Browsing by Author "Kalmaz, Serkan"

Filter results by typing the first few letters
Now showing 1 - 2 of 2
  • No Thumbnail Available
    Item
    Covid-19 geçirmiş kişilerde tedavi sonrası fiziksel aktivite korkusu ve depresyon
    (Başkent Üniversitesi Sağlık Bilimleri Enstitüsü, 2021) Kalmaz, Serkan; Yosmaoğlu, Hayri Baran
    Çalışmanın amacı; COVID-19 enfeksiyonu geçirmiş kişilerde fiziksel aktivite korkusu ve depresyon durumunu değerlendirmek, hastanede yatan ile yatmayan arasında fark olup olmadığını incelemektir. Çalışmaya 18-65 yaş aralığında mental problemi olmayan, COVID-19 enfeksiyonu geçirerek iyileşmiş 115 gönüllü birey (yaş ortalaması: 31±9) katılmıştır. Çalışmaya katılan bireylere fiziksel aktivite korkusunu değerlendirmek için TKÖ Kinezyofobi Ölçeği (TKÖ), depresyon ve anksiyeteyi değerlendirmek için Hastane Anksiyete ve Depresyon Ölçeği (HADÖ) uygulanmıştır. Tüm bireylerin TKÖ puan ortalaması normalin üzerindeydi (41±5). Hastanede tedavi gören hastaların fiziksel aktivite korkusu (43±4), evde tedavi gören hastalardan (40±5) daha yüksekti (p<0.05). HADÖ sonuçlarına göre tüm bireylerin depresyon ve anksiyete ortalaması normal kabul edilen 7’değerinin üzerindeydi (sırasıyla 7,4 ve 9,5). Hastanede yatan bireylerin depresyon ve anksiyete değerleri evde tedavi olanlara göre daha yüksekti. Tüm hastalarda TKÖ puanı ile hem depresyon (r=0.262; p<0.01), hem de anksiyete düzeyleri (r=0.390; p<0.01) arasında pozitif bir ilişki bulundu ve korelasyon katsayılarına göre anksiyetenin TKÖ ile ilişkisi, depresyondan daha yüksekti. Sonuç olarak; COVID-19 enfeksiyonu vakalarında, kinezyofobi, depresyon ve anksiyete oluştuğu, hastanede tedavi olan bireylerde bu değişkenlerin daha yüksek seviyede görüldüğü ve Fiziksel aktivite korkusu ile depresyon ve anksiyete arasında pozitif bir ilişki olduğu tespit edildi. The aim of the study; To evaluate the fear of physical activity and depression in people who have had COVID-19, to examine whether there is a difference between hospitalized and non- hospitalized. 115 volunteers (mean age: 31±9) who had no mental problems and recovered from COVID-19 between the ages of 18-65 participated in the study. The TKÖ Kinesophobia Scale (TKS) was used to evaluate the fear of physical activity, and the Hospital Anxiety and Depression Scale (HADS) to evaluate depression and anxiety. The average TKS score of all individuals was above normal (41±5). The fear of physical activity (43±4) in the patients receiving medication at the hospital was higher than the patients receiving medication at home (40±5) (p <0.05). According to the HADS results, the depression and anxiety average of all individuals was above 7 which is considered normal (7.4 and 9.5 respectively). Depression and anxiety values of hospitalized individuals were higher than those who were treated at home. A positive correlation was found between the TKS score and both depression (r = 0.262; p <0.01) and anxiety levels (r = 0.390; p <0.01) in all patients, and according to the correlation coefficients, the relationship between anxiety and TKS was higher than depression. As a result; In COVID-19 cases, it was found that kinesiophobia, depression and anxiety occurred, these variables were seen at higher levels in hospitalized individuals, and there was a positive relationship between fear of physical activity and depression and anxiety.
  • No Thumbnail Available
    Item
    Physiotherapist-Patient Interaction: A Qualitative Analysis
    (2021) Yilli, Sercan; Sogut, Bensu; Kalmaz, Serkan; Altay, Faruk; Gunduz, Sualp; Arslan, Damla; Sezik, Ebru Gul; Turgut, Elif
    Purpose: Eliciting main concerns of the patients is defined as determining a patient's agenda. Setting a patient's agenda is extremely important for planning patient-centered care and planning individualized rehabilitation program. This study aimed to describe agenda elicitation in rehabilitation, to determine the frequency of encounters in which physiotherapists elicited the patients with musculoskeletal disorders agenda, the proportion and timing of interrupted answers. Methods: This research is a qualitative study which has three steps systematic analysis has carried out. In the first phase, 137 clinical encounters and seven blinded physiotherapists were included in this study. In the second phase, the first physiotherapist-patient interaction, including open and closed-ended questions, were asked by physiotherapists, was recorded. In the third phase, thematic analysis of the elicitation of the patient agenda characteristics was performed. Results: Physiotherapists elicited the patient's agenda in 76.60% of clinical encounters. In those encounters in which physiotherapists elicited patient concerns, the clinician interrupted the patient after a median of 14.60 seconds (min-max, 1 to 120 seconds). In the un-interrupted encounters in which physiotherapists elicited patient concerns, the patients with musculoskeletal disorders were stated their agenda in 47.70 +/- 35.70 seconds. Conclusion: In general, most of the physiotherapists emphasize to elicit the patient's agenda; however, they interrupt the patient's expression significantly sooner. Eventually, the failure to elicit the patient's agenda inhibits evaluating patients' needs, and this would lead to failure in planning the rehabilitation program based on individual needs.