Evde Egzersiz Programlarına Uyum: Demografik ve Klinik Faktörlerin Etkisi

Öz

Amaç: Bu çalışmanın amacı, fiziksel tıp ve rehabilitasyon alan hastaların evde egzersiz programlarına ne kadar iyi uyduklarını araştırmak ve hangi demografik ve klinik faktörlerin uyum düzeylerini etkileyebileceğini daha iyi anlamaktır. Gereç ve Yöntemler: Bu prospektif gözlemsel çalışmada, standart bir ev egzersiz programı reçete edilen 296 hasta takip edilmiştir. Yaş, eğitim, meslek, ağrı şiddeti (VAS ile ölçülmüştür) ve egzersiz planına uyum hakkında bilgiler toplanmış ve istatistiksel olarak analiz edilmiştir. Bulgular: Katılımcılar arasında 154 kişi (%52) reçete edilen ev egzersiz rutinlerini düzenli olarak takip etmiştir. Genel olarak, hastaların %68,2'si ağrı düzeylerinde gözle görülür bir azalma olduğunu bildirmiştir. Programa sürekli uyanlar, uymayanlara kıyasla önemli ölçüde daha fazla ağrı kesici deneyimlemiştir (p < 0.001). Uyumun hem eğitim düzeyinden hem de meslekten etkilendiği görülmektedir. Daha yüksek eğitim düzeyine sahip hastaların egzersiz rutinlerini takip etme olasılığı daha yüksekken, çalışanlar, emekliler ve öğrenciler gibi bireyler daha güçlü uyum kalıpları göstermiştir (sırasıyla p = 0.002 ve p = 0.019). Buna karşılık, ev hanımları ve daha düşük eğitim düzeyine sahip bireylerin egzersiz programlarına bağlı kalma olasılıkları daha düşüktü; genellikle ev sorumluluklarını düzenli katılımın önündeki bir engel olarak göstermişlerdir. Sonuç: Evde uygulanan egzersiz programlarına bağlı kalmak, özellikle ağrıyı daha hızlı ve etkili bir şekilde azaltma söz konusu olduğunda, sonuçlarda gerçek bir fark yaratıyor gibi görünmektedir. Bu bulgular, özellikle kas-iskelet sistemi rehabilitasyonunda hastaların programa bağlı kalmasına yardımcı olmak için, muhtemelen teknolojiyi kullanarak, bireye özel destek sistemleri tasarlamanın önemini vurgulamaktadır

Anahtar Kelimeler

• Evde uygulanan egzersiz programları
• Uyum
• Ağrı
• Fiziksel tıp

Adherence to Home Exercise Programs: The Impact of Demographic and Clinical Factors

Öz

Aim: This study aimed to explore how well patients receiving physical medicine and rehabilitation adhered to home-based exercise programs, and to better understand which demographic and clinical factors might influence their level of adherence. Material and Methods: In this prospective observational study, 296 patients who had been prescribed a standardized home exercise program were followed. Information on age, education, occupation, pain severity (measured by VAS), and adherence to the exercise plan was collected and statistically analyzed Results: Among the participants, 154 individuals (52%) were regularly following their prescribed home exercise routines. Overall, 68.2% of patients reported a noticeable reduction in pain levels. Notably, those who consistently adhered to the program experienced significantly more pain relief compared to those who were non-adherent (p < 0.001). Adherence appeared to be influenced by both education level and occupation. Patients with higher levels of education were more likely to follow their exercise routines, while individuals such as workers, retirees, and students demonstrated stronger adherence patterns (p = 0.002 and p = 0.019, respectively). In contrast, housewives and individuals with lower educational attainment were less likely to stay committed—often citing household responsibilities as a barrier to regular participation. Conclusion: Sticking to home-based exercise programs seems to make a real difference in outcomes, especially when it comes to reducing pain more quickly and effectively. These findings emphasize the importance of designing support systems that are tailored to the individual— possibly using technology to help patients stay on track, particularly in musculoskeletal rehabilitation.

Anahtar Kelimeler

• Home-based exercise programs
• Adherence
• Pain
• Physical medicine

Kaynakça

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