Journal of Traditional Medical Complementary Therapies

.: ORIGINAL RESEARCH
Balneoterapi Uygulamasının Ağrı, Anksiyete ve Uyku Kalitesi Üzerindeki Etkisi: Yarı Deneysel Çalışma
The Effect of Balneotherapy Intervention on Pain, Anxiety and Sleep Quality: A Quasi-Experimental Study
Elif OK a, İnci KISA b
aSerbest Araştırmacı, Ankara, TÜRKİYE
bİlker Çelikcan Fizik Tedavi ve Rehabilitasyon Hastanesi, Bursa, TÜRKİYE
J Tradit Complem Med. 2021;4(3):336-42
doi: 10.5336/jtracom.2021-84301
Article Language: TR
Full Text
ÖZET
 Amaç: Balneoterapi; doğal kaynaklardan oluşan, en az 20°C sıcaklıkta ve mineral içeriği en az 1 g/L olan termal mineral su içeren banyoların kullanılması olarak tanımlanır ve genellikle kür şeklinde uygulanır. Bu çalışmada, balneoterapi uygulamasının hastaların ağrı, anksiyete ve uyku kalitesi üzerindeki etkilerinin incelenmesi amaçlanmıştır. Gereç ve Yöntemler: Bu çalışma, yarı deneysel araştırma dizaynında gerçekleştirildi. Çalışma verileri, Ocak ve Mart 2020 tarihleri arasında, Bursa İlker Çelikcan Fizik Tedavi ve Rehabilitasyon Hastanesinde toplandı. Araştırmanın örneklemini kas-iskelet sistemi hastalıkları nedeniyle yatarak balneoterapi tedavisi alan 33 hasta oluşturdu. Araştırma verileri 'Tanıtıcı Özelliklere İlişkin Soru Formu', 'Beck Anksiyete Ölçeği', 'vizüel analog skala' ve 'Uyku Sonrası Değerlendirme Formu' ile toplandı. Değerlendirmeler balneoterapi öncesinde ve 12 günlük balneoterapi kürü sonrasında yapıldı. Hastalar gün aşırı ve her biri azami 10 dk olan toplam 6 kez balneoterapi tedavisi aldı. Bulgular: Çalışmaya katılan hastaların yaş medyanı 65 (65,5-70) yıldı. Balneoterapi sonrası yapılan değerlendirmelerde ağrı (p<0,001), anksiyete (p<0,001) ve uyku kalitesinin tüm alt boyutlarında (p<0,001) istatistiksel olarak anlamlı fark saptandı. Anksiyete ile ağrı ve uyku kalitesi puanları arasında pozitif yönde ve orta düzeyde anlamlı ilişki bulundu. Sonuç: Balneoterapinin kas-iskelet sistemi hastalıklarında tamamlayıcı tıp olarak uygulandığında ağrı ve anksiyete düzeyini anlamlı olarak azalttığı ve uyku kalitesini önemli oranda geliştirdiği gösterilmiştir. Ayrıca kronik ağrı şikâyeti olan hastalarda anksiyetenin ağrı algısı ve uyku sürecini etkileyebileceği düşünülmeli ve bu hastalarda anksiyete ve uyku değerlendirmeleri yapılmalıdır.

Anahtar Kelimeler: Balneoterapi; kronik ağrı; anksiyete; uyku
ABSTRACT
 Objective: Balneotherapy is defined as the use of baths consisting of natural resources, containing thermal mineral water at a temperature of at least 20 °C and a mineral content of at least 1 g/L. The aim of the study is to determine the effect of balneotherapy on pain, anxiety and sleep quality. Material and Methods: This study was carried out a quasiexperimental research design. Research data were collected at Bursa İlker Çelikcan Physical Therapy and Rehabilitation Hospital between January and March 2020. The sample of the study consisted of 33 patients who received inpatient balneotherapy treatment for musculoskeletal diseases. The research data were collected using the 'Patient Information Form', 'Beck Anxiety Scale', 'visual analogue scale' and 'Post-Sleep Assessment Form'. Evaluations were made before balneotherapy and after a 12- day balneotherapy cure. The patients received balneotherapy every other day for a maximum of 10 minutes each, a total of 6 times. Results: The median age of the patients participating in the study was 65 (65.5-70) years. In the post-balneotherapy evaluations, a statistically significant difference was found in all sub-dimensions of sleep quality (p<0.001), anxiety (p<0.001) and pain (p<0.001). In addition, a positive and moderately significant correlation was found between anxiety and pain and sleep quality scores. Conclusion: Balneotherapy has been shown to significantly reduce pain and anxiety levels and significantly improve sleep quality. In addition, it should be considered that anxiety may affect the perception of pain and sleep process in patients with chronic pain and anxiety and sleep assessments should be made in these patients.

Keywords: Balneotherapy; chronic pain; anxiety; sleep
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