Keser İlke, Özdemir Kadirhan, Erer Dilek, Onurlu İlknur, Bezgin Sabiha
Department of Physiotherapy and Rehabilitation, Gazi University Faculty of Health Sciences, Ankara, Turkey.
Department of Cardiovascular Surgery, Gazi University Faculty of Medicine, Ankara, Turkey.
Turk Gogus Kalp Damar Cerrahisi Derg. 2020 Jan 23;28(1):76-83. doi: 10.5606/tgkdc.dergisi.2020.18068. eCollection 2020 Jan.
This study aims to compare the effect of different physical activity levels on pain, fatigue, and quality of life in patients with chronic venous insufficiency.
Between October 2018 and February 2019, a total of 69 patients (4 males, 65 females; mean age 50 years; range, 19 to 73 years) who were diagnosed with chronic venous insufficiency and consulted for physiotherapy were included in the study. The physical activity level of the patients was determined using the International Physical Activity Questionnaire in three groups as light, moderate, or vigorous. Fatigue, pain, and QoL were assessed using the Fatigue Severity Scale, visual analog scale (during the night, activity, and rest), and Venous Insufficiency Epidemiological and Economic Study Quality/Symptom Scale, respectively.
Of a total of 69 patients, 17 were in the light-intensity physical activity group, 32 in the moderate-intensity physical activity group, and 20 in the vigorous-intensity physical activity group. Perceived pain during activity and fatigue were significantly different between the light- and moderate-intensity physical activity groups (p<0.05). There was no significant difference in pain, fatigue, and quality of life scores between the vigorous-intensity physical activity group and the other two groups (p>0.05).
Our study results suggest that a moderate level of physical activity may be helpful to overcome symptoms such as pain and fatigue in patients with chronic venous insufficiency and to improve quality of life.
本研究旨在比较不同身体活动水平对慢性静脉功能不全患者疼痛、疲劳和生活质量的影响。
2018年10月至2019年2月期间，共有69例被诊断为慢性静脉功能不全并咨询理疗的患者（4例男性，65例女性；平均年龄50岁；范围19至73岁）纳入本研究。使用国际身体活动问卷将患者的身体活动水平分为轻度、中度或剧烈三组。分别使用疲劳严重程度量表、视觉模拟量表（夜间、活动时和休息时）以及静脉功能不全流行病学和经济研究质量/症状量表评估疲劳、疼痛和生活质量。
69例患者中，17例在轻度身体活动组，32例在中度身体活动组，20例在剧烈身体活动组。轻度和中度身体活动组之间活动时的感知疼痛和疲劳有显著差异（p<0.05）。剧烈身体活动组与其他两组之间在疼痛、疲劳和生活质量评分方面无显著差异（p>0.05）。
我们的研究结果表明，适度的身体活动可能有助于克服慢性静脉功能不全患者的疼痛和疲劳等症状，并改善生活质量。
