Biopsychosocial conditions of patients in the rheumatology department of a university hospital.

IF 1.4 Q3 RHEUMATOLOGY
Reumatologia Pub Date : 2024-01-01 Epub Date: 2024-08-27 DOI:10.5114/reum/191793
Elif Gur Kabul, Fatma Taskın, Bilge Basakci Calik, Veli Cobankara
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Abstract

Introduction: The aim was to examine biopsychosocial conditions of patients hospitalized in the rheumatology department of a university hospital.

Material and methods: Ninety-six patients (mean age: 53.14 ±16.83 years) receiving inpatient treatment at the rheumatology service of a university hospital were included. Chest circumference, manual muscle testing, general well-being (Visual Analogue Scale - VAS), the Fatigue Severity Scale, the Rivermead Mobility Index, the Beck Anxiety Inventory, and the Nottingham Health Profile were used for evaluation.

Results: The average number of days hospitalized was 15.57 ±15.11. Mean disease duration was 7.91 ±9.34 years. Respiratory rate per minute was 22.55 ±6.03. Chest circumference measurement at rest was 97.01 ±9.70 cm, inspiration was 99.71 ±9.67 cm, expiration was 94.10 ±13.91 cm. Quadriceps muscle strength (on a scale of 0-5) was 4.26 ±0.74 on the right and 4.16 ±0.76 on the left; biceps brachii muscle strength was 4.46 ±0.64 on the right and 4.39 ±0.78 on the left. The VAS score was 6.03 ±2.51; the Rivermead Mobility Index was 11.41 ±4.11; the Nottingham Health Profile total score was 39.18 ±22.44; the energy level sub-score was 52.89 ±37.06. History of previous hospitalization was found in 42 patients (43.8%). Five patients (5.2%) were at bed level, 4 patients (4.2%) were at sitting level, 7 patients (7.3%) were at standing level, and 80 patients (83.3%) were at walking level. Seventeen patients (17.7%) used assistive devices for mobilization. Sixty-one patients (63.5%) were fatigued, and 21 patients (21.9%) had moderate anxiety.

Conclusions: Inspiratory capacity of patients hospitalized in rheumatology service is low. Their respiratory rate is higher than the normal value. Their mobility and energy levels are at average values while fatigue and anxiety levels need to be considered. In addition to pharmacological treatments, we recommend that patients hospitalized in rheumatology service be supported by appropriate exercises provided by physiotherapists.

一家大学医院风湿病科病人的生物心理社会状况。
导言研究目的是调查一家大学医院风湿病科住院患者的生物心理社会状况:共纳入 96 名在某大学医院风湿科接受住院治疗的患者(平均年龄:53.14 ± 16.83 岁)。评估方法包括胸围、手动肌肉测试、一般健康状况(视觉模拟量表 - VAS)、疲劳严重程度量表、里弗米德活动指数、贝克焦虑量表和诺丁汉健康档案:平均住院天数为(15.57 ± 15.11)天。平均病程为(7.91 ± 9.34)年。每分钟呼吸频率为(22.55±6.03)次。静息时的胸围测量值为(97.01 ± 9.70)厘米,吸气时为(99.71 ± 9.67)厘米,呼气时为(94.10 ± 13.91)厘米。股四头肌肌力(0-5级)右侧为4.26 ±0.74,左侧为4.16 ±0.76;肱二头肌肌力右侧为4.46 ±0.64,左侧为4.39 ±0.78。VAS评分为(6.03 ±2.51);里弗米德活动指数为(11.41 ±4.11);诺丁汉健康档案总分为(39.18 ±22.44);能量水平子分数为(52.89 ±37.06)。42名患者(43.8%)有住院史。5 名患者(5.2%)处于卧床状态,4 名患者(4.2%)处于坐姿状态,7 名患者(7.3%)处于站姿状态,80 名患者(83.3%)处于行走状态。17名患者(17.7%)使用辅助设备进行移动。61名患者(63.5%)感到疲劳,21名患者(21.9%)有中度焦虑:结论:风湿病科住院患者的吸气能力较低。结论:风湿病科住院患者的呼吸能力较低,呼吸频率高于正常值。他们的活动能力和体力水平处于平均值,而疲劳和焦虑水平则需要考虑。除药物治疗外,我们还建议风湿病住院患者接受物理治疗师提供的适当锻炼。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Reumatologia
Reumatologia Medicine-Rheumatology
CiteScore
2.70
自引率
0.00%
发文量
44
审稿时长
10 weeks
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