.3% of FMFD patients in our study stated that they had been exercising for more than 6 months. Conclusion: The patients in both groups were physically inactive and the majority of them did not exercise. This situation increased during the confinement period. In order to have a positive effect on these symptoms, personalized exercise therapy can be planned and physical activity levels can be increased in BD and FMF patients.

Anahtar Kelimeler

• behcet disease
• pandemic
• physical activity

Kaynakça

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