COVID-19 PANDEMİSİNDE EGZERSİZDE FARKLI MASKE KULLANIMININ DİSPNE VE ÖZNEL ALGILAR ÜZERİNE ETKİSİ

Öz

COVID-19 pandemisi günümüzde insan sağlığını etkileyen ve çözüm bulunmaya çalışılan en önemli sorunlardan birisidir. COVID-19 pandemisi esnasında insanlar günlük yaşamlarına devam edebilmek için uzmanların belirttikleri korunma yöntemlerini uygulamaktadır. Bu yöntemlerden birisi de maske kullanımıdır. Egzersiz esnasında farklı maske tercihleri ve bu maskelerin etkilerini araştıran sınırlı sayıda çalışma bulunmaktadır. Bu düşünce ile yapılan çalışmada kuvvet egzersizi esnasında kullanılan cerrahi maske ile N95 maskesinin dispne ve öznel algılar üzerine etkilerinin karşılaştırılması amaçlanmıştır. Çalışmaya haftada üç gün düzenli olarak fitness merkezine giden, 20-25 yaşları (20,28±1,76) arasında sağlıklı 32 gönüllü erkek birey katılmıştır. Katılımcıların maske kullanımındaki öznel algılarını belirlemek için rahat/rahatsızlık algısı ölçeği, dispne şiddetini belirlemek için vizüel analog skalası kullanılmıştır. Maske kullanımında öznel algılar ve vizüel analog skalası yorgunluk sorgulamasının maske tiplerine göre karşılaştırılması Mann Whitney U testi ile, vizüel analog skalası yorgunluk sorgulamasının tekrarlı ölçümlerinin karşılaştırılması Friedman testi ile, farkın hangi gruptan kaynaklandığı ise Wilcoxon testi ile belirlenmiştir. İstatiksel analiz sonucunda vizüel analog skalası yorgunluk sorgulamasının N95 maske kullanımında cerrahi maske kullanımına göre istatiksel olarak anlamlı şekilde yüksek olduğu tespit edilmiştir (p<0,05). Ayrıca hem cerrahi maskede hem de N95 maskede vizüel analog skalası yorgunluk sorgulamasının süre ile birbirine paralel olarak arttığı belirlenmiştir (p<0,05). Sonuç olarak, egzersizde maske kullanımının hem öznel rahatsızlıkları hem de dispneleri artırdığı ayrıca N95 maske kullanımında bu problemlerin daha fazla görüldüğü söylenebilir. Bu nedenle egzersizde maske kullanımının doğru olmadığı, maske kullanmadan egzersiz yapmak istemeyen kişilerin ise cerrahi maskeleri tercih etmeleri önerilebilir.

Anahtar Kelimeler

• COVID-19
• dispne
• maske kullanımı öznel algısı
• N95 maske
• cerrahi maske

THE EFFECT OF USE OF DIFFERENT MASKS IN EXERCISE ON DYSPNEA AND SUBJECTIVE PERCEPTIONS IN THE COVID-19 PANDEMIC

Abstract

The COVID-19 pandemic is one of the most important problems affecting human health today and trying to find a solution. During the COVID-19 pandemic, people apply the means of protection methods specified by experts in order to continue their daily lives. One of these methods is the use of masks. There are a limited number of studies investigating different mask preferences and the effects of these masks during exercise. In this study, it was aimed to compare the effects of surgical mask and N95 mask on dyspnea and subjective perceptions during strength exercise. Thirty-two healthy male volunteers between the ages of 20 and 25, who regularly going to fitness center three days a week, participated in the study. The comfortable/discomfort perception scale was used to determine the subjective perceptions of the participants in mask use, and the visual analog scale was used to determine the severity of dyspnea. Subjective perceptions in mask use and comparison of visual analog scale fatigue questioning according to mask types were determined with Mann Whitney U test, comparison of repeated measurements of visual analog scale fatigue questioning was determined with Friedman test, and Wilcoxon test was used to determine which group the difference originated from. As a result of the statistical analysis, it was determined that the visual analog scale fatigue query was statistically significantly higher in the N95 mask than in the use of surgical mask (p<0.05). In addition, it was determined that the visual analog scale fatigue query increased in parallel with each other with time in both the surgical mask and the N95 mask (p<0.05). As a result, it can be said that the use of masks in exercise increases both subjective discomfort and dyspnea, and these problems are more common in the use of N95 masks. For this reason, it can be suggested that the use of masks in exercise is not correct and people who do not want to exercise without using a mask should prefer surgical masks.

Keywords

• COVID-19
• dyspnea
• subjective perception of mask use
• N95 mask
• surgical mask

Kaynakça

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