Sabiha BEZGİN, İlke KESER, Dilek ERER, İlknur ONURLU, Kadirhan ÖZDEMİR

Kronik venöz yetmezliği olan hastalarda fiziksel aktivite düzeyine göre ağrı, yorgunluk ve yaşam kalitesindeki farklılıklar

Amaç: Bu çalışmada kronik venöz yetmezliği olan hastalarda, farklı fiziksel aktivite düzeylerinin ağrı, yorgunluk ve yaşam kalitesi üzerindeki etkisi karşılaştırıldı. Çalışma planı: Ekim 2018 ve Şubat 2019 tarihleri arasında, kronik venöz yetmezliği tanısı konan ve fizyoterapiye başvuran toplam 69 hasta (4 erkek, 65 kadın; ort. yaş 50 yıl; dağılım, 19-73 yıl) çalışmaya alındı. Hastaların fiziksel aktivite düzeyleri, Uluslararası Fiziksel Aktivite Anketi ile hafif, orta ve ağır olmak üzere üç grupta belirlendi. Yorgunluk, ağrı ve yaşam kalitesi sırasıyla Yorgunluk Şiddeti Ölçeği, görsel analog ölçeği (gece, aktivite ve dinlenme sırasında) ve Venöz Yetmezlikte Epidemiyolojik ve Ekonomik Çalışma-Yaşam Kalitesi/Semptom Ölçeği ile değerlendirildi. Bulgular: Toplam 69 hastanın 17’i hafif düzeyde fiziksel aktivite grubunda, 32’si orta düzeyde fiziksel aktivite grubunda ve 20’si ağır düzeyde fiziksel aktivite grubunda idi. Aktivite sırasında algılanan ağrı ve yorgunluk, hafif ve orta düzeyde fiziksel aktivite grupları arasında anlamlı derecede farklıydı (p0.05). Sonuç: Çalışma sonuçlarımız kronik venöz yetmezliği olan hastalarda ağrı ve yorgunluk gibi semptomlar ile başa çıkmak ve yaşam kalitesini artırmak için orta düzeyde fiziksel aktivitenin yararlı olabileceğini göstermektedir.

Differences in pain, fatigue, and quality of life in patients with chronic venous insufficiency based on physical activity level

Background: This study aims to compare the effect of differentphysical activity levels on pain, fatigue, and quality of life in patientswith chronic venous insufficiency.Methods: Between October 2018 and February 2019, a total of 69patients (4 males, 65 females; mean age 50 years; range, 19 to 73 years)who were diagnosed with chronic venous insufficiency and consultedfor physiotherapy were included in the study. The physical activitylevel of the patients was determined using the International PhysicalActivity Questionnaire in three groups as light, moderate, or vigorous.Fatigue, pain, and QoL were assessed using the Fatigue Severity Scale,visual analog scale (during the night, activity, and rest), and VenousInsufficiency Epidemiological and Economic Study Quality/SymptomScale, respectively.Results: Of a total of 69 patients, 17 were in the light-intensityphysical activity group, 32 in the moderate-intensity physicalactivity group, and 20 in the vigorous-intensity physical activitygroup. Perceived pain during activity and fatigue were significantlydifferent between the light- and moderate-intensity physical activitygroups (p0.05).Conclusion: Our study results suggest that a moderate level ofphysical activity may be helpful to overcome symptoms such aspain and fatigue in patients with chronic venous insufficiency and toimprove quality of life

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