Covid-19’un taburculuk sonrası fiziksel durum, solunum fonksiyonları, günlük yaşam aktiviteleri ve yaşam kalitesi üzerine etkileri
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Dosyalar
Tarih
2022
Yazarlar
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Bakırçay Üniversitesi Lisansüstü Eğitim Enstitüsü
Erişim Hakkı
info:eu-repo/semantics/openAccess
Özet
Giriş-Amaç: Koronavirüs kaynaklı SARS, MERS salgınları mağdurlarında solunum
fonksiyonları, fiziksel kapasitesi, günlük yaşam aktiviteleri ve sağlıkla ilgili yaşam
kalitesinin etkilendiği gösterilmiştir. COVID-19 tanı ve tedavisi alıp sağ kalanların uzun
vadede sonuçları üzerine çalışmalar devam etmektedir. Çalışmamızın amacı, COVID-
19’dan dolayı hospitalize olup taburcu edilen bireylerde, hastalığın solunum
fonksiyonları, fiziksel kapasite, günlük yaşam aktiviteleri ve yaşam kaliteleri üzerine
etkisini araştırmaktır.
Gereç- Yöntem: COVID-19 nedeniyle hospitalize edilmiş ve taburculuk tarihi üzerinden
en az 12 hafta geçmiş, 18-65 yaş arası 54 birey çalışmaya dahil edildi. Bireylerin
fonksiyonel egzersiz kapasitesi; 6DYT, solunum fonksiyonları; spirometre ve CO
difüzyon testi, Periferal kas kuvveti; Jamar el dinanometresi ve dijital dinamometre,
solunum kas kuvveti; ağız basınç ölçüm cihazı, günlük yaşam aktiviteleri; Lawton Brody
Enstrümental Günlük Yaşam Aktiviteleri ölçeği ve yaşam kaliteleri; EuroQoL-5D-3L
Ölçeği ile değerlendirildi.
Bulgular: Bireylerde en sık rastlanan komorbiditeler hipertansiyon (%27,8) ve diyabetes
mellitus (%16,7) idi. Devam eden Post COVID-19 semptomları kadın ve düzenli egzersiz
yapmayan bireylerde daha belirgindi (p<0,05). Solunum fonksiyonlarındaki en önemli
değişiklik difüzyon kapasitesindeki (DL(CO)<%80) bozulma idi. Bireylerde BT
bulgularında anormal görünümler devam etti. 6 Dakika Yürüme Testi mesafesinde düşüşe
rastlanmadı. Periferik ve solunum kas kuvvetinde azalmalar bulundu. Günlük Yaşam
Aktiviteleri Ölçeği, Post COVID-19 Fonksiyonel Durum Ölçeği, Yaşam Kalitesi
incelendiğinde minimum düzeyde etkilendiği bulundu.
Sonuç: Taburculuk sonrası 12 haftaki kontrol sonuçlarına göre hospitalize edilmiş
COVID-19’lu bireylerin büyük bir kısmında semptomlar devam etti. Devam eden
semptomlar düzenli egzersiz yapanlarda ve erkeklerde daha az bulundu. Bireylerin
solunum fonksiyonları, fiziksel fonksiyonları, yaşam kalitesi ve psikososyal durumlarının
etkilendiği görüldü. Hastaların taburculuk sonrası izlenmesi, rehabilitasyona
yönlendirilmesi ve daha uzun takipli çalışmaların yapılması önerilmektedir.
Introduction-Aim: It has been shown that respiratory functions, physical capacity, activities of daily living and health-related quality of life are affected in victims of coronavirus-induced SARS, MERS epidemics. Studies are continuing on the long-term consequences of those who have received the diagnosis and treatment of COVID-19. The aim of our study is to investigate the effects of the disease on respiratory functions, physical capacity, activities of daily living and quality of life in individuals hospitalized and discharged due to COVID-19. Materials-Methods: 54 individuals aged between 18 and 65 who were hospitalized due to COVID-19 and at least 12 weeks after discharge were included in the study. The evaluation methods were: functional exercise capacity; 6MWT, respiratory functions; spirometry and CO diffusion test, peripheral muscle strength; Jamar handheld dynamometer and digital dynamometer, respiratory muscle strength; oral pressure measuring device, activities of daily living; Lawton Brody Instrumental Activities of Daily Living scale and quality of life; Evaluated with the EuroQoL-5D-3L Scale. Results: The most common comorbidities were hypertension (27.8%) and diabetes mellitus (16.7%). Ongoing Post COVID-19 symptoms were more prominent in women and individuals who did not exercise regularly (p<0.05). The most important change in respiratory functions was deterioration in diffusing capacity (DL(CO)<80%). Abnormal appearances in CT findings continued. No decrease in 6-Minute Walk Test distance was observed. Decreases in peripheral and respiratory muscle strength were found. Activities of Daily Living Scale, Post COVID-19 Functional Status Scale and Quality of Life were minimally affected. Conclusion: According to the control results at 12 weeks after discharge, most of the patients with COVID-19 who were hospitalized continued to have symptoms. Ongoing symptoms were less common in regular exercisers and men. It was observed that respiratory functions, physical functions, quality of life and psychosocial status of individuals were affected. It is recommended to monitor the patients after discharge, to direct them to rehabilitation and to conduct studies with longer follow-ups.
Introduction-Aim: It has been shown that respiratory functions, physical capacity, activities of daily living and health-related quality of life are affected in victims of coronavirus-induced SARS, MERS epidemics. Studies are continuing on the long-term consequences of those who have received the diagnosis and treatment of COVID-19. The aim of our study is to investigate the effects of the disease on respiratory functions, physical capacity, activities of daily living and quality of life in individuals hospitalized and discharged due to COVID-19. Materials-Methods: 54 individuals aged between 18 and 65 who were hospitalized due to COVID-19 and at least 12 weeks after discharge were included in the study. The evaluation methods were: functional exercise capacity; 6MWT, respiratory functions; spirometry and CO diffusion test, peripheral muscle strength; Jamar handheld dynamometer and digital dynamometer, respiratory muscle strength; oral pressure measuring device, activities of daily living; Lawton Brody Instrumental Activities of Daily Living scale and quality of life; Evaluated with the EuroQoL-5D-3L Scale. Results: The most common comorbidities were hypertension (27.8%) and diabetes mellitus (16.7%). Ongoing Post COVID-19 symptoms were more prominent in women and individuals who did not exercise regularly (p<0.05). The most important change in respiratory functions was deterioration in diffusing capacity (DL(CO)<80%). Abnormal appearances in CT findings continued. No decrease in 6-Minute Walk Test distance was observed. Decreases in peripheral and respiratory muscle strength were found. Activities of Daily Living Scale, Post COVID-19 Functional Status Scale and Quality of Life were minimally affected. Conclusion: According to the control results at 12 weeks after discharge, most of the patients with COVID-19 who were hospitalized continued to have symptoms. Ongoing symptoms were less common in regular exercisers and men. It was observed that respiratory functions, physical functions, quality of life and psychosocial status of individuals were affected. It is recommended to monitor the patients after discharge, to direct them to rehabilitation and to conduct studies with longer follow-ups.
Açıklama
Anahtar Kelimeler
Physical capacity, Exercise capacity, Peripheral muscle strength, Functional status, Solunum fonksiyonu, Egzersiz kapasitesi, Fonksiyonel durum, Periferal kas kuvveti, Respiratory function, Fiziksel kapasite
