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Telerehabilitation in Individuals With Chronic Disease

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关键词

抽象

Telerehabilitation applications are a treatment method that uses new technologies. There are examples of do for many diseases in our country. It is a method used for people living in remote areas and people who cannot complete their treatment in hospitals due to epidemic. In our study, we will use the telerehabilitation system. In this system, which we will use in people with chronic disease, we aim to see improvement in tests performed in many areas such as physical activity level, respiratory capacity, depression and anxiety level of patients.
In the study to be performed on 60 patients, 30 people will be control and 30 people will be experimental group. Experimental group will be treated with video conferencing method, tailor-made exercise program based on ipaq level for 30 minutes 3 days a week for 6 weeks. The control group will only be informed with the help of a brochure with a standard exercise program.
The tests you can use in this experiment are as follows: barthel daily life activities index, beck depression and anxiety scale, ferrans power quality of life index, charlson comorbidity index, environmental measurements, waist / hip ratio, fatigue severity scale, İPAQ. Tests specific to chronic diseases will be applied to patient one to one.

日期

最后验证: 06/30/2020
首次提交: 07/19/2020
提交的预估入学人数: 07/19/2020
首次发布: 07/22/2020
上次提交的更新: 07/19/2020
最近更新发布: 07/22/2020
实际学习开始日期: 08/14/2020
预计主要完成日期: 08/14/2021
预计完成日期: 08/30/2021

状况或疾病

Telerehabilitation

干预/治疗

Other: Study Group

Other: Control Group

-

手臂组

干预/治疗
Experimental: Study Group
Individual exercises will be applied to individuals with Chronic disease.
Other: Study Group
Exercise protocol according to Ipaq will be prepared for 30 patients with chronic disease . Exercise protocol; warm-up exercises include, stretching exercises, postural exercises, aerobic exercise and cooling exercises. People will practice the exercises 3 days a week for 6 weeks. People will need to reserve 30 minutes a day for this study.
Active Comparator: Control Group
Group to be given an exercise brochure
Other: Control Group
General exercise protocol will be prepared and given to the control group as a brochure

资格标准

有资格学习的年龄 18 Years 至 18 Years
有资格学习的性别All
接受健康志愿者
标准

Inclusion Criteria:

- Having a chronic disease

- To be able to communicate verbally

- Being in a stable period in terms of disease

- At least 3 months for the disease to be chronic

- Regulated hypertension

- Diabetes patients should have them blood sugar under 200 during therapy

Exclusion Criteria:

- Dementia

- Being a cancer patient receiving chemotherapy

- Epilepsy and a history of seizures

- Patient who has recently undergone surgery

- Pregnancy

- Delirium

- Bedridden

结果

主要结果指标

1. Beck's Depression Inventory [2 weeks]

The Beck Depression Inventory (BDI) is a 21-item, self-report rating inventory that measures characteristic attitudes and symptoms of depression. BDI is a 21-question multiple-choice self-report inventory The BDI takes approximately 10 minutes to complete. The minimum score that can be obtained from the scale is 0 and the maximum score is 63 . Higher total scores indicate more severe depressive symptoms.

次要成果指标

1. Charlson Comorbidity Index [2 weeks]

The Charlson Comorbidity Index is a method of categorizing comorbidities of patients. Each comorbidity category has an associated weight (from 1 to 6), based on the adjusted risk of mortality or resource use, and the sum of all the weights results in a single comorbidity score for a patient. A score of zero indicates that no comorbidities were found. The higher the score, the more likely the predicted outcome will result in mortality or higher resource use.

其他成果措施

1. The Beck Anxiety Inventory [2 weeks]

The Beck Anxiety Inventory (BAI) is a 21-question multiple-choice self-report inventory that is used for measuring the severity of anxiety in children and adults. The questions used in this measure ask about common symptoms of anxiety that the subject has had during the past week (including the day you take it) (such as numbness and tingling, sweating not due to heat, and fear of the worst happening). It is designed for individuals who are of 17 years of age or older and takes 5 to 10 minutes to complete. The minimum score that can be obtained from the scale is 0 and the maximum score is 63.

2. MODIFIED FATIGUE IMPACT SCALE [2 weeks]

The Modified Fatigue Impact Scale (MFIS) is a modified form of the Fatigue Impact Scale (Fisk et al, 1994b) based on items derived from interviews with MS patients concerning how fatigue impacts their lives. This instrument provides an assessment of the effects of fatigue in terms of physical, cognitive, and psychosocial functioning. The full-length MFIS consists of 21 items. The minimum score that can be obtained from the scale is 0 and the maximum score is 84.

3. The Fatigue Severity Scale [2 weeks]

The Fatigue Severity Scale is a 9-item scale which measures the severity of fatigue and its effect on a person's activities and lifestyle in patients with a variety of disorders. A self-report scale of nine items about fatigue, its severity and how it affects certain activities. the minimum score possible is nine and the highest is 63. The higher the score, the more severe the fatigue is and the more it affects the person's activities. It is simple to understand and takes an average of eight minutes to answer.

4. Ferrans and Powers quality of life index [2 weeks]

The subjective perception of the level of happiness and satisfaction towards the different aspects of life is considered the main determinant in making a positive or negative judgment of the subjectively perceived quality of life. The current generic version of the Ferrans and Powers Quality of Life Index consists of 33 items in each part, which the subjects attribute scores in a satisfaction. The 33 items are distributed into the four dimensions (subscales): Health/functioning (13 items), Social and economic (8 items), Psychological/spiritual (7 items) and Family (5 items). The minimum score that can be obtained from the scale is 0 and the maximum score is 30.

5. Chest Circumference Measurement [2 weeks]

Standing, it is measured by arms in abduction. It passes through the lower end of the scapula on the back and is measured at the level of the 4th rib.

6. Waist to Hip Ratio [2 weeks]

It is the ratio of waist circumference to hip circumference. By measuring this value for scientific studies, it examines the risk level of potential health problems that individuals may encounter in the future. According to the studies of scientists, it shows quite accurate results about the risk of an individual having a health problem because it shows in which part of the body the excess weight is collected.

7. INTERNATIONAL PHYSICAL ACTIVITY QUESTIONNAIRE [2 weeks]

The International Physical Activity Questionnaires (IPAQ) comprises a set of 4 questionnaires. Long (5 activity domains asked independently) and short (4 generic items) versions for use by either telephone or self-administered methods are available. The purpose of the questionnaires is to provide common instruments that can be used to obtain internationally comparable data on health-related physical activity. 1998 and was followed by extensive reliability and validity testing undertaken across 12 countries (14 sites) . Physical Activity level is determined in 3 categories

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