COVID-19 Enfeksiyonu Sonrası Oksijen Konsantratörü Kullanımının Oksijen Satürasyonu Üzerine Etkisi

Yıl 2024, Cilt: 14 Sayı: 3, 132 - 136, 31.05.2024

Zuhal Yavuz Dağlı , Duygu Yengil Taci , İzzet Fidancı

https://doi.org/10.16899/jcm.1456626

Öz

Amaç: Çalışmamızda COVID-19 enfeksiyonu sonrası oksijen konsantaratörü
kullanımının oksijen satürasyonlarına etkisini değerlendirmek amaçlanmıştır.
Gereç ve Yöntem: Ankara Eğitim ve Araştırma Hastanesi Göğüs Hastalıkları
polikliniğine 01.01.2021-08.04.2021 tarihleri arasında COVID-19 enfeksiyonu
sonrasında başvuran, oksijen konsantratörü kullanan 42 hasta ile konsantratör
kullanmayan 66 hasta çalışmaya dahil edildi. Katılımcılara; sosyodemografik veri
formu ile COVID-19 enfeksiyonu şiddetini belirlemeyi amaçlayan sorulardan oluşan
anket formu yüz yüze uygulandı ve hastaların o anki oksijen satürasyonları ölçülerek
kaydedildi.
Bulgular: Oksijen konsantratörü kullananların ileri yaşta ve eğitim seviyesinin
düşük olduğu görüldü (sırasıyla p=0.001; p=0.03). Enfeksiyon döneminde nefes
darlığı şikayeti olan hastaların daha çok oksijen konsantratörü kullanan grupta
olduğu; baş ağrısı ve ishal semptomları yaşayan hastaların ise konsantratör ihtiyacı
olmayan grupta istatistiksel anlamlı olarak daha çok olduğu görüldü. COVID-19
enfeksiyonuna bağlı hastanede yatış süresi oksijen konsantratörü kullanan grupta
daha yüksek bulundu (p=0.001). Oksijen konsantratörü kullanan hastalarda akciğer
tutulumunun daha fazla ve oksijen satürasyonlarının daha düşük olduğu görüldü
(p=0.001).
Sonuç: Çalışmamızda oksijen konsantratörü kullanan hastaların hastanede yatış
süresi ve akciğer tutulumu daha fazlaydı. COVID-19 tanısı sırasında nefes darlığı
şikayeti olan hastaların ilerleyen süreçte konsantratöre daha çok ihtiyaç duyduğu
görüldü. İleri yaş ve eğitim seviyesi de konsantratör ihtiyacını etkilemekteydi.

Anahtar Kelimeler

COVID-19, hipoksi, oksjen tedavisi

Proje Numarası

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Effect of Using Oxygen Concentrators on Oxygen Saturation after COVID-19 Infection

Öz

Aim: Chronic hypoxemic respiratory failure may develop due to lung damage in patients with severe COVID-19 infection. Therefore, chronic respiratory failure that requires continuous oxygen support may develop. The aim of this study is to evaluate the effect of using oxygen concentrators on oxygen saturation after coronavirus disease 2019 (COVID-19) infection.
Material and Method: The study included 42 patients who used oxygen concentrators and 66 patients who did not use concentrators and applied to Ankara Training and Research Hospital Pulmonology Outpatient Clinic between January 1, and April 8, 2021 after COVID-19 infection. Patients received a sociodemographic data questionnaire and a COVID-19 infection severity questionnaire, which were completed through face-to-face interviews. Patients’ oxygen saturation levels were also measured and recorded at the time of interview.
Results: Those using oxygen concentrators were older and had less education (p=0.001; p=0.03, respectively). Patients who complained of shortness of breath during infection were mostly in the oxygen concentrator group, while those who had headaches and diarrhoea were mostly in the group that did not require concentrators. The group using oxygen concentrators had longer hospital stays due to COVID-19 infection (p=0.001). Patients using oxygen concentrators had higher rates of pulmonary involvement and lower oxygen saturation levels (p=0.001).
Conclusion: Patients who complained of dyspnea at the time of their COVID-19 diagnosis were more likely to require a concentrator at a later stage. Other factors influencing the need for concentrators include advanced age and education level. Patients using an oxygen concentrator had lower oxygen saturation levels, but the mean value was higher.

Anahtar Kelimeler

COVID-19, hypoxia, oxygen therapy

Etik Beyan

The study received permission from the Republic of Türkiye Ministry of Health COVID-19 Scientific Research Review Committee. Ethical approval was obtained from the University of Health Sciences Ankara Training and Research Hospital, Clinical Research Ethics Committee on December 30, 2020 (Desicion no: 519/2020).

Destekleyen Kurum

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Proje Numarası

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Teşekkür

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Kaynakça

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