Türkiye’de inmeli hastalarda telerehabilitasyonun etkinliği pilot çalışma
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Tarih
2017
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info:eu-repo/semantics/openAccess
Özet
Amaç: Telerehabilitasyon (TR), ülkemizde çok yaygın bir şekilde kullanılmamaktadır. Çalışmamız inmeli hastalarda TR'nin kullanılabilirliğinin ve etkisininin araştırılması amacıyla planlandı.Gereç ve Yöntem: Çalışma, Mustafa Kemal Üniversitesi, Sağlık Uygulama ve Araştırma Hastanesi Nöroloji Ünitesi'ne başvuran hastalar üzerinde yapıldı. Hastaların demografik bilgilerinin alınmasını takiben kognitif düzey, Mini Mental Test ile; denge, Berg Denge Ölçeği ile; yaşam kalitesi, Kısa Form-36 Yaşam Kalitesi Ölçeği ile değerlendirildi. TR programı 3 hafta süre ile haftada 3 seans olmak üzere 9 seans olarak gerçekleştirildi. Çalışma programı planlandıktan sonra, hastalarla kameralı ve mikrofonlu, internet bağlantısı olan dizüstü bilgisayarlar aracılığıyla iletişime geçilerek TR uygulandı. İlk ve son değerlendirme klinikte yapıldı.Bulgular: Çalışmanın sonucunda tedavi sonrasında tedavi öncesine göre bireylerin denge düzeylerinde anlamlı düzeyde fark olduğu ve dengenin geliştiği saptandı (p=0,026). Ancak yaşam kalitesi ve mental durum düzeyinde fark olmadığı bulundu (p>0,05).Sonuç: TR'nin inmeli hastalarda fonksiyonelliği desteklediğinden dolayı rutin kullanımının faydalı olacağı düşünüldü. Ancak TR uygulaması için gerekli teknolojik donanımın ülkemizin kırsal kesimlerinde henüz yeterli olmadığı bulundu
Objective: Telerehabilitation (TR) is not used very widely in our country. Our study was planned to evaluate the usefulness and effect of TR in patients with hemiplegia.Materials and Methods: The study was performed at Mustafa Kemal University Health Practice and Research Hospital. After the demographic data were questioned, cognitive levels were assessed using the Mini Mental State Examination, balance using the Berg Balance Scale, and quality of life using the Short Form36 (SF-36) Quality of Life Scale. A TR program was performed for 3 weeks with 3 sessions per week, a total of 9 sessions. After the therapy program was planned, TR was applied by contacting the patients via laptops with a camera and microphone and an internet connection. The first and last assessments were done at the clinic.Results: According to the results of the study, the balance levels of patients significantly improved after the TR program (p=0.026). There was no difference in terms of quality of life and mental status before and after TR (p>0.05).Conclusion: It was concluded that TR could improve the functionality of patients with stroke and routine use of TR would be beneficial. However, our country’s technological equipment for TR application has been found not sufficient in the countryside
Objective: Telerehabilitation (TR) is not used very widely in our country. Our study was planned to evaluate the usefulness and effect of TR in patients with hemiplegia.Materials and Methods: The study was performed at Mustafa Kemal University Health Practice and Research Hospital. After the demographic data were questioned, cognitive levels were assessed using the Mini Mental State Examination, balance using the Berg Balance Scale, and quality of life using the Short Form36 (SF-36) Quality of Life Scale. A TR program was performed for 3 weeks with 3 sessions per week, a total of 9 sessions. After the therapy program was planned, TR was applied by contacting the patients via laptops with a camera and microphone and an internet connection. The first and last assessments were done at the clinic.Results: According to the results of the study, the balance levels of patients significantly improved after the TR program (p=0.026). There was no difference in terms of quality of life and mental status before and after TR (p>0.05).Conclusion: It was concluded that TR could improve the functionality of patients with stroke and routine use of TR would be beneficial. However, our country’s technological equipment for TR application has been found not sufficient in the countryside
Açıklama
Anahtar Kelimeler
Nörolojik Bilimler
Kaynak
Türk Nöroloji Dergisi
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Cilt
23
Sayı
1
