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Yaşlılarda Telerehabilitasyon

Tıp bilimi ve teknolojisindeki gelişmelerle birlikte küresel olarak beklenen yaşam süresinin uzaması, sağlık hizmetlerinin yaşlanan topluma sunulma şeklinin değiştirilmesini gerektirmiştir. Telerehabilitasyon, değerlendirme, teşhis ve tedaviyi içeren klinik rehabilitasyon hizmetlerini ifade eden özel bir telesağlık alanıdır. Kronik hastalığı olan ve sağlık hizmetlerine erişim zorluğu yaşayan yaşlı popülasyon için cazip bir seçenek haline gelmiştir. Egzersiz ve tedavi programlarının disipline edilmesi ve doğru yönlendirilmesi için yüz yüze yapılması gerekmektedir. Ancak rehabilitasyon almak isteyen yaşlıların rehabilitasyon merkezlerine veya hastanelere gitmesi gerekmekte olup, zaman ve maliyet gerektirmektedir. Sağlık hizmetleri açısından yaşlılara verilebilecek en etkili hizmetin, kişinin kendini rahat hissettiği kendi ortamlarında gerçekleştirilen hizmet olduğu belirlenmiştir. Ev tabanlı programların, özellikle uzun vadede egzersiz ve rehabilitasyon programlarına uyum açısından, yaşlı bireyler için merkez tabanlı programlardan daha üstün olduğu bildirilmiştir. 2019 koronavirüs hastalığı (Covid-19) pandemisi, yaşlılarda ciddi hastalık geliştirme riskini artırması nedeniyle, yaşlılara sunulan rehabilitasyon hizmetlerinin, özellikle de verilme şeklinin değiştirilmesini gerektirmiştir. Covid-19 pandemisi fiziksel aktivite ve psikolojik durumu olumsuz etkilemiştir. Pandemi sırasında, kontaminasyon riskini önlemek için zorunlu karantina ve sosyal izolasyon koşulları, yüz yüze hizmetlere sınırlı erişim ve ciddi akut solunum yolu sendromu koronavirüs-2'ye (SARS-CoV-2) potansiyel maruz kalma endişesi telerehabilitasyon gerekliliğini artırmıştır. Ek olarak, kurallarda, düzenlemelerde ve sigorta geri ödemesinde yapılan son değişikliklerle, telerehabilitasyonun kullanılması teşvik edilmiştir. Tıp bilimindeki değişme ve gelişmeler, kaçınılmaz olarak yaşlıların bakımı için yeni disiplinler arası araştırma modellerinin ve ürünlerinin geliştirilmesine yol açacaktır. Bu makalenin amacı, yaşlanan nüfusta telesağlık ve telerehabilitasyonun hizmetlerini ve uygulamalarını incelemektir.
Anahtar Kelimeler:

Yaşlı, geriatri, telerehabilitasyon

Telerehabilitation in Elderly Care

Prolonging life expectancy globally and medical science and technology developments necessitated changing how health services are delivered to the aging population. Telerehabilitation is a specialized field of telehealth that refers to clinical rehabilitation services, including assessment, diagnosis, and treatment. It has become an attractive option for the elderly with chronic diseases and difficulties accessing health services. Exercise and treatment programs must be done face to face to discipline and correctly direct them. However, the elderly who want to receive rehabilitation need to go to rehabilitation centers or hospitals, and it requires time and cost. It has been determined that the most effective service that can be given to the elderly in terms of health services is the service performed in their own environment where the person feels comfortable. It has been reported that home-based programs are superior to center-based programs for elderly individuals, especially in terms of compliance with exercise and rehabilitation programs in the long term. The 2019 coronavirus disease (Covid-19) pandemic has required a change in the rehabilitation services provided to the elderly, primarily how they are delivered, as it increases the risk of developing severe diseases in the elderly. The Covid-19 pandemic has adversely affected physical activity and psychological state. During the pandemic, mandatory quarantine and social isolation conditions to avoid the risk of contamination, limited access to face-to-face services, and fear of potential exposure to the severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) have increased the requirement for telerehabilitation. Additionally, recent changes to rules, regulations and insurance reimbursement have promoted the use of telerehabilitation. Changes and developments in medical science will inevitably lead to the development of new interdisciplinary research models and products for the care of the elderly. This article examines the services and applications of telerehabilitation in the aging population.
Keywords:

elderly, telerehabilitation, geriatric,

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Geriatrik Bilimler Dergisi-Cover
  • Yayın Aralığı: Yılda 3 Sayı
  • Başlangıç: 2018
  • Yayıncı: Geriatrik Bilimler Derneği
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