COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON
Yıl: 2020 Cilt: 31 Sayı: 1 Sayfa Aralığı: 81 - 93 Metin Dili: Türkçe DOI: 10.21653/tjpr.718877 İndeks Tarihi: 09-10-2020
COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON
Öz: COVID-19 enfeksiyonu Aralık 2019’da Çin’in Wuhan kentinde ortaya çıkmış ve kısa sürede başta Avrupa olmak üzere tüm Dünya’da etkili olmuştur. Hastaların yaklaşık % 80'inde, pnömoni içermeyen hafif ile orta derecede hastalık gelişmektedir. Viral pnömoni vakalarının % 14’ünde, şiddetli hastalık ortaya çıkmaktadır. Bazı hastaların respiratuar durumu giderek kötüleşmeye devam etmekte ve genellikle üçüncü haftaya kadar uzayan mekanik ventilasyon desteği gerektiren akut solunum sıkıntısı sendromu (ARDS) geliştirmektedir. COVID-19 enfeksiyonu akut döneminde solunum işi ve distresini artıran uygulamaların (havayolu temizleme tekniklerinin solunum egzersizlerinin, egzersiz eğitiminin ve solunum kas eğitimi) kullanılması önerilmemektedir. Bu hastalarda önerilen yaklaşımlar pozisyonlama ve sedasyon ve klinik durumun el verdiği oranda uygulanabilen pasif veya aktif mobilizasyondur. Akut dönemde bu uygulamalar sırasında kesin/olası COVID-19 enfeksiyonu olan hastalar ile temas durumunda, öncelikle T.C. Sağlık Bakanlığı standart temas ve damlacık enfeksiyonuna yönelik koruma önlemlerine uyulması ve kişisel koruyucu ekipman (KKE) kullanılması gerekmektedir. Akut dönem sonrasında (post-akut) güncel sınırlı bilgiler ışığında, COVID-19 enfeksiyonunun, uzamış mekanik ventilasyonun ve yoğun bakımda uzun süreli kalışın yaratacağı olası respiratuar, fonksiyonel ve emosyonel kayıplarla başa çıkmada fizyoterapi ve rehabilitasyon yararlı olabilir. COVID-19 enfeksiyonunun respiratuar, kardiyovasküler, nörolojik ve musküler etkileri ve komorbid durumlar göz önünde bulundurularak, düşük şiddette aktivite ve egzersizin bireysel temelde uygulanması önerilebilir. COVID-19 enfeksiyonu Dünya’da 100. Gün ve Türkiye’de ise 30. gününü henüz tamamlamıştır. Günden güne literatür bilgilerinde ve yapılan önerilerde belirgin değişiklikler yapılması gerekebilmektedir. Bu derleme, eldeki güncel bilgiler ışığında, COVID-19 enfeksiyonunda akut ve post-akut dönemde fizyoterapi ve rehabilitasyon uygulamalarına yön gösterici olmak amacı ile hazırlanmıştır..
Anahtar Kelime: ACUTE AND POST-ACUTE PHYSIOTHERAPY AND REHABILITATION IN COVID-19 INFECTION
Öz: COVID-19 infection emerged in Wuhan, China, in December 2019, and has been active all over the world, especially Europe. About 80% of patients develop mild to moderate disease without pneumonia. The severe disease develops in 14% of viral pneumonia cases. The respiratory condition of some patients continues to deteriorate gradually and develops acute respiratory distress syndrome (ARDS) requiring mechanical ventilation support that usually lasts up to the third week. At COVID-19 acute phase, applications increasing work of breathing and respiratory distress (airway clearance techniques, breathing exercises, exercise training, and respiratory muscle training) are not recommended. The approaches suggested in these patients are positioning and mobilization that can be applied based on sedation and clinical status. In case of contact with patients with a definite/potential COVID-19 infection, the Turkish Ministry of Health's standard contact and droplet infection protection measures must be followed and personal protective equipment has to be used. During the post-acute period, based on the current limited information, prolonged mechanical ventilation and intensive care unit stay, and respiratory, cardiovascular, neurologic, muscular and metabolic effects of COVID-19, together with the comorbid conditions, individualized low level of activity and exercise may be suggested. COVID-19 infection is at the 100th day in the world and the 30th day in Turkey. There is a very rapid and dramatic change in the information and recommendations. This review has been written to guide acute and post-acute physiotherapy and rehabilitation in COVID-19 infection.
Anahtar Kelime: Belge Türü: Makale Makale Türü: Derleme Erişim Türü: Erişime Açık
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| APA | Inal-Ince D, Vardar-Yagli N, Saglam M, Calik Kutukcu E (2020). COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. , 81 - 93. 10.21653/tjpr.718877 |
| Chicago | Inal-Ince Deniz,Vardar-Yagli Naciye,Saglam Melda,Calik Kutukcu Ebru COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. (2020): 81 - 93. 10.21653/tjpr.718877 |
| MLA | Inal-Ince Deniz,Vardar-Yagli Naciye,Saglam Melda,Calik Kutukcu Ebru COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. , 2020, ss.81 - 93. 10.21653/tjpr.718877 |
| AMA | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. . 2020; 81 - 93. 10.21653/tjpr.718877 |
| Vancouver | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. . 2020; 81 - 93. 10.21653/tjpr.718877 |
| IEEE | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E "COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON." , ss.81 - 93, 2020. 10.21653/tjpr.718877 |
| ISNAD | Inal-Ince, Deniz vd. "COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON". (2020), 81-93. https://doi.org/10.21653/tjpr.718877 |
| APA | Inal-Ince D, Vardar-Yagli N, Saglam M, Calik Kutukcu E (2020). COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31(1), 81 - 93. 10.21653/tjpr.718877 |
| Chicago | Inal-Ince Deniz,Vardar-Yagli Naciye,Saglam Melda,Calik Kutukcu Ebru COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31, no.1 (2020): 81 - 93. 10.21653/tjpr.718877 |
| MLA | Inal-Ince Deniz,Vardar-Yagli Naciye,Saglam Melda,Calik Kutukcu Ebru COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), vol.31, no.1, 2020, ss.81 - 93. 10.21653/tjpr.718877 |
| AMA | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(1): 81 - 93. 10.21653/tjpr.718877 |
| Vancouver | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON. Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online). 2020; 31(1): 81 - 93. 10.21653/tjpr.718877 |
| IEEE | Inal-Ince D,Vardar-Yagli N,Saglam M,Calik Kutukcu E "COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON." Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online), 31, ss.81 - 93, 2020. 10.21653/tjpr.718877 |
| ISNAD | Inal-Ince, Deniz vd. "COVID-19 ENFEKSİYONUNDA AKUT VE POST-AKUT FİZYOTERAPİ VE REHABİLİTASYON". Türk Fizyoterapi ve Rehabilitasyon Dergisi (Online) 31/1 (2020), 81-93. https://doi.org/10.21653/tjpr.718877 |
