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Abstract
Background Studies show that patients’ biopsychosocial characteristics may be affected by various factors such as inpatient, outpatients, exercise intervention regularly. [1]. No studies have been found to examine this situation in the literature.
Objectives The aim of this study was to investigate the biopsychosocial characteristics of patients with rheumatic diseases who were inpatients, outpatients and participated in an exercise intervention regularly.
Methods A total of 105 patients were included in the study (inpatient, outpatient, exercise intervention) (Table 1). For exercise intervention group, BETY as a biopsychosocial exercise model was applied 3 days a week for 3 months [2]. Biopsychosocial characteristics of the patients included in the study were evaluated by BETY- Biopsychosocial Questionnaire (BETY-BQ) [3]. In addition to the total score of BETY-BQ, the same time pain, functionality and fatigue, sexuality, emotional status and socialization subcategory of this questionnaire were evaluated on item basis among each patients.
Results The demographics variables and BETY-BQ scores of the patients were shown in Table 1. There were a statistically significant differences among three groups. After post-hoc analysis, it was determined that there is no difference between the BETY-BQ scores of the outpatients and inpatients (p> 0.05), whereas the BETY-BQ scores of the patients who participated in the group exercise were lower (p<0.05). When the items were analyzed, it was found that pain (items 2, 3, 5, and 12), functionality and fatigue (items 6, 7, 11, 26, and 28), emotional status (items 16 and 17), and sleep (item 30) subcategory scores were also lower in patients who participated in BETY programme (p<0.05).
Demographic statistics and BETY-BQ scores
Conclusion It is surprising that the biopsychosocial characteristics of the inpatients and outpatients were similar. According to this result, inpatients shouldnt be thought as worse than outpatients. On the other hand, the patients who participated in exercise intervention were improved in terms of biopsychosocial aspects. The positive effects of the BETY program on the biopsychosocial status of individuals have been demonstrated formerly [4]. It was concluded that inpatients should be supported to exercise in terms of their biopsychosocial needs during hospitalization period as well as rheumatic outpatients need.
References [1] Saketkoo, L.A. and J.D. Pauling, Qualitative methods to advance care, diagnosis, and therapy in rheumatic diseases. Rheumatic Disease Clinics of North America, 2018.
[2] Kisacik, P., et al., Investigating the effects of a multidimensional exercise program on symptoms and antiinflammatory status in female patients with ankylosing spondylitis. Complement Ther Clin Pract, 2016. 22: p. 38-43.
[3] NAL, E., et al., Romatizmalı hastalar iin bir yaşam kalitesi leğinin geliştirilmesi: madde havuzunun oluşturulması. Journal of Exercise Therapy and Rehabilitation, 2017. 4(2): p. 67-75.
[4] Unal, E., et al. Effectiveness of a Biopsychosocial Exercise Approach in Rheumatic Diseases. in ARTHRITIS & RHEUMATOLOGY. 2018. WILEY 111 RIVER ST, HOBOKEN 07030-5774, NJ USA.
Disclosure of Interests None declared