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COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC

Year 2023, Volume: 34 Issue: 1, 125 - 132, 20.04.2023
https://doi.org/10.21653/tjpr.1067597

Abstract

Purpose: The COVID-19 pandemic period may affect physical and mental health of non-cystic fibrosis (CF) bronchiectasis patients. The aim of this study was to compare COVID-19 phobia, quality of life, health anxiety, physical activity level and sleep quality during the pandemic between patients with non-CF bronchiectasis and healthy controls.
Methods: Thirty non-CF bronchiectasis patients and 44 healthy controls were included. COVID-19 phobia (Coronavirus 19 Phobia Scale (CP19-S)), quality of life (Nottingham Health Profile (NHP)), health anxiety (Health Anxiety Inventory (HAI)), physical activity level (short form of the International Physical Activity Questionnaire (IPAQ-SF)) and sleep quality (Pittsburgh Sleep Quality Index (PSQI)) were evaluated.
Results: NHP energy, pain, and physical mobility scores and moderate-intensity physical activity levels were significantly lower; PSQI sleep disturbance score was significantly higher in patients compared with controls (p<0.05). Total CP19-S and HAI scores were similar between groups (p>0.05). The majority of patients and controls did not meet the recommended levels of moderate or high-intensity physical activity per week.
Conclusion: The COVID-19 pandemic has resulted in a decline in quality of life, reduced moderateintensity physical activity, and increased sleep disturbances among non-CF bronchiectasis patients. Both patients and healthy individuals have experienced coronaphobia and exhibited low levels of physical activity. These results reveal the importance of providing physical activity counseling during the pandemic period.

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References

  • 1. Dikmen AU, Kına MH, Özkan S, İlhan MN. COVID-19 Epidemiyolojisi: Pandemiden Ne Öğrendik. J Biotechinol & Strategic Health Res. 2020; 4: 29-36.
  • 2. Arpaci I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Pers Individ Dif. 2020; 164:110108.
  • 3. Qi M, Li P, Moyle W, Weeks B, Jones C. Physical activity, health-related quality of life, and stress among the chinese adult population during the COVID-19 pandemic. Int J Environ Res Public Health. 2020; 17(18): 6494.
  • 4. Cheval B, Sivaramakrishnan H, Maltagliati S, Fessler L, Forestier C, Sarrazin P, et al. Relationships between changes in self-reported physical activity, sedentary behaviour and health during the coronavirus (COVID-19) pandemic in France and Switzerland. J Sports Sci. 2020;1-6.
  • 5. Ong JL, Lau T, Massar SAA, Chong ZT, Ng BKL, Koek D, et al. COVID-19 Related mobility reduction: Heterogenous effects on sleep and physical activity rhythms. Sleep. 2020;zsaa179.
  • 6. Edis EÇ. Chronic pulmonary diseases and COVID-19. Turk Thorac J. 2020; 21(5): 345-349.
  • 7. Hume E, Armstrong M, Manifield J, McNeillie L, Chambers F, Wakenshaw L, et al. Impact of COVID-19 shielding on physical activity and quality of life in patients with COPD. Breathe.2020; 16: 200231.
  • 8. To T, Viegi G, Cruz A, Taborda-Barata L, Asher I, Behera D, Bennoor K, et al. A global respiratory perspective on the COVID-19 pandemic: commentary and action proposals. Eur Respir J. 2020; 56(1): 2001704.
  • 9. Wang W, Zheng Y, Jiang L. Impact of the COVID-19 epidemic on outpatient visits of common respiratory diseases. 2020.
  • 10. Martinez-Garcia MA, Perpina-Tordera M, Soler-Cataluna JJ, Roman-Sanchez P, Lloris-Bayo A, Gonzalez-Molina A. Dissociation of lung function,dyspnea ratings and pulmonary extension in bronchiectasis. Resp Med. 2007;101(11):2248-2253.
  • 11. Kucukdeveci AA, McKenna SP, Kutlay S, Gursel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38.
  • 12. Hunt SM, McKenna SP, McEwen J, Backett EM, Williams J, Papp E. A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health. 1980;34(4):281-286.
  • 13. Aydemir O, Kirpinar I, Sati T, Uykur B, Cengisiz C. Reliability and validity of the Turkish Version of the Health Anxiety Inventory. Noro Psikiyatr Ars. 2013;50(4):325-331.
  • 14. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-853.
  • 15. Landi G, Pakenham KI, Boccolini G, Grandi S, Tossani E. Health anxiety and mental health outcome during COVID-19 lockdown in Italy: The mediating and moderating roles of psychological flexibility. Front Psychol. 2020;11:2195.
  • 16. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284.
  • 17. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-1395.
  • 18. Sjostrom M, Ainsworth B, Bauman A, Bull F, Hamilton-Craig C, Sallis J. Guidelines for data processing analysis of the International Physical Activity Questionnaire (IPAQ) - Short and long forms. 2005. Available from URL: http://www.ipaq.ki.se/scoring.pdf.
  • 19. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi Indeksinin geçerliği ve güvenirliği [Validity and reliability of the Pittsburgh Sleep Quality Index in Turkish sample]. Türk Psikiyatri Derg 1996;7:107–115.
  • 20. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 21. Gao Y, Guan W, Xu G, Lin Z, Tang Y, Lin Z, et al. Sleep disturbances and health-related quality of life in adults with steady-state bronchiectasis. PLoS One. 2014;9(7):e102970.
  • 22. Cakmak A, Inal-Ince D, Sonbahar-Ulu H, Bozdemir-Ozel C, Ozalp O, Calik-Kutukcu E, et al. Physical activity of patients with bronchiectasis compared with healthy counterparts: A cross-sectional study. Heart Lung. 2020;49(1):99-104.
  • 23. Hayran M, Hayran M. Sağlık araştırmaları için temel istatistik. Ankara, Omega Yayınları, 2011.
  • 24. Haktanir A, Seki T, Dilmaç B. Adaptation and evaluation of Turkish version of the fear of COVID-19 Scale. Death Stud. 2020;1-9.
  • 25. Musche V, Bäuerle A, Steinbach J, Schweda A, Hetkamp M, Weismüller B, et al. COVID-19-related fear and health-related safety behavior in oncological patients. Front Psychol 2020;11:1984.
  • 26. Baradaran Mahdavi S, Kelishadi R. Impact of sedentary behavior on bodily pain while staying at home in COVID-19 pandemic and potential preventive strategies. Asian J Sports Med 2020;11(2):e103511.
  • 27. Puetz TW. Physical activity and feelings of energy and fatigue: epidemiological evidence. Sports Med. 2006;36(9):767-780.
  • 28. Toprak-Celenay S, Karaaslan Y, Mete O, Ozer-Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int. 2020;37(12):1778-1785.
  • 29. Özdin S, Bayrak-Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry. 2020;66(5):504-511.
  • 30. Castañeda-Babarro A, Arbillaga-Etxarri A, Gutiérrez-Santamaría B, Coca A. Physical activity change during COVID-19 confinement. Int J Environ Res Public Health. 2020;17(18):6878.
  • 31. O’Neill B, McDonough SM, Wilson JJ, Bradbury I, Hayes K, Kirk A, et al. Comparing accelerometer, pedometer and a questionnaire for measuring physical activity in bronchiectasis: a validity and feasibility study?. Respir Res. 2017;18(1):16.
  • 32. López-Sánchez GF, López-Bueno R, Gil-Salmerón A, Zauder R, Skalska M, Jastrzębska J, et al. Comparison of physical activity levels in Spanish adults with chronic conditions before and during COVID-19 quarantine. Eur J Public Health. 2021;31(1):161-166.
  • 33. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Me. 2020;54(24):1451-1462.
  • 34. Ku PW, Steptoe A, Liao Y, Hsueh MC, Chen LJ. A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants. BMC Med .2018;16(1):74.
  • 35. Idrissi AJ, Lamkaddem A, Benouajjit A, El Bouaazzaoui MB, El Houari F, Alami M, et al. Sleep quality and mental health in the context of COVID-19 pandemic and lockdown in Morocco. Sleep Med. 2020;74:248-253.
  • 36. Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health. 2020;17(13):4779.
  • 37. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233-243.

COVID-19 PANDEMİSİ SIRASINDA KİSTİK FİBROZİS DIŞI BRONŞEKTAZİ HASTALARINDA COVID-19 FOBİSİ VE FİZİKSEL AKTİVİTE DÜZEYİ

Year 2023, Volume: 34 Issue: 1, 125 - 132, 20.04.2023
https://doi.org/10.21653/tjpr.1067597

Abstract

Amaç: COVID-19 pandemi dönemi, akistik fibrozis (KF) dışı bronşektazi hastalarının fiziksel ve mental sağlığını etkileyebilir. Bu çalışmanın amacı, pandemi sırasında COVID-19 fobisi, yaşam kalitesi, sağlık anksiyetesi, fiziksel aktivite düzeyi ve uyku kalitesini KF dışı bronşektazi hastaları ve sağlıklı kontroller arasında karşılaştırmaktı.
Yöntem: Otuz KF dışı bronşektazi hastası ve 44 sağlıklı kontrol dahil edildi. COVID-19 fobisi (Koronavirüs-19 Fobisi Ölçeği (CP19-S)), yaşam kalitesi (Nottingham Sağlık Profili (NHP)), sağlık anksiyetesi (Sağlık Anksiyete Ölçeği (HAI)), fiziksel aktivite (Uluslararası Fiziksel Aktivite Anketi kısa formu (IPAQ-SF)) ve uyku kalitesi (Pittsburgh Uyku Kalitesi İndeksi (PSQI)) değerlendirildi.
Sonuçlar: NHP enerji, ağrı ve fiziksel hareketlilik skorları ve orta şiddette fiziksel aktivite düzeyleri anlamlı olarak daha düşük; PSQI uyku bozukluğu skoru hastalarda kontrollere göre anlamlı olarak daha yüksekti (p<0,05). Toplam CP19-S ve HAI skorları gruplar arasında benzerdi (p>0,05). Hastaların ve kontrollerin çoğu önerilen haftalık orta veya şiddetli fiziksel aktivite düzeyini karşılamıyordu.
Tartışma: COVID-19 pandemisi, KF dışı bronşektazi hastalarında yaşam kalitesinde düşüşe, orta şiddette fiziksel aktivite düzeyinde azalmaya ve uyku bozukluklarında artışa neden olmuştur. Hem hastalar hem de sağlıklı bireyler koronafobiye ve düşük düzeyde fiziksel aktivite seviyesine sahipti. Bu sonuçlar, pandemi döneminde fiziksel aktivite danışmanlığı verilmesinin önemini ortaya koymaktadır.

Project Number

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References

  • 1. Dikmen AU, Kına MH, Özkan S, İlhan MN. COVID-19 Epidemiyolojisi: Pandemiden Ne Öğrendik. J Biotechinol & Strategic Health Res. 2020; 4: 29-36.
  • 2. Arpaci I, Karataş K, Baloğlu M. The development and initial tests for the psychometric properties of the COVID-19 Phobia Scale (C19P-S). Pers Individ Dif. 2020; 164:110108.
  • 3. Qi M, Li P, Moyle W, Weeks B, Jones C. Physical activity, health-related quality of life, and stress among the chinese adult population during the COVID-19 pandemic. Int J Environ Res Public Health. 2020; 17(18): 6494.
  • 4. Cheval B, Sivaramakrishnan H, Maltagliati S, Fessler L, Forestier C, Sarrazin P, et al. Relationships between changes in self-reported physical activity, sedentary behaviour and health during the coronavirus (COVID-19) pandemic in France and Switzerland. J Sports Sci. 2020;1-6.
  • 5. Ong JL, Lau T, Massar SAA, Chong ZT, Ng BKL, Koek D, et al. COVID-19 Related mobility reduction: Heterogenous effects on sleep and physical activity rhythms. Sleep. 2020;zsaa179.
  • 6. Edis EÇ. Chronic pulmonary diseases and COVID-19. Turk Thorac J. 2020; 21(5): 345-349.
  • 7. Hume E, Armstrong M, Manifield J, McNeillie L, Chambers F, Wakenshaw L, et al. Impact of COVID-19 shielding on physical activity and quality of life in patients with COPD. Breathe.2020; 16: 200231.
  • 8. To T, Viegi G, Cruz A, Taborda-Barata L, Asher I, Behera D, Bennoor K, et al. A global respiratory perspective on the COVID-19 pandemic: commentary and action proposals. Eur Respir J. 2020; 56(1): 2001704.
  • 9. Wang W, Zheng Y, Jiang L. Impact of the COVID-19 epidemic on outpatient visits of common respiratory diseases. 2020.
  • 10. Martinez-Garcia MA, Perpina-Tordera M, Soler-Cataluna JJ, Roman-Sanchez P, Lloris-Bayo A, Gonzalez-Molina A. Dissociation of lung function,dyspnea ratings and pulmonary extension in bronchiectasis. Resp Med. 2007;101(11):2248-2253.
  • 11. Kucukdeveci AA, McKenna SP, Kutlay S, Gursel Y, Whalley D, Arasil T. The development and psychometric assessment of the Turkish version of the Nottingham Health Profile. Int J Rehabil Res. 2000;23(1):31-38.
  • 12. Hunt SM, McKenna SP, McEwen J, Backett EM, Williams J, Papp E. A quantitative approach to perceived health status: a validation study. J Epidemiol Community Health. 1980;34(4):281-286.
  • 13. Aydemir O, Kirpinar I, Sati T, Uykur B, Cengisiz C. Reliability and validity of the Turkish Version of the Health Anxiety Inventory. Noro Psikiyatr Ars. 2013;50(4):325-331.
  • 14. Salkovskis PM, Rimes KA, Warwick HM, Clark DM. The Health Anxiety Inventory: development and validation of scales for the measurement of health anxiety and hypochondriasis. Psychol Med. 2002;32(5):843-853.
  • 15. Landi G, Pakenham KI, Boccolini G, Grandi S, Tossani E. Health anxiety and mental health outcome during COVID-19 lockdown in Italy: The mediating and moderating roles of psychological flexibility. Front Psychol. 2020;11:2195.
  • 16. Saglam M, Arikan H, Savci S, Inal-Ince D, Bosnak-Guclu M, Karabulut E, et al. International physical activity questionnaire: reliability and validity of the Turkish version. Percept Mot Skills. 2010;111(1):278-284.
  • 17. Craig CL, Marshall AL, Sjöström M, Bauman AE, Booth ML, Ainsworth BE, Pratt M, Ekelund U, Yngve A, Sallis JF, Oja P. International physical activity questionnaire: 12-country reliability and validity. Med Sci Sports Exerc. 2003;35(8):1381-1395.
  • 18. Sjostrom M, Ainsworth B, Bauman A, Bull F, Hamilton-Craig C, Sallis J. Guidelines for data processing analysis of the International Physical Activity Questionnaire (IPAQ) - Short and long forms. 2005. Available from URL: http://www.ipaq.ki.se/scoring.pdf.
  • 19. Ağargün MY, Kara H, Anlar Ö. Pittsburgh uyku kalitesi Indeksinin geçerliği ve güvenirliği [Validity and reliability of the Pittsburgh Sleep Quality Index in Turkish sample]. Türk Psikiyatri Derg 1996;7:107–115.
  • 20. Buysse DJ, Reynolds CF 3rd, Monk TH, Berman SR, Kupfer DJ. The Pittsburgh Sleep Quality Index: a new instrument for psychiatric practice and research. Psychiatry Res. 1989;28(2):193-213.
  • 21. Gao Y, Guan W, Xu G, Lin Z, Tang Y, Lin Z, et al. Sleep disturbances and health-related quality of life in adults with steady-state bronchiectasis. PLoS One. 2014;9(7):e102970.
  • 22. Cakmak A, Inal-Ince D, Sonbahar-Ulu H, Bozdemir-Ozel C, Ozalp O, Calik-Kutukcu E, et al. Physical activity of patients with bronchiectasis compared with healthy counterparts: A cross-sectional study. Heart Lung. 2020;49(1):99-104.
  • 23. Hayran M, Hayran M. Sağlık araştırmaları için temel istatistik. Ankara, Omega Yayınları, 2011.
  • 24. Haktanir A, Seki T, Dilmaç B. Adaptation and evaluation of Turkish version of the fear of COVID-19 Scale. Death Stud. 2020;1-9.
  • 25. Musche V, Bäuerle A, Steinbach J, Schweda A, Hetkamp M, Weismüller B, et al. COVID-19-related fear and health-related safety behavior in oncological patients. Front Psychol 2020;11:1984.
  • 26. Baradaran Mahdavi S, Kelishadi R. Impact of sedentary behavior on bodily pain while staying at home in COVID-19 pandemic and potential preventive strategies. Asian J Sports Med 2020;11(2):e103511.
  • 27. Puetz TW. Physical activity and feelings of energy and fatigue: epidemiological evidence. Sports Med. 2006;36(9):767-780.
  • 28. Toprak-Celenay S, Karaaslan Y, Mete O, Ozer-Kaya D. Coronaphobia, musculoskeletal pain, and sleep quality in stay-at home and continued-working persons during the 3-month Covid-19 pandemic lockdown in Turkey. Chronobiol Int. 2020;37(12):1778-1785.
  • 29. Özdin S, Bayrak-Özdin Ş. Levels and predictors of anxiety, depression and health anxiety during COVID-19 pandemic in Turkish society: The importance of gender. Int J Soc Psychiatry. 2020;66(5):504-511.
  • 30. Castañeda-Babarro A, Arbillaga-Etxarri A, Gutiérrez-Santamaría B, Coca A. Physical activity change during COVID-19 confinement. Int J Environ Res Public Health. 2020;17(18):6878.
  • 31. O’Neill B, McDonough SM, Wilson JJ, Bradbury I, Hayes K, Kirk A, et al. Comparing accelerometer, pedometer and a questionnaire for measuring physical activity in bronchiectasis: a validity and feasibility study?. Respir Res. 2017;18(1):16.
  • 32. López-Sánchez GF, López-Bueno R, Gil-Salmerón A, Zauder R, Skalska M, Jastrzębska J, et al. Comparison of physical activity levels in Spanish adults with chronic conditions before and during COVID-19 quarantine. Eur J Public Health. 2021;31(1):161-166.
  • 33. Bull FC, Al-Ansari SS, Biddle S, Borodulin K, Buman MP, Cardon G, et al. World Health Organization 2020 guidelines on physical activity and sedentary behaviour. Br J Sports Me. 2020;54(24):1451-1462.
  • 34. Ku PW, Steptoe A, Liao Y, Hsueh MC, Chen LJ. A cut-off of daily sedentary time and all-cause mortality in adults: a meta-regression analysis involving more than 1 million participants. BMC Med .2018;16(1):74.
  • 35. Idrissi AJ, Lamkaddem A, Benouajjit A, El Bouaazzaoui MB, El Houari F, Alami M, et al. Sleep quality and mental health in the context of COVID-19 pandemic and lockdown in Morocco. Sleep Med. 2020;74:248-253.
  • 36. Gualano MR, Lo Moro G, Voglino G, Bert F, Siliquini R. Effects of Covid-19 lockdown on mental health and sleep disturbances in Italy. Int J Environ Res Public Health. 2020;17(13):4779.
  • 37. Hirshkowitz M, Whiton K, Albert SM, Alessi C, Bruni O, DonCarlos L, et al. National Sleep Foundation's updated sleep duration recommendations: final report. Sleep Health. 2015;1(4):233-243.
There are 37 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Araştırma Makaleleri
Authors

Merve Fırat 0000-0001-8296-3158

Naciye Vardar Yaglı 0000-0003-0218-140X

Aslıhan Çakmak 0000-0002-2474-8000

Melda Sağlam 0000-0001-5323-1943

Ebru Çalık Kütükcü 0000-0001-5215-5125

Deniz İnce 0000-0002-8151-0664

Lütfi Çöplü 0000-0002-6961-7530

Project Number -
Publication Date April 20, 2023
Published in Issue Year 2023 Volume: 34 Issue: 1

Cite

APA Fırat, M., Vardar Yaglı, N., Çakmak, A., Sağlam, M., et al. (2023). COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, 34(1), 125-132. https://doi.org/10.21653/tjpr.1067597
AMA Fırat M, Vardar Yaglı N, Çakmak A, Sağlam M, Çalık Kütükcü E, İnce D, Çöplü L. COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC. Turk J Physiother Rehabil. April 2023;34(1):125-132. doi:10.21653/tjpr.1067597
Chicago Fırat, Merve, Naciye Vardar Yaglı, Aslıhan Çakmak, Melda Sağlam, Ebru Çalık Kütükcü, Deniz İnce, and Lütfi Çöplü. “COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi 34, no. 1 (April 2023): 125-32. https://doi.org/10.21653/tjpr.1067597.
EndNote Fırat M, Vardar Yaglı N, Çakmak A, Sağlam M, Çalık Kütükcü E, İnce D, Çöplü L (April 1, 2023) COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34 1 125–132.
IEEE M. Fırat, N. Vardar Yaglı, A. Çakmak, M. Sağlam, E. Çalık Kütükcü, D. İnce, and L. Çöplü, “COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC”, Turk J Physiother Rehabil, vol. 34, no. 1, pp. 125–132, 2023, doi: 10.21653/tjpr.1067597.
ISNAD Fırat, Merve et al. “COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC”. Türk Fizyoterapi ve Rehabilitasyon Dergisi 34/1 (April 2023), 125-132. https://doi.org/10.21653/tjpr.1067597.
JAMA Fırat M, Vardar Yaglı N, Çakmak A, Sağlam M, Çalık Kütükcü E, İnce D, Çöplü L. COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC. Turk J Physiother Rehabil. 2023;34:125–132.
MLA Fırat, Merve et al. “COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC”. Türk Fizyoterapi Ve Rehabilitasyon Dergisi, vol. 34, no. 1, 2023, pp. 125-32, doi:10.21653/tjpr.1067597.
Vancouver Fırat M, Vardar Yaglı N, Çakmak A, Sağlam M, Çalık Kütükcü E, İnce D, Çöplü L. COVID-19 PHOBIA AND PHYSICAL ACTIVITY LEVEL IN PATIENTS WITH NON-CYSTIC FIBROSIS BRONCHIECTASIS DURING COVID-19 PANDEMIC. Turk J Physiother Rehabil. 2023;34(1):125-32.