Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Osteoartrit Tanılı Hastalarda Balneoterapinin Ağrı, Depresyon Belirtileri, Uyku ve Yaşam Kalitesi Üzerine Etkisi
The Effect of Balneotherapy on Pain, Depression Symptoms, Sleep and Quality of Life in Patients with Osteoarthritis
İnci KISAa, Elif OKb, Filiz ERc
aFizik Tedavi ve Rehabilitasyon Hastanesi, Bursa, TÜRKİYE
bAcıbadem Mehmet Ali Aydınlar Üniversitesi Sağlık Bilimleri Fakültesi, Hemşirelik Bölümü, İstanbul, TÜRKİYE
cİpekyolu İlçe Sağlık Müdürlüğü, Van, TÜRKİYE
J Tradit Complem Med. 2020;3(1):27-31
doi: 10.5336/jtracom.2019-72308
Article Language: TR
Full Text
ÖZET
 Amaç: Kas-iskelet sistemi hastalıklarında uygulanan en eski tedavi yöntemlerinden biri olan balneoterapi; termomineralli sular, peloidler (şifalı çamurlar) ve gazlar gibi doğal tedavi unsurlarının banyo, içme ve inhalasyon yöntemleri ile kür tarzında tedavi amaçlı kullanılmasıdır. En yaygın kullanılan yöntemi banyo uygulamalarıdır. Son yıllarda yapılan birçok çalışma, balneoterapinin fiziksel düzeydeki etkilerine odaklanmıştır. Ancak, bu tedavinin osteoartritli hastalarda psikososyal değişkenler üzerindeki etkisi hakkında çalışmalar yetersizdir. Gereç ve Yöntemler: Bu çalışma, osteoartrit tanısı olan hastalarda balneoterapi uygulamasının ağrı, depresyon belirtileri, uyku ve yaşam kalitesi üzerine etkisini belirlemek amacıyla ön test-son test gruplu yarı deneysel olarak gerçekleştirildi. Çalışma; Bursa İlker Çelikcan Fizik Tedavi ve Rehabilitasyon Hastanesinde, Ağustos-Ekim 2019 tarihleri arasında 40 hasta ile gerçekleştirildi. Araştırma verileri 'Hasta Tanıtım Formu', 'Vizüel Analog Skala', 'Uyku Sonrası Değerlendirme Ölçeği', 'Kısa form-12' ve 'Beck-Depresyon Ölçeği' ile toplandı. Balneoterapi uygulaması öncesinde kişisel bilgi formu ve ölçekleri dolduran hastalara 15 günlük balneoterapi kürü uygulandı. Posttestler hastalar taburcu olduktan 2 ay sonra telefonla görüşülerek dolduruldu. Bulgular: Tedavi öncesi ve sonrası yapılan ölçümlerde ağrı, uyku ve yaşam kalitesinin tüm alt boyutlarında balneoterapi lehine anlamlı değişimler saptandı. Depresyon puanlarında ise değişim bulunmadı. Sonuç: Balneoterapinin osteoartrit tedavisinde tamamlayıcı tıp olarak tercih edildiğinde ağrı şiddetini belirgin derecede azalttığı, uyku ve yaşam kalitesini anlamlı derecede artırdığı gösterilmiştir. Ancak, depresyon belirtileri yönünden etkili olmadığı, bu yönde yapılacak ek girişimlere ihtiyaç olduğu düşünülmektedir.

Anahtar Kelimeler: Osteoartrit; balneoterapi; ağrı; uyku; yaşam kalitesi; depresyon
ABSTRACT
 Objective: Balneotherapy is one of the oldest treatment methods in musculoskeletal diseases; bath, drinking and inhalation methods and cure treatment methods of natural treatment elements such as thermo mineral waters, peloids (healing muds) and gases are the most commonly used methods. Many recent studies have focused on the physical effects of balneotherapy. However, studies on the effect of this treatment on psychosocial variables in patients with osteoarthritis are insufficient. Material and Methods: This study was performed to determine the effect of balneotherapy on pain, depression symptoms, sleep and quality of life in patients with osteoarthritis. The study was carried out in Bursa İlker Çelikcan Physical Therapy and Rehabilitation Hospital with 40 patients between August- October 2019. The data were collected with 'Patient Information Form', 'Visuel Analog Scale', 'Post-Sleep Inventory', 'Short Form-12' and 'Beck-Depression Scale.' The patients who completed the personal information form and scales before the balneotherapy intervention received 15-day balneotherapy cure. Posttest scales were filled in by telephone 2 months after discharge. Result: Before and after the treatment, significant changes were observed in favor of balneotherapy in all sub-dimensions of pain, sleep and quality of life. Depression scores did not change. Conclusion: Balneotherapy has been shown to significantly reduce pain severity and significantly improve sleep and quality of life when used as an complementary medicine for the treatment for osteoarthritis. However, it is not effective in terms of symptoms of depression and additional interventions are needed in this direction.

Keywords: Osteoarthritis; balneotherapy; pain; sleep; quality of life; depression
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