Ast�m Hastalar�nda Ast�m Kontrol�n�n Beden Alg�s� ve Semptom �fadesi ile �li�kisi

�im�ek, �aban Melih; K�z�l�rmak, Deniz; �im�ek, Meltem Hazel; Havlucu, Yavuz

Cilt : 37 Say� : 3 Y�l : 2023

37/3Son Say� Erken Bask� Ar�iv Pop�ler Makaleler

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Ast�m Hastalar�nda Ast�m Kontrol�n�n Beden Alg�s� ve Semptom �fadesi ile �li�kisi [G��s Hastanesi Dergisi]

G��s Hastanesi Dergisi. 2023; 37(3): 107-113 | DOI: 10.14744/IGH.2023.40085

Ast�m Hastalar�nda Ast�m Kontrol�n�n Beden Alg�s� ve Semptom �fadesi ile �li�kisi

�aban Melih �im�ek¹, Deniz K�z�l�rmak², Meltem Hazel �im�ek³, Yavuz Havlucu²
¹Dr. Ali Menek�e G��s Hastal�klar� Hastanesi, G��s Hastal�klar� Klini�i, Giresun, T�rkiye
²Manisa Celal Bayar �niversitesi T�p Fak�ltesi, G��s Hastal�klar� Anabilim Dal�, Manisa, T�rkiye
³�zel Giresun Ada Hastanesi, Ruh Sa�l�� ve Hastal�klar� B�l�m�, Giresun, T�rkiye

Ama�: Kronik bir hastal�k olan ast�mda, semptomlar epizodik olarak g�r�lse de havayolu inflamasyonu s�reklidir. Hava yollar�ndaki inflamasyon; vazokonstriksiyon, �dem, remodeling ve mukus hipersekresyonu ile bron� obstr�ksiyonuna neden olur. Ast�m kontrol testi (AKT), ast�m kontrol �l�e�i (AK�) gibi �l�ekler ve solunum fonksiyon testleri ile hastalardaki ast�m kontrol� de�erlendirilir. AKT 5 sorudan olu�an, hastan�n kendi beyan etti�i solunumsal semptomlara dayanan subjektif bir testtir. Bu �al��mada, ast�ml� hastalarda ast�m kontrol� ve ya�am kalitesi ile beden duyumu ve semptom ifade yeterlili�i aras�ndaki ili�ki ara�t�r�lm��t�r.
Gere� ve Y�ntemler: Manisa Celal Bayar �niversitesi T�p Fak�ltesi G��s Hastal�klar� Klini�i�nde ast�m tan�s� ile takip edilen hastalara ast�m kontrol testi, SF-36 ya�am kalitesi �l�e�i, beden duyumlar� �l�e�i ve Toronto aleksitimi �l�e�i uyguland�. �l�ekler, her hastaya poliklinik kontrol� s�ras�nda birer kez uyguland� ve birbirleri aras�ndaki ili�ki ara�t�r�ld�.
Bulgular: �al��maya 60 hasta dahil edilmi�tir. Ast�m kontrol testi ile SF-36 ya�am kalitesi skorlar� aras�nda belirgin bir ili�ki saptanm��t�r. Beden duyumlar� �l�e�i ile ast�m kontrol� aras�nda ters korelasyon saptanm��t�r (p=0.011, r=�0.327). AKT�ye g�re tam kontrolde BD� puanlar� 14.0�9.07, k�smi kontrolde 14.40�13.63 olarak g�r�lm��ken, kontrols�zlerde 21.95�11.07 (p<0.05) olarak anlaml� saptanm��t�r. BD� puan� y�ksek olan ki�ilerin daha y�ksek oranda kurtar�c� inhaler kulland�� g�sterilmi�tir. Ast�m kontrol� ile Toronto aleksitimi �l�e�i aras�nda ise anlaml� bir korelasyon saptanmam��t�r (p=0.146, r=�0.190).
Sonu�: Beden Duyumlar� �l�e�i�nin ve SF-36 testinin ters korele olarak saptanmas� ile hastalar�m�zda ya�am kalitesi d��t�k�e semptomlar�n daha abart�l� g�z�kece�i sonucuna vard�k. Bu da bize ya�am kalitesindeki bozulman�n semptomlarda ve korkularda artmaya neden olaca��n� g�stermektedir. Beden duyumlar� �l�e�i ile ast�m kontrol testi aras�nda ters korelasyon saptanm��t�r. Abart�l� semptomlar�n ast�m kontrol testi puanlar�n� d��rece�i ve daha �ok ila� kullan�m�na sebep olabilece�i d��n�lm��t�r. Toronto aleksitimi �l�e�i ile ast�m kontrol testi aras�nda ili�ki saptanmam�� olmas�, aleksitiminin toplumda d��k oranda g�r�lmesi ve �rneklem boyutundaki darl��n sebebiyet verdi�i d��n�lm��t�r.

Anahtar Kelimeler: Ast�m kontrol�, beden duyumlar�, abart�l� alg�.

The Relationship of Asthma Control with Body Sensation and Symptom Expression in Asthma Patients

�aban Melih �im�ek¹, Deniz K�z�l�rmak², Meltem Hazel �im�ek³, Yavuz Havlucu²
¹Department of Chest Diseases, Dr. Ali Menek�e Chest Diseases Hospital, Giresun, T�rkiye
²Department of Pulmonology, Manisa Celal Bayar University Faculty of Medicine, Manisa, T�rkiye
³Department of Mental Health and Diseases, Private Giresun Ada Hospital, Giresun, T�rkiye

Objective: Asthma is a chronic disease characterized by persistent airway inflammation, even though symptoms appear episodically. Chronic inflammation in the airways leads to bronchial obstruction, edema, remodeling, and mucus hypersecretion. Disease control in asthma patients is evaluated using respiratory function tests and scales. This study investigated the relationship between asthma control and quality of life with excessive body sensation and the adequacy of symptom expression in asthma patients.
Material and Methods: The Asthma Control Test (ACT), SF-36 Quality of Life Scale (SF-36), Body Sensation Questionnaire (BSQ), and Toronto Alexithymia Scale (TAS-20) were administered to patients followed up with a diagnosis of asthma. The study group consisted of outpatients diagnosed with asthma in a stable period. The scales were applied to each patient once during outpatient control, and the relationships among them were investigated.
Results: Sixty patients were included in the study. A significant correlation was found between the Asthma Control Test and SF-36 quality of life scores. An inverse correlation was found between the Body Sensation Questionnaire and the Asthma Control Test (p=0.011, r=�0.327). According to the control of asthma; Body Sensation Questionnaire scores were 14.0�9.07 in full control and 14.40�13.63 in partial control, while it was significantly 21.95�11.07 (p<0.05) in uncontrolled patients. It has been shown that individuals with a high BSQ score use a higher rate of reliever inhalers.
Conclusion: This study demonstrated that exaggerated symptom perception could decrease Asthma Control Test scores and lead to increased medication use. It is necessary to identify new methods and increase objectivity in the evaluation to provide symptom control.

Keywords: Asthma control, body sensations, exaggerated perception.

Sorumlu Yazar: �aban Melih �im�ek, T�rkiye
Makale Dili: �ngilizce

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