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  • Küçük Resim Yok
    Öğe
    The Awareness of Physicians and Allied Health Professionals about Cardiopulmonary Rehabilitation: A Cross-Sectional Survey Study
    (Aves, 2014) Sarikaya, Selda; Tur, Birkan Sonel; Kurtais, Yesim; Karapolat, Hale Uzumcugil; Soyupek, Feray; Hafiz, Meliha; Sarp, Umit; Cakit, Burcu Duyur; Demirsoy, Nesrin; Taskiran, Ozden Ozyemisci; Erdogdu, Deniz Dulgeroglu; Sutbeyaz, Serap Tomruk; Alemdaroglu, Ebru; Delialioglu, Sibel Unsal; Dogan, Asuman; Gokkaya, N. Kutay Ordu; Koseoglu, Fusun; Guzel, Rengin; Ayhan, F. Figen; Tuncay, Figen; Kulcu, Duygu Geler; Eksioglu, Emel
    Objective: Cardiopulmonary (CPR) programs were developed to improve and stabilize the physical, psychological, social, mental, professional, and economic conditions of patients with cardiovascular and pulmonary diseases. Although it is known that CPR reduces mortality and morbidity, it is not widely implemented as it is in Turkey. In this study, we aimed to determine the level of CPR awareness among physicians and allied health professionals. Material and Methods: This was a multi-center, cross-sectional survey study. The study included physicians, nurses, physiotherapists, and other allied health professionals who were informed about the survey and provided written consent to participate. Results: A total of 727 volunteers from 12 different centers were included in the study. Of the participants, 59.5% were physicians, 31.4% were nurses, 5.9% were physiotherapists, and 3.2% were other allied health professionals; 79.3% participants answered the question on if they have had any idea about CPR. Participants indicated that patients should be referred to cardiac pulmonary rehabilitation after a coronary artery bypass (83.8%), chronic obstructive pulmonary disease (83.2%), and cardiac valve surgery (38.9%). Only 40.1% of the survey participants provided information about CPR to patients, while 20.5% did not provide any information about CPR. Conclusion: This survey study determined that in centers where CPR could be implemented, health professionals have knowledge about CPR. If the study were conducted nationwide, the level of awareness might be even lower. Although it is an idea of CPR, the level of knowledge for this issue is not adequate. As the number of the CPR centers will increase, the knowledge of doctors and allied health professionals will advance.
  • Küçük Resim Yok
    Öğe
    Does fear of activity predict exercise capacity in patients with coronary artery disease in both sexes? A cross-sectional multicenter study
    (Baycinar Medical Publ-Baycinar Tibbi Yayincilik, 2024) Demirsoy, Nesrin; Taskiran, Ozden Ozyemisci; Atan, Tugba; Durmus, Dilek; Tur, Birkan Sonel; Findikoglu, Gulin; Guzel, Rengin
    Objectives: This study aimed to identify whether fear of activity predicts exercise capacity in patients with coronary artery disease (CAD) and whether there is a difference between sexes regarding this relationship. Patients and methods: One hundred ninety-seven patients (145 males, 52 females; mean age: 56.3 +/- 10.8 years; range, 22 to 80 years) with a diagnosis of CAD or cardiac event in the previous one to 60 months were enrolled in this cross-sectional multicenter study between November 2015 and February 2017. Demographic and clinical features were recorded. Fear of activity was assessed by the fear of activity scale in patients with CAD (FactCAD). A 6 -min walk test was used to assess exercise capacity. Results: Female participants were older, less educated, and less employed (p=0.045, p=0.048, and p<0.001, respectively) than males. Prevalence of myocardial infarction was higher in males. Comorbidities were higher in females. Multiple linear regression predicted 6 -min walk distance (6MWD) based on FactCAD, sex, and education level with an r -squared of 0.321 (p<0.001). Fear of activity had an effect on walking distance in males (each additional score of FactCAD predicts a decrease of 1.3 m in 6MWD), together with disease duration, presence of chronic pulmonary disease, and low back pain, whereas fear of activity was not a predicting factor on walking distance in females. Age, education, and presence of angina predicted 6MWD in females. Conclusion: This study emphasizes that fear of activity is one of the predictors of 6MWD in males with CAD, and its assessment is recommended as a possible barrier to rehabilitation.
  • Küçük Resim Yok
    Öğe
    Musculoskeletal Pain in Elderly Patients with Osteoporosis: A Multicenter Study
    (Galenos Yayincilik, 2012) Gokce Kutsal, Yesim; Ozdemir, Oya; Karahan, Sevilay; Akyol, Yesim; Borman, Pinar; Dogan, Asuman; Eyigor, Sibel; Guzel, Rengin; Ortancil, Ozgur; Savas, Serpil; Senel, Kazim; Turhanoglu, Ayse Dicle; Yagci, Ilker
    Objective: The aim of this study was to identify the ones with osteoporosis (OP) in elderly patients presenting with musculoskeletal complaints and to evaluate the distribution of region of pain and the medications used for the musculoskeletal disease(s) in these patients. Materials and Methods: 1141 elderly patients who were consecutively admitted to the outpatient clinics in nine different provinces were screened for the diagnosis of OR Age, gender, complaints, diagnosis and current medications related to musculoskeletal system disorder(s) were recorded. Results: 382 elderly (341 female, 41 male) with a mean age of 71.9 +/- 5.3 years had the diagnosis of OR Low (54.5%) and upper back (39.6%) pain were the most common complaints in both sexes. These were followed by knee, hip, cervical and shoulder pain, respectively. Osteoarthritis (36%), lumbar (21%) and cervical spondylosis/stenosis (10%) were the most common musculoskeletal diseases accompanying OR The mean number of drugs used was 3.0 +/- 1.2. The most commonly prescribed anti-osteoporotic agents were bisphosphonates (59%). For the musculoskeletal pain, non-steroidal anti-inflammatory drugs (systemic and/or topical) were used in 46.6% and paracetamol in 24.6% of patients. Conclusion: It is crucial to perform a thorough physical examination to reveal the underlying cause of back pain in elderly osteoporotic patients. Besides, in order to minimize polypharmacy, it should be kept in mind that non-pharmacological approaches can be used for the management of musculoskeletal diseases. Turk J Phys Med Rehab 2012;58:263-6.

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