Akciğer Transplantasyonu Geçirmiş Hastaların İşlevsellik, Yetiyitimi ve Sağlığın Uluslararası SınıflandırıIması Kapsamında Değerlendirilmesi

Abstract

In patients with lung transplantation, many clinical effects such as muscle and skeletal system effects, decreased exercise capacity, fatigue, loss of balance, kinesiophobia occur in the post-transplant period. ICF is a coding system developed to universally identify the state of health of individuals. The aim of the study was to determine and evaluate the relationship between the age of lung transplant patients, transplant age and comorbidity levels and body structure and function, activity and participation level dec within the scope of ICF. 24 lung transplant recipients were included in the study. With the substances selected from the ICF checklist, the patients’ body structure dysfunctions and activity and participation levels were determined within the scope of the ICF. The physical and demographic characteristics of the individuals were recorded. The domain b of the individuals (body functions) was evaluated with Pitsburgh sleep quality questionnaire (PSQI), Hospital anxiety and depression scale (hads), Tampa scale of kinesiophobia, respiratory function test , one minute sit to stand test (1STS), six-minute pegboard and ring Test (6PBRT), MMRC dyspnea scale. Domain s (body structure) was evaluated with scoring and Corbin postural assessment scale. Domain d (activities and participation) was evaluated with Timed up and go Test (TUG), international physical activity questionnaire (IPAQ), St. The George Respiratory Questionnaire (SGRQ) London Chest Daily Life Activities Scale (LCADL). As a result of the study, patient’s age positively correlated with lateral postural score (r=0.52) and sleep disorder (r=0.48) and negatively correlated with peak expiratory flow (PEF) (r=0.54) and the difference in heart rate and the difference leg fatigue 1STS before and after the test (p<0.05). Transplant age positively correlated with lateral postural score and sleep disorder and negatively correlated with the difference in oxygen saturation 1STS before and after the test (r=-0.47) and the difference in dyspnea 6 PBRT before and after the test (r=0.43) (p<0.05). Comorbidity level of patients positively correlated with lateral postural score (r=0.45) and negatively correlated with 1STS score (r=-0.72) and 6 PBRT score (r=0.50) (p<0.05). As a result, balance disorder, decreased exercise capacity, dyspnea, fatigue perception, increased fear of movement and decreased quality of life are observed in lung transplant recipients. When planning pulmonary rehabilitation, the patients' age, transplant age and comorbidity levels should be taken into account. We suggest that the ICF model is applicable in the evaluation of lung transplant recipients and the planning of pulmonary rehabilitation program and that it can bring a new perspective to physiotherapists.