ANKİLOZAN SPONDİLİTLİ HASTALARDA KİNEZYOFOBİNİN HASTALIK AKTİVİTESİ ve FONKSİYONEL DURUMA ETKİSİ

Yıl 2018, Cilt: 51 Sayı: 3, 180 - 185, 26.12.2018

Melek Aykut Selçuk , Mehmet Onat Çakıt Sefa Gümrük Aslan Esra Mert Esra Şahingöz Bakırcı , Burcu Duyur Çakıt

Öz

Amaç

Çalışmamızın amacı ankilozan
spondilit (AS)’li hastalarda kinezyofobi düzeyinin hastalık aktivitesi,
fonksiyonel durum, depresyon, yorgunluk ve yaşam kalitesi üzerine olan etkisini
değerlendirmektir.

Gereç
ve Yöntemler

Çalışmaya 46 (31 erkek, 15 kadın)
AS’li hasta ile 40 (11 erkek, 29 kadın) sağlıklı kontrol dahil edildi. Yaşam
kalitesi Sağlık Değerlendirme Anketi (SDA), hastalık aktvitesi Bath Ankilozan
Spondilit Hastalık Aktivite İndexi (BASDAI), fonksiyonel durum Bath Ankilozan
Spondilit Fonksiyonel İndex (BASFI), ağrı şiddeti Vizüel Analog Skala (VAS),
kinezyofobi Tampa Kinezyofobi Skalası (TKS), yorgunluk VAS, depresyon Beck
Depresyon Envanteri (BDE) ve fiziksel aktivite düzeyi Uluslararası Fiziksel
Aktivite Anketi (UAFAA) kısa form ile değerlendirildi

Bulgular

TKS (p <0,001), VAS-ağrı
(p:0,000), VAS-yorgunluk (p:0,037), SDA (p:0,000), BDE (p:0,002), BASDAI
(p:0,000) ve BASFI (p:0,000) skorları AS grubunda sağlıklı kontrollere göre
daha yüksekken, fiziksel aktivite düzeylerinde (p:0,412) istatistiksel açıdan
anlamlı fark yoktu. AS'li hastalarda TKS skoru ile VAS-ağrı (r:0,684, p:0,000),
VAS-yorgunluk (r:0,494, p:0,000), BDE (r:0,321, p:0,033), BASDAI (r:0,484,
p:0,001) ve BASFI (r:0,389, p:0,008) skorları ilişkili bulundu.

Sonuç

AS’li hastalarda kinezyofobi
oranları daha yüksek olup; hastalık aktivitesi, fonksiyonel durum, ağrı,
yorgunluk ve depresyonla ilişkili bulunmuştur. Katastrofik düşünce ve hareket korkusu
eğilimi olan AS’li hastaları önceden tespit edip, kinezyofobiyi tedavi
edebilirsek AS’li hastaların nonfarmakolojik tedavisinde önemli bir ilerleme
kaydedebileceğimizi düşünmekteyiz.

Anahtar Kelimeler

Ankilozan spondilit, kinezyofobi, hareket korkusu

Kaynakça

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