Physical activity, psychosocial status, and sleep quality in COVID-19 survivors following telerehabilitation: A prospective intervention and follow-up study

Öz

Purpose: Coronavirus disease (COVID-19) has a negative impact on physical activity, anxiety, depression, sleep, and overall quality of life (QoL). Tele-rehabilitation offers an alternative when rehabilitation is not possible. The study was aimed to explore the impact of telerehabilitation on the physical activity, psychosocial status, sleep quality, QoL, and daily activities of living (ADLs) of COVID-19 survivors. Methods: During the pandemic, twenty individuals who were hospitalized due to COVID-19 and subsequently discharged participated in a 12-week telerehabilitation program that included an exercise brochure and telephone calls. The data were collected using Google Forms at discharge and at the 1st, 2nd, 3rd, and 6th months after discharge. The International PA Questionnaire (IPAQ) was used to assess physical activity, while the Hospital Anxiety and Depression Scale (HADS) was used to determine psychosocial status. For sleep quality assessment, the Pittsburgh Sleep Quality Index (PSQI) was used. The Nottingham Health Profile (NHP) was used to assess QoL and the Barthel Index (BI) for ADLs. Results: There was a significant increase in IPAQ total score after telerehabilitation [discharge vs. 3rd month (p=0.006)], with the similarity in IPAQ total score at 3rd vs. 6th months (p>0.007). The HADS anxiety score decreased significantly over its time course compared with the discharge (p<0.007). The PSQI global score significantly decreased after telerehabilitation (p<0.05). NHP and BI scores were not different among assessment periods (p>0.007). Conclusion: In individuals hospitalized due to COVID-19, a 12-week telerehabilitation program after discharge may have contributed to an increase in physical activity levels and helped maintain these levels during the following three months. Our findings suggest that telerehabilitation may be potentially beneficial in supporting physical activity, reducing symptoms of anxiety and depression, and improving sleep quality in COVID-19 survivors. However, further studies including a control group are needed to validate these results.

Anahtar Kelimeler

• COVID-19
• Quality of life
• Physical activity
• Sleep quality
• Telerehabilitation

COVID-19 geçirenlerde telerehabilitasyon sonrası fiziksel aktivite, psikososyal durum ve uyku kalitesi: Prospektif müdahale ve izlem çalışması

Öz

Amaç: Koronavirüs hastalığı (COVID-19), fiziksel aktivite, anksiyete, depresyon, uyku ve genel yaşam kalitesi üzerinde olumsuz etkilere neden olur. Telerehabilitasyon, yüz yüze rehabilitasyonun bir alternatifi olabilir. Bu çalışmada, COVID-19 nedeni ile hastaneye yatırılan bireylerde, taburculuk sonrası uygulanan telerehabilitasyonun fiziksel aktivite, psikososyal durum, uyku kalitesi, yaşam kalitesi ve günlük yaşam aktiviteleri (GYA) üzerindeki etkisini araştırmayı amaçlandı. Yöntem: Pandemi sırasında, COVID-19 nedeni ile hastaneye yatan ve taburcu olan yirmi kişi, egzersiz broşürü ve telefon görüşmeleri kullanılarak gerçekleştirilen 12 haftalık telerehabilitasyon programına dahil edildi. Veriler, taburculukta ve taburculuk sonrası 1., 2., 3. ve 6. aylarda Google Formlar kullanılarak toplandı. Fiziksel aktivite Uluslararası Fiziksel Aktivite Anketi (IPAQ); psikososyal durum Hastane Anksiyete ve Depresyon Ölçeği (HADS) ile değerlendirildi. Uyku kalitesinin değerlendirilmesinde Pittsburgh Uyku Kalitesi Endeksi (PSQI) kullanıldı. Yaşam kalitesi Nottingham Sağlık Profili (NHP); GYA Barthel İndeksi (BI) ile değerlendirildi. Bulgular: Telerehabilitasyon sonrası IPAQ toplam puanı 3. ayda taburculuğa göre anlamlı olarak artarken (p=0,006), 3. ve 6. ay IPAQ toplam puanları benzerdi (p>0,007). HADS anksiyete puanı, taburculuğa göre zaman içinde anlamlı olarak azaldı (p<0,007). PSQI global puanı, telerehabilitasyon sonrası anlamlı olarak azaldı (p<0,05). NHP ve BI skorları açısından değerlendirme dönemleri arasında farklılık saptanmadı (p>0,007). Sonuç: COVID-19 nedeni ile hastaneye yatırılan bireylerde, taburculuk sonrası uygulanan 12 haftalık telerehabilitasyon programı, fiziksel aktivite düzeyinde artış sağlayarak, bunu takip eden üç ay boyunca fiziksel aktivite düzeyinin korunmasına katkıda bulunmuş olabilir. Bulgularımız, telerehabilitasyonun COVID-19 geçiren bireylerde fiziksel aktiviteyi destekleme, anksiyete ve depresyon semptomlarını azaltma ve uyku kalitesini artırma açısından faydalı olabileceğini göstermektedir. Elde edilen bu sonuçların doğrulanabilmesi için kontrol grubu dahil edilerek yapılacak ileri çalışmalara ihtiyaç vardır.

Anahtar Kelimeler

• COVID-19
• Yaşam kalitesi
• Fiziksel aktivite
• Uyku kalitesi
• Telerehabilitasyon

Kaynakça

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