Effects of Pain, Dyspnea, and Kinesiophobia on Quality of Life in Patients with Coronary Artery Disease
Abstract
Aim: In this study, we aimed to investigate the effects of pain, dyspnea, and kinesiophobia on life
quality in patients with coronary artery disease (CAD).
Materials and Methods: One hundred and fourteen patients (88 men, 26 women) with CAD
were included in the study. Sociodemographic and clinical characteristics of the patients were
recorded. For the evaluation, the Tampa Scale for Kinesiophobia was used for kinesiophobia, the
Visual Analogue Scale (VAS) for pain, the modified Medical Research Council Scale (mMRCS)
for dyspnea, the Fatigue Severity Scale (FSS) for fatigue, and the Nottingham Health Profile
(NHP) for life quality.
Results: The mean age of the patients was 65.26±8.63 years. There was a relation between the
VAS scores, kinesiophobia, and the pain and physical activity subparameters and total score
of the NHP (p<0.05). There was also a relation between kinesiophobia and the fatigue, energy
level, pain, emotional reaction, physical activity subparameters and the total score of the NHP
(p<0.05). Similarly, there was a relation between the fatigue level and the energy level and pain
subparameters and the total score of the NHP (p<0.05). There was a relation between dyspnea
and the VAS, kinesiophobia, fatigue, and the energy level and physical activity subparameters
and total score of life quality (p<0.05).
Discussion and Conclusion: Our study has shown that fatigue and kinesiophobia cause a decrease
in life quality in patients with CAD. We are in the opinion that approaches to reduce factors
causing kinesiophobia such as pain and fatigue may provide a significant increase in life
quality.
Keywords
References
- 1.Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clinical rehabilitation. 2011;25(2):99-111.
- 2.Erdem N, Ergüney S. Koroner arter hastalarinda yaşam kalitesinin ve yaşam kalitesini etkileyen faktörlerin incelenmesi. Journal of Anatolia Nursing and Health Sciences. 2005;8(3).
- 3.Hulzebos EH, Van Meeteren NL, De Bie RA, Dagnelie PC, Helders PJ. Prediction of postoperative pulmonary complications on the basis of preoperative risk factors in patients who had undergone coronary artery bypass graft surgery. Physical therapy. 2003;83(1):8.
- 4.Ekici B, Ercan EA, Cehreli S, Töre HF. The effect of emotional status and health-related quality of life on the severity of coronary artery disease. Kardiol Pol. 2014;72(7):617-23.
- 5.Bäck M, Cider Å, Herlitz J, Lundberg M, Jansson B. The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease. International journal of cardiology. 2013;167(2):391-7.
- 6.Suaya JA, Shepard DS, Normand S-LT, Ades PA, Prottas J, Stason WB. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation. 2007;116(15):1653-62.
- 7.Thomas RJ. Cardiac rehabilitation/secondary prevention programs. Am Heart Assoc; 2007.
- 8.Yilmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
- 9.Hunt SM, McEwen J, McKenna SP. Measuring health status: a new tool for clinicians and epidemiologists. The Journal of the Royal College of General Practitioners. 1985;35(273):185-8.
- 10.Fletcher CM, Elmes PC, Fairbairn AS, Wood CH. Significance of Respiratory Symptoms and the Diagnosis of Chronic Bronchitis in a Working Population. British Medical Journal. 1959;2(5147):257-66.
Abstract
Amaç:
Bu çalışmanın amacı koroner arter hastalarında (KAH) ağrı, dispne ve
kinezyofobinin yaşam kalitesi üzerine etkisini incelemektir.
Gereç ve Yöntemler:
Çalışmaya KAH tanısı konmuş 114 hasta (88 erkek, 26 kadın) dahil edildi.
Çalışmaya dahil edilen hastaların sosyo-demografik ve klinik özellikleri
kaydedildi. Kinezyofobi için
TAMPA kinezyofobi ölçeği, ağrı için vizüel ağrı skalası (VAS); dispne için
Modifiye Medical Research Council (MRCS), yorgunluk içinYorgunluk Şiddeti
Ölçeği (Fatique Severity Scale; FSS) ve sağlıkla ilgili yaşam kalitesi için de
Nottingham Sağlık Profili (NSP) kullanıldı.
Bulgular:Çalışmaya
dahil edilen bireylerin yaş ortalaması 65.26±8.63 yıl idi. Hastalarda VAS puanları
ile kinezyofobi duygusu, yaşam kalitesinin ağrı, fiziksel aktivite alt
parametreleri ve toplam NHP puanı arasında bir ilişki bulundu (p<0.05).
Kinezyofobi duygusu ile yorgunluk, yaşam kalitesinin enerji seviyesi, ağrı,
emosyonel reaksiyon, fiziksel aktivite alt parametreleri ve toplam NHP puan
değeri arasında da bir ilişki belirlendi (p<0.05). Benzer şekilde, yorgunluk
düzeyi ile yaşam kalitesinin enerji seviyesi, ağrı alt parametresi ve toplam
NHP puanı arasında da bir ilişki gözlendi (p<0.05).
Tartışma
ve Sonuç:Çalışmamız KAH’lı hastalarda yorgunluk ve kinezyofobi duygusunun
yaşam kalitesini azalttığı gözlenmiştir.Hastalarda
kinezyofobiye neden olan ağrı ve yorgunluk gibi faktörlerin azaltılmasına
yönelik yaklaşımların yaşam kalitesini önemli derecede arttıracağı
düşünülmüştür.
Keywords
References
- 1.Valkenet K, van de Port IG, Dronkers JJ, de Vries WR, Lindeman E, Backx FJ. The effects of preoperative exercise therapy on postoperative outcome: a systematic review. Clinical rehabilitation. 2011;25(2):99-111.
- 2.Erdem N, Ergüney S. Koroner arter hastalarinda yaşam kalitesinin ve yaşam kalitesini etkileyen faktörlerin incelenmesi. Journal of Anatolia Nursing and Health Sciences. 2005;8(3).
- 3.Hulzebos EH, Van Meeteren NL, De Bie RA, Dagnelie PC, Helders PJ. Prediction of postoperative pulmonary complications on the basis of preoperative risk factors in patients who had undergone coronary artery bypass graft surgery. Physical therapy. 2003;83(1):8.
- 4.Ekici B, Ercan EA, Cehreli S, Töre HF. The effect of emotional status and health-related quality of life on the severity of coronary artery disease. Kardiol Pol. 2014;72(7):617-23.
- 5.Bäck M, Cider Å, Herlitz J, Lundberg M, Jansson B. The impact on kinesiophobia (fear of movement) by clinical variables for patients with coronary artery disease. International journal of cardiology. 2013;167(2):391-7.
- 6.Suaya JA, Shepard DS, Normand S-LT, Ades PA, Prottas J, Stason WB. Use of cardiac rehabilitation by Medicare beneficiaries after myocardial infarction or coronary bypass surgery. Circulation. 2007;116(15):1653-62.
- 7.Thomas RJ. Cardiac rehabilitation/secondary prevention programs. Am Heart Assoc; 2007.
- 8.Yilmaz ÖT, Yakut Y, Uygur F, Uluğ N. Tampa Kinezyofobi Ölçeği’nin Türkçe versiyonu ve test-tekrar test güvenirliği. Fizyoterapi Rehabilitasyon. 2011;22(1):44-9.
- 9.Hunt SM, McEwen J, McKenna SP. Measuring health status: a new tool for clinicians and epidemiologists. The Journal of the Royal College of General Practitioners. 1985;35(273):185-8.
- 10.Fletcher CM, Elmes PC, Fairbairn AS, Wood CH. Significance of Respiratory Symptoms and the Diagnosis of Chronic Bronchitis in a Working Population. British Medical Journal. 1959;2(5147):257-66.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Health Care Administration |
| Journal Section | ORIGINAL ARTICLE |
| Authors | |
| Publication Date | April 9, 2017 |
| Acceptance Date | April 6, 2017 |
| Published in Issue | Year 2017 Volume: 22 Issue: 2 |
This Journal licensed under a CC BY-NC (Creative Commons Attribution-NonCommercial 4.0) International License.