Diz osteoartritli hastalarda telefonla takibin etkinli?inin ara?t?r?lmas?

Ama?:Bu ?al??man?n amac?, e?itim ve ev egzersiz program? verilen diz osteoartritlihastalar?n ayda bir kez telefonla aranmas?n?n hastal?k semptomlar?, fonksiyonel durum veya?am kalitesi ?zerine etkilerini ara?t?rmakt?r.Materyal Metod:?al??maya Dokuz Eyl?l ?niversitesi T?p Fak?ltesi Fizik Tedavi ve RehabilitasyonAnabilim Dal? Poliklini?i'ne ba?vuran ve primer diz osteoartriti tan?s? konan 60 hasta al?nd?.Hastalar 10 cm'lik Viz?el Analog Skala (VAS), Western Ontario and McMaster UniversitiesOsteoarthritis Index (WOMAC)'in T?rk?e versiyonu ve Short Form (SF)-36'n?n T?rk?eversiyonu kullan?larak de?erlendirildi.?al??maya al?nan t?m hastalara diz osteoartriti ile ilgili genel bilgiler verildi, eklemkoruma teknikleri konusunda ?nerilerde bulunuldu, belirlenmi? ev egzersiz program???retildi. Hastalara bu egzersizleri g?nde iki kez, 10 tekrarl? olacak ?ekilde haftada 5 g?nyapmalar? ?nerildi. Hastalara ayr?ca bu bilgileri ve ?nerileri i?eren ve egzersizleri ?ematikolarak g?steren bir bro??r verildi.Daha sonra hastalar randomize olarak iki gruba ayr?ld?. Birinci gruptaki hastalardanba?lang??ta e?itimi verilen ev egzersiz program?na ve koruyucu ?nlemlere uymay? alt? ayboyunca s?rd?rmeleri istendi. Bu gruptaki hastalarla ayda bir kez, yakla??k iki dakikal?kstandart telefon g?r??mesi yap?ld?. Telefonda diz a?r?s? sorguland?, diz a?r?s? ile ilgili basit?neri ve hat?rlatmalarda bulunuldu, egzersiz yap?p yapmad?klar?, egzersizle ilgili sorunlar?olup olmad??? ve ba?ka soru veya sorunlar? olup olmad??? soruldu. ?kinci gruptakihastalardan ba?lang??ta e?itimi verilen ev egzersiz program?na ve koruyucu ?nlemlereuymay? alt? ay boyunca s?rd?rmeleri istendi.Hastalar alt? ay sonunda kontrole ?a?r?ld? ve VAS, WOMAC ve SF-36 ?l?eklerikullan?larak tekrar de?erlendirildi.Bulgular:Ba?lang??ta, SF-36 fiziksel fonksiyon skoru, fiziksel rol g??l??? skoru ve fiziksel?zet skoru grup I'de grup II'ye g?re istatistiksel olarak anlaml? d?zeyde y?ksek, VAS ilede?erlendirilen hareket a?r? skoru d???kt?.Her iki grupta yer alan hastalarda 6 ay sonunda VAS ile de?erlendirilen a?r?,WOMAC ve SF-36 skorlar? a??s?ndan istatistiksel olarak anlaml? d?zeyde d?zelme g?zlendi.2Alt? ay sonunda SF-36 a?r?, genel sa?l?k, sosyal fonksiyon, mental sa?l?k, fiziksel?zet ve mental ?zet skorlar? grup I'de grup II'ye g?re istatistiksel olarak anlaml? d?zeydey?ksek olarak saptand?. D?zenli egzersiz yapma oran? da, grup I'de grup II'ye g?reistatistiksel olarak anlaml? d?zeyde y?ksekti.Sonu?:Diz osteoartritli hastalarda e?itim, eklem koruyucu ?neriler ve ev egzersiz program?etkilidir. Hastalar?n ayda bir kez telefonla aranmas? a?r? ve psikososyal fonksiyonlar?nd?zelmesine ek katk? sa?layabilir ve egzersize uzun d?nem uyumu artt?rabilir.Purpose:The purpose of this study is to investigate the effects of monthly telephone calls onsymptoms, function and general health status of patients with knee osteoarthritis who weregiven an education about knee osteoarthritis and joint protection recommendations and ahome based exercise program.Material Method:Sixty patients who applied to the Dokuz Eyl?l University Physical Therapy andRehabilitation policlinic and diagnosed as knee osteoarthritis were included in the study. Thepatients were evaluated by visual analog scale (VAS) for their pain, Western OntarioMcMaster Osteoarthritis Index (WOMAC) for knee pain, stiffness and functionality, ShortForm-36 (SF-36) index for quality of life.Patients recieved information about knee osteoarthritis and joint protectionrecommendations, and given a home exercise program twice in a day for five days of theweek for six months. They were also given a printed information about this recommendationsand the exercises.Patients were randomly assigned to two groups. Group I recieved joint protectionrecommendations, exercise and monthly telephone calls for six months. The telephone callstook two minutes and done monthly. During the calls patients were asked whether they haveknee pain, do exercise or not, given information and suggestions about the knee pain andexercises. Group II recieved joint protection recommendations and exercise, but nottelephone calls, for six months.At the end of the six months, the patients in two groups reevaluated by visual analogscale (VAS), Western Ontario McMaster Osteoarthritis Index (WOMAC), quality of lifeindex Short Form-36 (SF-36).Results:Before treatment, group I patients had significantly higher physical functioning,physical role difficulty and physical summary score of SF-36 and significantly lowermovement painVAS than group II patients.4In both groups, pain VAS, WOMAC and SF-36 scores significantly reduced aftertreatment.In group I, pain, general health, social function, mental health, physical summaryscore and mental summary scores of SF-36 were significantly higher than group II. Alsogroup I patients exercised more regularly than group II patients.Conclusion:Patient education, joint protection recommendations and home based exerciseprogram were effective in knee osteoarthritis. Monthly telephone calls may contributeadditional improvements in pain and psychosocial function scores and increase adherence toexercises in patients with knee osteoarthrtitis

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