ÖZET
Amaç:
Egzersiz spondiloartritlerin (SpA) yönetiminde bir köşe taşıdır. Bu araştırmanın amacı, SpA hastalarının fiziksel aktivite (PA) düzeylerini ve egzersizden algılanan avantajları ve engelleri popülasyon kontrolleriyle karşılaştırmaktır.
Yöntemler:
Bu kesitsel çalışmaya 200 hasta (118 erkek, 82 kadın) ve 100 kontrol (50 erkek, 50 kadın) dahil edildi. PA seviyeleri Uluslararası Fiziksel Aktivite Anketi-Kısa Form ile değerlendirildi ve egzersiz algıları Egzersiz Faydaları ve Engeller Ölçeği ile değerlendirildi. Tüm katılımcıların yorgunluğu, psikolojik durumu ve yaşam kalitesi sorgulandı. Hastaların hastalık aktivitesi, fonksiyonları ve mobilitesi de değerlendirildi. Hastalık parametreleri ve egzersiz algıları arasındaki korelasyonlar incelendi.
Bulgular:
PA seviyeleri her iki grupta da benzerdi. Hastaların %65’i tavsiye edilen egzersiz miktarını karşıladı. Psikolojik durumun ve yaşam kalitesinin bozulması, hastaların PA düzeylerinin azalması ile ilişkiliydi. Hastalar yorgunluk ve zaman yokluğu bariyerini kontrollere göre daha fazla bildirdi. Hastaların hastalık aktivitesi, işlevselliği, hareketliliği, yorgunluğu, psikolojik durumu ve yaşam kalitesi kötüleştiğinde, egzersizin önündeki algılanan engeller arttı.
Sonuç:
Sağlık çalışanları, SpA hastalarında egzersiz davranışını iyileştirmek için algılanan kişisel engellere odaklanmalıdır.
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