COVID-19 PANDEMİSİ SÜRECİNDE HEMİPLEJİ HASTALARINDA FONKSİYONELLİK, DEPRESYON VE YAŞAM KALİTESİNİN DEĞERLENDİRİLMESİ

Year 2023, , 287 - 292, 13.07.2023

Merve Akdeniz Leblebicier , Dilan Bulut Özkaya , Fatıma Yaman

https://doi.org/10.18229/kocatepetip.1059272

Abstract

AMAÇ: Bu çalışmada amaç, iskemik veya hemorajik inmeye bağlı hemipleji tanısı ile takipli hastalarda COVİD-19 pandemisi sırasında fonksiyonellik, duygu-durum ve yaşam kalitesindeki değişiklikleri araştırmaktır.
GEREÇ VE YÖNTEM: COVID-19 pandemi döneminden önce inmeye bağlı hemipleji tanısı ile 30 seans rehabilitasyon tedavisi alan 83 hasta (ortalama yaş 62.0±6.43 yıl) çalışmaya dahil edildi. Katılımcıların yaş, cinsiyet, vücut kitle indeksi (VKİ), inme süresi, inme tipi, etkilenen taraf ve eğitim düzeyi ile ilgili veriler kaydedildi. Tüm değerlendirmeler COVID-19 pandemisinden önce yapıldı ve pandeminin başlamasından sonraki ilk yılda tekrarlandı. Hastaların fonksiyonel durumları Fonksiyonel Bağımsızlık Ölçütü (FIM) ile, depresyon düzeyleri Beck Depresyon Envanteri (BDI) kullanılarak, yaşam kaliteleri İnmeye Özgü Yaşam Kalitesi Ölçeği (SS-QOL) ile değerlendirildi.
BULGULAR: COVID-19 öncesi ve pandeminin 1. yılında değerlendirilen hastaların FIM toplam puanlarında istatistiksel olarak anlamlı fark saptandı (91.32±15.94 ve 87.15±15.60, p<0.001). COVID-19 öncesi ve pandeminin 1. yılında hastaların FIM öz bakım skorları sırasıyla 27.45±6.62 ve 25.27±7.08, FIM sfinkter kontrol skorları sırasıyla 10.10±2.56 ve 9.39±2.87, FIM transfer puanları sırasıyla 14.67±3.36 ve 13.61±3.54, FIM sosyal algı puanları sırasıyla 18.40±1.86 ve 17.67±1.93 olarak saptandı (p<0.001). BDI skoru pandemi öncesi 10.06±3.18 ve pandeminin 1. yılında13.66±3.04, SS-QOL skorları pandemi öncesi 136.48±29.63 ve birinci yıl değerlendirmesinde 133.63±29.63 idi. (p<0.001).
SONUÇ: COVID-19 pandemisi kronik hemiplejili hastalarda hem takip hem de rehabilitasyon tedavisinde gecikmelere neden olmuştur. Rehabilitasyon tedavisinden yoksun kalma ve sosyal izolasyon hastaların fonksiyonelliğini, yaşam kalitesini ve duygu durumunu etkilenmiştir.

Keywords

COVID-19 virüs, Hemipleji, Depresyon, Yaşam kalitesi

EVALUATION OF FUNCTIONALITY, DEPRESSION AND QUALITY OF LIFE IN HEMIPLEGIC PATIENTS DURING COVID-19 PANDEMIC

Abstract

OBJECTIVE: The aim of this study was to investigate the changes of the functionality, mood and life quality of patients diagnosed with hemiplegia due to an ischemic or hemorrhagic stroke during the COVID-19 pandemic.
MATERIAL AND METHODS: A total of 83 patients (mean age, 62.0±6.43 years) diagnosed with hemiplegia due to stroke, who received 30 sessions of rehabilitation therapy, before the COVID-19 pandemic, were included in this study. Data regarding the participants’ age, gender, body mass index (BMI), duration of stroke, stroke type, affected side, and education level were recorded. All the assessments were undertaken before the COVID-19 pandemic and repeated at the first year after the beginning of the pandemic. The functional status of the patients was evaluated with the Functional Independence Measure (FIM). The depression levels of the participants were evaluated using the Beck Depression Inventory (BDI). The life quality of the participants was evaluated using the Stroke-Specific Quality of Life Scale (SS-QOL).
RESULTS: There were significant differences in the FIM total scores of the patients evaluated before and during COVID-19 (91.32±15.94 and 87.15±15.60, respectively, p<0.001).When the FIM domain scores were evaluated before COVID-19 and at the first-year control during COVID-19, the FIM self-care scores were 27.45±6.62 and 25.27±7.08, respectively, the FIM sphincter control scores were 10.10±2.56 and 9.39±2.87, respectively, the FIM transfers scores were 14.67±3.36 and 13.61±3.54, respectively, the FIM social cognition scores were 18.40±1.86 and 17.67±1.93 respectively (p<0.001). The BDI score was 10.06±3.18 before the pandemic and 13.66±3.04 at the first year of the pandemic, the SS-QOL scores was 136.48±29.63 before the pandemic and 133.63±29.63 at the first year evaluation (p<0.001).
CONCLUSIONS: The COVID-19 pandemic has caused delays in both follow-up and rehabilitation therapy in patients with chronic hemiplegia. The functionality, life quality and mood of the patients have been affected due to the lack of therapy and social isolation.

Keywords

COVID-19 virus, hemiplegia, depression, quality of life.

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