Gazi Üniversitesi Fizyoterapi ve Rehabilitasyon Bölümü Romatolojik Rehabilitasyon Ünitesi 2016-2019 Yılları Arası Hasta Profili
Öz
Romatolojik fizyoterapi ve rehabilitasyon hastaların yaşam kalitesini iyileştirmek, semptomları ve sakatlıkları azaltmak için önemlidir. Karmaşıklığı ve etkinliği göz önüne alındığında ülkemizde bu alandaki farkındalığın artırılması esastır. Bu nedenle bu araştırmanın amacı Aralık 2016–Haziran 2019 tarihleri arasında Gazi Üniversitesi Eğitim ve Araştırma Hastanesi Romatoloji Bilim Dalı yataklı servis ve polikliniğinde hizmet veren Romatolojik Rehabilitasyon Ünitesine romatologlar tarafından yönlendirilen hastaların profillerinin retrospektif olarak incelenmesidir. Hastaların demografik bilgileri, tanıları, hastalık süreleri ve komorbiditeleri kaydedildi. Araştırmaya ayaktan (n=312, %77) ve yatarak (n=91, %23) fizyoterapi alan toplam 403 hasta dahil edildi. Ayaktan fizyoterapi alan hastaların çoğunluğunu %51 oranıyla ankilozan spondilit tanısı konmuş hastalar, yatarak tedavi alan hastaların çoğunluğunu %35,2 oranıyla sistemik skleroz tanısı konmuş hastalar oluşturdu. Hastaların %78,7’si (n=317) kas-iskelet sistemi problemleri nedeniyle, %21,3’ü (n=86) ise kardiyopulmoner sistem problemleri nedeniyle ünitemize fizyoterapi programı için yönlendirildi. Hastanede yatan hasta olarak konsülte edilen hastaların %62,6’sı (n=57) kardiyopulmoner sistem problemleri nedeniyle fizyoterapiye yönlendirildi. Çalışmanın sonucunda kas-iskelet sistemi problemi öne çıkan hastaların sayısının fazla olduğunu görmekteyiz fakat fizyoterapistler kas-iskelet sistemi problemlerinin yanında diğer sistemler ile ilgili bulgulara yönelik tedavileri de düzenleyebilmektedir. Fizyoterapistlere hasta konsülte eden romatologların bu konudaki farkındalık düzeylerinin artırılmasıyla daha fazla hastanın fizyoterapi hizmetine ulaşabileceğini düşünmekteyiz.
Rheumatologic physiotherapy and rehabilitation is important in order to improve the quality of life and reduce symptoms and disability in patients. Given its complexity and effectiveness, it is essential to raise awareness in this area in our country. Therefore, the aim of this study was to retrospectively investigate the profiles of patients referred to the Rheumatologic Rehabilitation Unit of the Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, which serves in the inpatient service and outpatient clinic of the Rheumatology Department of Gazi University Training and Research Hospital. A total of 403 patients receiving outpatient (n=312, 77%) and inpatient (n=91, 23%) physiotherapy were included in the study. Demographic information, diagnosis, duration of disease and comorbidity of patients were recorded. The majority of patients receiving outpatient physiotherapy were diagnosed with ankylosing spondylitis with 51%, and the majority of patients receiving inpatient treatment with systemic sclerosis with 35%. 78.7% (n=317) of the patients were referred to our unit for physiotherapy program due to musculoskeletal problems and 21.3% (n=86) due to cardiopulmonary system problems. 62.6% (n=57) of the patients who were consulted as hospitalized patients were referred to physiotherapy due to cardiopulmonary system problems. As a result of the study, it is found that the number of patients with prominent musculoskeletal problems is high, but physiotherapists can arrange treatments for findings related to other systems as well as musculoskeletal problems. We think that by increasing the awareness levels of rheumatologists who consult patients for physiotherapists, more patients can reach physiotherapy services.
Anahtar Kelimeler
Kaynakça
- Arend WP, Lawry GV. Appoach to the patient with musculoskeletal disease. In: Goldman L, Schafer AI, editors. Rheumatology. London: Mosby,1994; 7.1–4.
- Vanhoof J, Declerck K, Geusens P. Prevalence of rheumatic diseases in a rheumatological outpatient practice. Annals of the rheumatic diseases. 2002; 1;61(5):453-5.
- Sangha, O. Epidemiology of rheumatic diseases. Rheumatology 2000; 39:3-12.
- Loza E, Abáso lo L, Jover JA, Carmona L. Burden of disease across chronic diseases: a health survey that measured prevalence, function, and quality of life. J Rheumatol 2008; 35(1):6-7.
- Göksoy T. Romatizmal Hastalıkların Tanı ve Tedavisi. Yüce Reklam Yayın dağıtım 2002; 95-103.
- Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 2006;54(1):226-9.
- Pak MD, Özden SA. Romatolojik Sosyal Hizmet Uygulamaları. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2018; 3(2).
- Censis, A. N. M. A. R. SIR. Un percorso ad ostacoli, primo rapporto sociale sull’artrite reumatoide 2008. Disponibile in http://www. anmar-italia. it.
- Taylor SE, Aspinwall LG. Psychosocial aspects of chronic illness. Costa PT, Vandenbos GR, editörler. Psychological aspects of serious illness: conditions, fatal diseases, and clinical care. Washington: American Psychological Association; 1996. p:3-60.
- Swezey RL. Medicina riabilitativa e artrite. In DJ Mc Carty e WJ Koopman, editors. Trattato di Reumatologia, XII ed (ed. italiana). Padova: Piccin Editrice, 1993; 1076-1113.
- Tijhuis GJ, Zwinderman AH, Hazes JM, Van Den Hout WB, Breedveld FC, Vliet Vlieland TP. A randomized comparison of care provided by a clinical nurse specialist, an inpatient team, and a day patient team in rheumatoid arthritis. Arthritis Rheum 2002; 47:525-31.
- van den Hout WB, Tijhuis GJ, Hazes JM, Breedveld FC, Vliet Vlieland TP. Cost effectiveness and cost utility analysis of multidisciplinary care in patients with rheumatoid arthritis: a randomised comparison of clinical nurse specialist care, inpatient team care, and day patient team care. Ann Rheum Dis 2003; 62:308-15.
- Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M. Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Arthritis Rheum 2009; 61:216-24.
- Bongi SM, Cerinic MM. Rheumatologic rehabilitation: the great expectation for rheumatic patients. Reumatismo. 2012; 16:1-6.
- Steultjens EM, Dekker J, Bouter LM, van Schaardenburg D, van Kuyk MA, Van den Ende CH. Occupational therapy for rheumatoid arthritis. Cochrane Database Syst Rev. 2008;1.
- Dagfinrud H, Hagen KB, Kvien TK. Physiotherapy interventions for ankylosing spondylitis. Cochrane Database of Systematic Reviews. 2008(1).
- Kwoh CK, Anderson LG, Greene JM, Johnson DA, O'Dell JR, Robbins ML. American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the management of rheumatoid arthritis: 2002 update. Arthritis Rheum. 2002;46:328-46.
- Bongi SM, Del Rosso A, Cerinic MM. Rheumatologic rehabilitation: towards recommendations. Reumatismo. 2014 Nov 6:197-207.
- Braun J, Sieper J. Ankylosing spondylitis. Lancet 2007;369:1379–90.
- D'Cruz DP, Khamashta MA, Hughes GR: Systemic lupus erythematosus. Lancet. 2007, 369: 587-596.
- Fox RI. Sjogren’s syndrome. Lancet 2005; 366:321–31.
- F. Wolfe, K. Ross, J. Anderson, I. J. Russell, L. Hebert. The prevalence and characteristics of fibromyalgia in the general population. Arthritis & Rheumatism 1995; 38(1):19-28.
- Alamanos Y, Drosos AA. Epidemiology of adult rheumatoid arthritis. Autoimmun Rev 2005;4:130-136.
- Chifflot H, Fautrel B, Sordet C, Chatelus E, Sibilia J: Incidence and prevalence of systemic sclerosis: a systematic literature review. Semin Arthritis Rheum 2008; 37:223-235.
- Alpsoy E, Akman A. Behçet hastalığı: etyopatogenezde yeni kavramlar. Türkiye Klinikleri J Int Med Sci 2007; 3:8-14.
- Gurler A, Boyvat A, Tursen U. Clinical manifestations of Behcets disease: an analysis of 2147 patients. Yonsei Med J 1997; 38:423-425.
- Vanhoof, J., Declerck, K., & Geusens, P. Prevalence of rheumatic diseases in a rheumatological outpatient practice. Annals of the rheumatic diseases 2002; 61(5):453-455.
- Ahmed AS, Rahim MA, Dewan P, Haque HF, Nazim RF, Afroz F et al. Spectrum of rheumatological disorders: A clinic-based study. Journal of Medicine 2014; 15(1):23-27.
- Tuncer T, Gilgil E, Kacar C, Kurtaiş Y, Kutlay Ş, Bütün B et al. Prevalence of rheumatoid arthritis and spondyloarthritis in Turkey: A nationwide study. Archives of rheumatology 2018; 33(2):128.
- Kacar C, Gilgil E, Tuncer T, Bütün B, Urhan S, Arıkan V et al. Prevalence of rheumatoid arthritis in Antalya, Turkey. Clinical rheumatology 2005; 24(3):212-4.
- Onen F, Akar S, Birlik M, Sari I, Khan MA, Gurler O et al. Prevalence of ankylosing spondylitis and related spondyloarthritides in an urban area of Izmir, Turkey. The Journal of Rheumatology 2008; 35(2):305-9.
- Mielants H, Van den Bosch F. Extra-articular manifestations. Clinical & Experimental Rheumatology 2009; 27(4):56.
- Wells AU, Denton CP. Interstitial lung disease in connective tissue disease–mechanisms and management. Nat Rev Rheumatol 2014; 10:728–739.
- Woodhead F, Wells AU, Desai SR. Pulmonary complications of connective tissue diseases. Clin Chest Med 2008; 29:149-64.
- Steen VD, Medsger TA. Changes in causes of death in systemic sclerosis, 1972-2002. Ann Rheum Dis 2007; 66: 940-4.
- Kurt, Ö. K., Pamuk, Ö. N., & Kurt, B. (2012). Bağ dokusu hastalıklarına bağlı gelişen interstisyel akciğer hastalığı: Tanı ve tedavi yaklaşımları. Tuberk Toraks 2012; 60(4): 393-400.
Öz
Kaynakça
- Arend WP, Lawry GV. Appoach to the patient with musculoskeletal disease. In: Goldman L, Schafer AI, editors. Rheumatology. London: Mosby,1994; 7.1–4.
- Vanhoof J, Declerck K, Geusens P. Prevalence of rheumatic diseases in a rheumatological outpatient practice. Annals of the rheumatic diseases. 2002; 1;61(5):453-5.
- Sangha, O. Epidemiology of rheumatic diseases. Rheumatology 2000; 39:3-12.
- Loza E, Abáso lo L, Jover JA, Carmona L. Burden of disease across chronic diseases: a health survey that measured prevalence, function, and quality of life. J Rheumatol 2008; 35(1):6-7.
- Göksoy T. Romatizmal Hastalıkların Tanı ve Tedavisi. Yüce Reklam Yayın dağıtım 2002; 95-103.
- Hootman JM, Helmick CG. Projections of US prevalence of arthritis and associated activity limitations. Arthritis & Rheumatism: Official Journal of the American College of Rheumatology. 2006;54(1):226-9.
- Pak MD, Özden SA. Romatolojik Sosyal Hizmet Uygulamaları. Başkent Üniversitesi Sağlık Bilimleri Fakültesi Dergisi 2018; 3(2).
- Censis, A. N. M. A. R. SIR. Un percorso ad ostacoli, primo rapporto sociale sull’artrite reumatoide 2008. Disponibile in http://www. anmar-italia. it.
- Taylor SE, Aspinwall LG. Psychosocial aspects of chronic illness. Costa PT, Vandenbos GR, editörler. Psychological aspects of serious illness: conditions, fatal diseases, and clinical care. Washington: American Psychological Association; 1996. p:3-60.
- Swezey RL. Medicina riabilitativa e artrite. In DJ Mc Carty e WJ Koopman, editors. Trattato di Reumatologia, XII ed (ed. italiana). Padova: Piccin Editrice, 1993; 1076-1113.
- Tijhuis GJ, Zwinderman AH, Hazes JM, Van Den Hout WB, Breedveld FC, Vliet Vlieland TP. A randomized comparison of care provided by a clinical nurse specialist, an inpatient team, and a day patient team in rheumatoid arthritis. Arthritis Rheum 2002; 47:525-31.
- van den Hout WB, Tijhuis GJ, Hazes JM, Breedveld FC, Vliet Vlieland TP. Cost effectiveness and cost utility analysis of multidisciplinary care in patients with rheumatoid arthritis: a randomised comparison of clinical nurse specialist care, inpatient team care, and day patient team care. Ann Rheum Dis 2003; 62:308-15.
- Häuser W, Bernardy K, Arnold B, Offenbächer M, Schiltenwolf M. Efficacy of multicomponent treatment in fibromyalgia syndrome: a meta-analysis of randomized controlled clinical trials. Arthritis Rheum 2009; 61:216-24.
- Bongi SM, Cerinic MM. Rheumatologic rehabilitation: the great expectation for rheumatic patients. Reumatismo. 2012; 16:1-6.
- Steultjens EM, Dekker J, Bouter LM, van Schaardenburg D, van Kuyk MA, Van den Ende CH. Occupational therapy for rheumatoid arthritis. Cochrane Database Syst Rev. 2008;1.
- Dagfinrud H, Hagen KB, Kvien TK. Physiotherapy interventions for ankylosing spondylitis. Cochrane Database of Systematic Reviews. 2008(1).
- Kwoh CK, Anderson LG, Greene JM, Johnson DA, O'Dell JR, Robbins ML. American College of Rheumatology Subcommittee on Rheumatoid Arthritis Guidelines. Guidelines for the management of rheumatoid arthritis: 2002 update. Arthritis Rheum. 2002;46:328-46.
- Bongi SM, Del Rosso A, Cerinic MM. Rheumatologic rehabilitation: towards recommendations. Reumatismo. 2014 Nov 6:197-207.
- Braun J, Sieper J. Ankylosing spondylitis. Lancet 2007;369:1379–90.
- D'Cruz DP, Khamashta MA, Hughes GR: Systemic lupus erythematosus. Lancet. 2007, 369: 587-596.
- Fox RI. Sjogren’s syndrome. Lancet 2005; 366:321–31.
- F. Wolfe, K. Ross, J. Anderson, I. J. Russell, L. Hebert. The prevalence and characteristics of fibromyalgia in the general population. Arthritis & Rheumatism 1995; 38(1):19-28.
- Alamanos Y, Drosos AA. Epidemiology of adult rheumatoid arthritis. Autoimmun Rev 2005;4:130-136.
- Chifflot H, Fautrel B, Sordet C, Chatelus E, Sibilia J: Incidence and prevalence of systemic sclerosis: a systematic literature review. Semin Arthritis Rheum 2008; 37:223-235.
- Alpsoy E, Akman A. Behçet hastalığı: etyopatogenezde yeni kavramlar. Türkiye Klinikleri J Int Med Sci 2007; 3:8-14.
- Gurler A, Boyvat A, Tursen U. Clinical manifestations of Behcets disease: an analysis of 2147 patients. Yonsei Med J 1997; 38:423-425.
- Vanhoof, J., Declerck, K., & Geusens, P. Prevalence of rheumatic diseases in a rheumatological outpatient practice. Annals of the rheumatic diseases 2002; 61(5):453-455.
- Ahmed AS, Rahim MA, Dewan P, Haque HF, Nazim RF, Afroz F et al. Spectrum of rheumatological disorders: A clinic-based study. Journal of Medicine 2014; 15(1):23-27.
- Tuncer T, Gilgil E, Kacar C, Kurtaiş Y, Kutlay Ş, Bütün B et al. Prevalence of rheumatoid arthritis and spondyloarthritis in Turkey: A nationwide study. Archives of rheumatology 2018; 33(2):128.
- Kacar C, Gilgil E, Tuncer T, Bütün B, Urhan S, Arıkan V et al. Prevalence of rheumatoid arthritis in Antalya, Turkey. Clinical rheumatology 2005; 24(3):212-4.
- Onen F, Akar S, Birlik M, Sari I, Khan MA, Gurler O et al. Prevalence of ankylosing spondylitis and related spondyloarthritides in an urban area of Izmir, Turkey. The Journal of Rheumatology 2008; 35(2):305-9.
- Mielants H, Van den Bosch F. Extra-articular manifestations. Clinical & Experimental Rheumatology 2009; 27(4):56.
- Wells AU, Denton CP. Interstitial lung disease in connective tissue disease–mechanisms and management. Nat Rev Rheumatol 2014; 10:728–739.
- Woodhead F, Wells AU, Desai SR. Pulmonary complications of connective tissue diseases. Clin Chest Med 2008; 29:149-64.
- Steen VD, Medsger TA. Changes in causes of death in systemic sclerosis, 1972-2002. Ann Rheum Dis 2007; 66: 940-4.
- Kurt, Ö. K., Pamuk, Ö. N., & Kurt, B. (2012). Bağ dokusu hastalıklarına bağlı gelişen interstisyel akciğer hastalığı: Tanı ve tedavi yaklaşımları. Tuberk Toraks 2012; 60(4): 393-400.
Ayrıntılar
| Birincil Dil | Türkçe |
|---|---|
| Konular | Sağlık Kurumları Yönetimi |
| Bölüm | Makaleler |
| Yazarlar | |
| Yayımlanma Tarihi | 7 Ağustos 2020 |
| Gönderilme Tarihi | 18 Şubat 2020 |
| Kabul Tarihi | 18 Ağustos 2020 |
| Yayımlandığı Sayı | Yıl 2020 Cilt: 5 Sayı: 1 |