Amaç: Çalışmamızın amacı, ofis çalışanlarında mobil uygulama tabanlı egzersizlerin ağrı, yaşam kalitesi ve iş performansına etkilerini araştırmak,
uygulamanın bir egzersiz alışkanlığı oluşturma yönündeki etkisini ve geleneksel yöntemlere bir alternatif olup olamayacağını saptamaktır.
Gereç ve Yöntem: Çalışmaya dahil edilen 60 katılımcı, grup 1 (mobil uygulama grubu) ve grup 2 (egzersiz föy grubu) olarak randomize olarak iki
gruba ayrıldı. Her iki gruptaki olgulara 1 ay boyunca uygulayacakları egzersizler her gün 5 tane olmak üzere föy ve mobil uygulama ile sunuldu.
Föy grubundaki kişilerden günlük egzersizlerini günde 3 kez yapmaları istendi. Mobil uygulama grubuna ise günde 4 kez belirlediğimiz periyotlar
halinde bildirimler gönderildi. Olguların ağrılı bölgeleri, çalışma yılı, çalışma saati gibi parametreler için “Demografik Bilgiler Formu”, Ağrıyı değer-
lendirmek için “Görsel Analog Skala (GAS)”, yaşam kalitesini değerlendirmek için “Nottingham Sağlık Profili (NSP)”, iş performansı değerlendirmek
için ise “Çalışma Rolü İşlevselliği Anketi” kullanıldı. İstatistiksel analiz için SPSS 20.0 versiyonu kullanıldı.
Bulgular: Tedavi sonrası her iki grupta ağrı, yaşam kalitesi ve iş performansı skorlarında anlamlı değişim elde edildi (P < ,05). Grup 1’in ağrı, yaşam
kalitesinin duygusal reaksiyonları, uyku, fiziksel aktivite, enerji, toplam skor, genel sağlık hali parametreleri ve iş performansının tüm parametrel-
eri grup 2’ye göre istatistiksel olarak anlamlı daha üstün bulundu (P < ,05).
Sonuç: Çalışmamızda ofis çalışanlarında iki farklı yöntemle uygulanan egzersiz programı ağrı, yaşam kalitesi ve iş performansında anlamlı değişim
sağlamıştır ve mobil uygulama destekli egzersiz programının ofis çalışanlarında alternatif bir tedavi olabileceği belirtilmiştir.
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Yeni koronavirüs pandemisi ülkemiz ve dünya çapında devam ederken sosyal mesafe, karantina protokolleri ve enfeksiyon riski; işitme kayıplı
hastaların tanı, takip ve rehabilitasyon süreçlerini kısıtlamaktadır. Dünya’da neler olursa olsun, hastaların ihtiyaçlarını karşılamak için sürekli
olarak yeni ve yenilikçi yollar aramaktayız. Yeni teknolojilerle desteklenmiş tele-odyoloji uygulamaları, doğrudan hasta temasından kaçınarak
hastalığın yayılma riskinin azalmasına ve sosyal mesafenin korunmasına yardımcı olabilir. Bu derlemenin amacı, tele-odyoloji uygulamalarının
sosyal mesafe ve pandemi ile ilişkili klinik zorlukların üstesinden gelebilme fırsatını incelemektir.
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Timia van SOOM, Nick GEBRUERS, Wiebren TJALMA, Goof SCHEP, Eric van BREDA
Timia van SOOM, Nick GEBRUERS, Wiebren TJALMA, Goof SCHEP, Eric van BREDA
ABSTRACT
Objective: Muscle strength assessment in cancer rehabilitation is normally performed using the one repetition maximum (1RM) strength test for
several muscle groups. 1RM testing is not easy in a clinical setting; and therefore, in this study, we aimed to determine the test-retest reliability
and the relation to 1RM muscle strength of functional movement tests in a group of diverse cancer patients, curatively treated with chemotherapy.
Material and Methods: The study sample included 26 participants, of whom 13 were post-chemotherapy patients and 13 were healthy controls
(mean±SD); age 45.9±13.6 years; weight 80.2±12.7 kg; BMI 26.4±3.77; leg press 1RM strength value/kg 2.06±0.70. The following tests were
performed-the vertical jump test, stair-climb test, 5-times chair-rise test, 30-seconds chair rise, push-up test, and hand grip strength test and the
results were correlated with the leg press 1RM strength values. The tests were performed twice with a minimum gap of seven days in between.
Results: The control group showed significantly better results in the 1RM strength tests and most other tests than the post-chemotherapy group.
The vertical jump test results showed the best correlation with leg press strength, and the push-up test variable showed the best correlation with
upper extremity 1RM strength.
Conclusion: The vertical jump and push-up tests are the most valid in the clinical setting. These tests assist exercise physicians in determining
muscle strength at various stages of the cancer process and rehabilitation, which help specify training goals individually for each patient.
Keywords: Oncology, physical screening, strength
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Ayşe ZENGİN ALPÖZGEN, Begüm KARA KAY, Pelin TİRYAKİ, Gamze Polen AKŞİMŞEK, Eylül Pınar KISA, Esmanur KOLBAŞ
Ayşe ZENGİN ALPÖZGEN, Begüm KARA KAY, Pelin TİRYAKİ, Gamze Polen AKŞİMŞEK, Eylül Pınar KISA, Esmanur KOLBAŞ
Objective: In this study, we aimed to investigate the effectiveness of video-based exercise program on quality-of-life (QoL) domains.
Material and Methods: A total of 68 participants, aged 18–35 years, were included in the study. The participants were divided into two groups
on the basis of their willingness to exercise-the exercise group (n=39, 26.74±3.91 years, 28.2% men) and the control group (n=29, 27.59±2.82
years, and 41.4% men). Both groups were evaluated with Rapid Assessment of Physical Activity and World Health Organization Quality of Life BREF
through web-based forms, and the exercisers’ aerobic capacities were evaluated with a two-minute walk test (2MWT). The exercise group attended
35 minutes of video-based exercise intervention three times a week for six weeks, whereas the control group continued their regular life. At the
end of the study, the change in the general health status of the participants was rated with the Global Rating of Chance Scale (GRCS) and exercise
satisfaction with the 10-point Likert scale.
Results: There were no differences in the QoL domains within or between the groups (P > .05) except within the group change in 2MWT total
walking distance parameter in the exercise group (P < .001). However, GRCS scores were statistically higher in the exercise group (P < .001). The
overall satisfaction with the video-based exercise program was 8.28±1.76 points.
Conclusion: There was no significant increase in QoL domains with video-based exercises compared to the control group. However, these exercises
may contribute to the preservation of aerobic capacity during periods when face-to-face exercises cannot be performed.
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Esra KÖSE, Birgül VURAL DOĞRU, Meral GÜN
Esra KÖSE, Birgül VURAL DOĞRU, Meral GÜN
Objective: This study was conducted to evaluate the effect of arteriovenous fistula knowledge and self-care behavior of hemodialysis patients on
arteriovenous fistula complications.
Material and Methods: This cross-sectional and descriptive study was conducted between July 01 and September 01, 2019, with 92 patients who
came to a university hospital for dialysis and who were eligible according to the inclusion criteria. A personal information form and self-care
behaviors evaluation scale for arteriovenous fistula in patients on hemodialysis were used to collect data.
Results: The mean age of the participants was 59.2±13.7 years. It was found that 59.8% of the participants had had at least one complication
concerning arteriovenous fistula. The most frequent complications were found to be thrombosis (43.5%), hematoma and aneurism (25%), stenosis (23.9%), and infection (17.4%). A significant difference was found between allowing a change in needle entry point and the development of
aneurism and hematoma (P < .05). A significant difference was also found between hematoma development and application of pressure to the
needle exit point (P < .05). The total mean score of the self-care behaviors evaluation scale for arteriovenous fistula was 68.1±8.4. A significant
difference was found between total scale scores according to whether patients had experienced aneurism and infection complications (P < .05).
Conclusion: The participants’ knowledge of fistula and self-care behavior scores were found to be at a good level. The high rate of fistula complications may derive from the patients not allowing a change in the needle entry point and not applying the correct pressure to the needle exit
point. As the scale scores of patients with aneurysm and infection complications were lower, it can be considered that fistula self-care behavior
plays a part in the development of complications. Accordingly, it is recommended that patients should be supported with education programs
about fistula complications
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Taner ARTAN, Selda MEYDAN, Hatice Selin IRMAK
Taner ARTAN, Selda MEYDAN, Hatice Selin IRMAK
Objective: It is known that coronavirus disease 2019 (COVID-19), a new type of coronavirus disease that started to spread from China to the whole
world at the end of 2019, causes fear and anxiety among all people because of its emergence and consequences. Although the uncertainty created by this situation, witnessed for the first time, will continue in the long term, and the opinions increase curiosity and interest; it was deemed
important to examine the individual and social reflections. Therefore, a measurement tool was needed to evaluate the impact and fear of the
COVID-19 epidemic on society. In this study, we aimed to adapt the Fear of COVID-19 Scale to Turkish and to evaluate its validity and reliability.
Material and Methods: The sample of the study included adults aged 18 and over, living within the borders of Istanbul, who voluntarily agreed to
participate in the study. Data were collected using the Personal Information Form, the Fear of COVID-19 Scale, and the Perceived Vulnerability to
Disease Scale. The language adaptation of the Fear of COVID-19 Scale was made, and for the reliability study, internal consistency, item-total score
reliability coefficient, and two half-test reliability were examined; explanatory factor analysis and confirmatory factor analysis were performed to
demonstrate construct validity; and for criterion-related validity, analysis was performed with a similar scale.
Results: As a result of the factor analysis performed for the Fear of COVID-19 Scale, it was determined that it can be used in one dimension. It was
found that the internal consistency coefficient of the scale, which had an average score of 61.16±8.77 was 0.867, and the item total correlation
coefficients varied between 0.600 and 0.722. As a result of the analysis for criterion-related validity, a statistically significant positive correlation
was found between the two scales (r = 0.298, P < .001).
Conclusion: As a result of the analysis, the researchers believe that the Fear of COVID-19 Scale is a valid and reliable measurement tool to evaluate
the impact of the pandemic process on psychological health.
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Nilay ARMAN, Ezgi TÜRKMEN
Nilay ARMAN, Ezgi TÜRKMEN
Objective: In this study, we aimed to investigate the effect of dance therapy course practice (DTCP) on academic motivation, anxiety, body language, and dance-related self-efficacy, perceived stress level, and autonomous learning in physiotherapy students.
Material and Methods: One hundred and two participants were included in the study. The students’ level of academic motivation with the Academic Motivation Scale (AMS), anxiety with the State-Trait Anxiety Inventory (STAI), body language and dance-related self-efficacy with the Body
Language and Dance Self-Efficacy Assessment Form (BLDSEAF), stress level with the Perceived Stress Scale (PSS), and autonomous learning skills
with the Autonomous Learning Scale (ALS) were evaluated before and after the 8-week DTCP.
Results: The average age of the students was 21.33±2.92 years, mean body mass index was 22.07±2.80 kg/m2
. Fifty nine of them were women
(57.8%) and 43 were men (42.2%). After the DTCP, a statistically significant increase was found in the AMS, BLDSEAF, and ALS scores and a significant
decrease in the STAI and PSS scores of the students (P < .001).
Conclusion: According to the results of our study, it was observed that academic motivation level, body language, dance-related self-efficacy, and
autonomous learning skills increased, and anxiety and stress levels decreased in the students of physiotherapy after the DTCP. We believe that
DTCP significantly contributed to the students’ ability to express themselves non-verbally and socialize, to get away from the anxiety and stress of
academic and daily life when dancing, to be better motivated, and to know and use their bodies better.
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Nimet İMANCIOĞLU, Hale UYAR HAZAR
Nimet İMANCIOĞLU, Hale UYAR HAZAR
Objective: In this study, we aimed to determine the effect of participation in a pregnant information class on healthy lifestyle behaviors of pregnant women.
Material and Methods: The study was conducted as an analytical case-control study between October 2017 and May 2018 in Aydın Gynecology
and Pediatrics Hospital. A total of 160 pregnant women, including 40 pregnant women participating in the pregnant information class constituting the case group and 120 pregnant women not participating in the pregnant information class constituting the control group were included in
the study. Convenience sampling method was used to determine the sample group. For the case and control groups, three controls for each case
were matched in terms of educational status, employment status, and number of living children. The Introductory Information Form and Health
Promoting Lifestyle Profile II (HPLP II) were used to collect the data. Data analysis was performed using numbers, percentage, mean, standard
deviation, minimum-maximum values, chi-squared test, and Student t test.
Results: It was found that the mean HPLP II total score (153.20±15.61) of the pregnant women in the case group was higher than the total mean
score (133.28±15.34) of the pregnant women in the control group. In the case and control groups, the highest mean sub-factor score obtained
from the scale was spiritual development (case group =29.75±3.04, control group = 27.51±3.75), the lowest mean sub-factor score was physical
activity (case group = 19.20±4.05, control group = 14.45±4.09). It was found that there was a statistically significant difference between the HPLP
II total score and sub-factor mean scores of the groups (P < .05).
Conclusion: Participation in the pregnant information class positively affects and increases the healthy lifestyle behaviors (HLB) of pregnant
women. Pregnancy should be seen as an opportunity for the acquisition, development, and implementation of HLB, participation in pregnant
information classes should be expanded, and long-term participation should be ensured in this process
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İbrahim GÜN, Faruk YILMAZ, İlhan Kerem ŞENEL
İbrahim GÜN, Faruk YILMAZ, İlhan Kerem ŞENEL
ABSTRACT
Objective: Performance analysis is vital in the health sector owing to health expenditures, increased quality demands, and competition. In this
study, we aimed to evaluate the relative efficiencies of different countries that use similar health status indicators.
Material and Methods: A K-means clustering algorithm with five different variables was used to ensure homogeneity among the countries selected for comparison. The resulting clusters were analyzed using an input-oriented data envelopment analysis with four inputs and three output
variables for evaluating the relative efficiencies of countries within each cluster. Accordingly, input variables, such as current health expenditure
per capita (current US$), hospital beds (per 1000 people), physicians (per 1,000 individuals), and nurses and midwives (per 1,000 people); and
output variables, such as life expectancy at birth, maternal survival rate (per 100,000 live births), and infant survival rate (per 1,000 live births)
were determined, and efficiency analysis was performed.
Results: The countries were first clustered into three homogenous groups using a k-means clustering algorithm. For 177 countries whose data
were accessible (out of 189 countries), the first, second, and third clusters comprised of 74, 55, and 48 countries, respectively. Then, scale efficiency,
pure technical efficiency, and technical efficiency scores were obtained by data envelopment analysis. In the first cluster, 31 countries (41.89%)
were categorized as pure technical efficient, whereas in the second and third clusters, 20 (37.03%) and 23 (47.92%) countries were categorized as
pure technical efficient, respectively.
Conclusion: Cross-country studies are crucial for countries for the assessment of comparative positions and for improvement of their health
status accordingly. Policymakers can compare the relative efficiency of their countries with other countries that possess similar health resources.
Accordingly, they can set achievable targets by referring data of efficient countries
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Objective: Auditory perception, which is the recognition and interpretation of auditory stimulus, forms the basis of verbal communication skills.
Evaluating auditory perception in children is very important. Developmental Test of Auditory Perception (DTAP) is a battery that measures differ-
ent aspects of auditory perception. This study aimed to present the Turkish adaptation of the DTAP battery.
Material and Methods: A total of 80 individuals (40 girls, 40 boys), aged between 8 and 18 years with normal hearing, were recruited in this study.
The DTAP consists of 5 subtests, including environmental sounds, word discrimination, phonemes in isolation, tonal pattern, and rhyming sounds.
All of these subtests were adapted to Turkish.
Results: The participants were found to have a greater difficulty in tonal pattern and rhyming sounds subtests. Negative correlation was found
between age and the subtests of tonal pattern and rhyming sounds (P < .05). According to these results, as the age of the participants increases,
the probability of making mistakes in these subtests decreases. However, a positive correlation was found between tonal pattern and rhyming
sounds subtests, with both the number of incorrect items in tonal pattern and rhyming sound subtests increased.
Conclusion: It is concluded that auditory perception of tonal patterns and rhyming sounds is challenging for children in the young age group. The
DTAP is an adaptable tool for the Turkish population. Further studies are needed with greater populations of Turkish children.
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