{"id":34619,"date":"2024-11-26T17:02:03","date_gmt":"2024-11-26T17:02:03","guid":{"rendered":"https:\/\/bnssghealthiertogether.org.uk\/?page_id=34619"},"modified":"2024-11-26T17:02:03","modified_gmt":"2024-11-26T17:02:03","slug":"could-rehabilitation-exercise-videos-be-given-as-part-of-standard-care-by-health-care-professionals-hcps-to-people-with-stroke-pws-and-would-pws-adhere-to-physical-exercises-and-rehabilitation-and","status":"publish","type":"page","link":"https:\/\/bnssghealthiertogether.org.uk\/tr\/integrated-care-board\/research-and-evidence\/our-research-portfolio\/type-2-rcf-funded-projects\/could-rehabilitation-exercise-videos-be-given-as-part-of-standard-care-by-health-care-professionals-hcps-to-people-with-stroke-pws-and-would-pws-adhere-to-physical-exercises-and-rehabilitation-and\/","title":{"rendered":"Sa\u011fl\u0131k \u00e7al\u0131\u015fanlar\u0131 taraf\u0131ndan fel\u00e7 ge\u00e7iren ki\u015filere standart bak\u0131m\u0131n bir par\u00e7as\u0131 olarak rehabilitasyon egzersiz videolar\u0131 verilebilir mi ve fel\u00e7 ge\u00e7iren ki\u015filer bu videolar\u0131 evde kullanarak fiziksel egzersizlere ve rehabilitasyona uyum sa\u011flayabilir ve fonksiyonel sonu\u00e7lar\u0131n\u0131 iyile\u015ftirebilir mi?"},"content":{"rendered":"
Mod\u00fcl-1 ba\u015fl\u0131kl\u0131 b\u00f6l\u00fcm<\/span><\/a>
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Deneyimli bir fizyoterapistin rehberli\u011finde egzersiz yapan ger\u00e7ek hastalar\u0131n yer ald\u0131\u011f\u0131 rehabilitasyon egzersiz videolar\u0131, inme ge\u00e7iren ki\u015filere hastaneden taburcu edilmeden \u00f6nce sa\u011fl\u0131k uzmanlar\u0131 taraf\u0131ndan standart bak\u0131m\u0131n bir par\u00e7as\u0131 olarak verilebilir mi ve inme ge\u00e7iren ki\u015filer bu videolar\u0131 evde kullanarak fiziksel egzersizlere ve rehabilitasyona uyum sa\u011flayabilir ve fonksiyonel sonu\u00e7lar\u0131n\u0131 iyile\u015ftirebilir mi?<\/h1>\n

Finansman:<\/h2>\n

BNSSG ICB Ara\u015ft\u0131rma Kapasitesi Geli\u015ftirme Fonu.<\/p>\n

<\/h2>\n

Sorun nedir?<\/strong><\/h2>\n

Fel\u00e7 sonras\u0131 egzersizin bir\u00e7ok faydas\u0131 vard\u0131r. Kalp ve akci\u011ferlerin daha iyi \u00e7al\u0131\u015fmas\u0131na yard\u0131mc\u0131 olabilir, baz\u0131 ki\u015filerde daha iyi y\u00fcr\u00fcmelerine yard\u0131mc\u0131 olabilir ve di\u011ferlerinde kollar\u0131n\u0131 g\u00fc\u00e7lendirerek g\u00fcnl\u00fck i\u015fleri daha iyi yapmalar\u0131n\u0131 sa\u011flayabilir. En \u00f6nemlisi, daha fazla felci \u00f6nleyebilir. Bununla birlikte, hastaneden taburcu olduktan sonra, fel\u00e7 ge\u00e7irenlerin 4'te 3'\u00fc hareketsiz hale gelir ve daha az egzersiz ve sosyal aktivite yapar. Bir\u00e7ok ki\u015fi korktu\u011funu ve desteklenmedi\u011fini bildirirken, bak\u0131c\u0131lar da hastaneden taburcu olduktan sonra terk edilmi\u015flik duygusu ya\u015fad\u0131klar\u0131n\u0131 belirtmektedir.<\/p>\n

Fel\u00e7 ge\u00e7iren ki\u015filere y\u00f6nelik klinik k\u0131lavuzlar, bu ki\u015filerin her g\u00fcn en az 3 saat rehabilitasyon yapmalar\u0131n\u0131 \u00f6nermektedir. Hem kendi ba\u015flar\u0131na egzersiz yapmalar\u0131na yard\u0131mc\u0131 olacak kaynaklar hem de bak\u0131m verenlerin onlar\u0131 desteklemesi i\u00e7in gerekli ara\u00e7lar sa\u011flanmal\u0131d\u0131r. Fel\u00e7 ge\u00e7iren ki\u015filere yard\u0131mc\u0131 olmak i\u00e7in, ihtiya\u00e7lar\u0131na uygun ve bu ihtiya\u00e7lar do\u011frultusunda tasarlanm\u0131\u015f egzersiz kaynaklar\u0131na ihtiyac\u0131m\u0131z var.<\/p>\n

Kumar, 2016 y\u0131l\u0131ndan beri Bristol After Stroke (BAS) adl\u0131 hay\u0131r kurulu\u015fuyla birlikte, felce u\u011frayan hastalar i\u00e7in grup egzersiz dersleri (Next Steps) veriyor. Dersler bittikten sonra kendilerini yaln\u0131z hisseden hastalar, evde izleyebilecekleri k\u0131sa, \u00f6z videolar geli\u015ftirmemizi \u00f6nerdiler. Kat\u0131l\u0131mc\u0131lar\u0131n Next Steps ve BAS etkinliklerinde faydal\u0131, ilgi \u00e7ekici ve hareketlerini ve ba\u011f\u0131ms\u0131zl\u0131klar\u0131n\u0131 art\u0131rd\u0131\u011f\u0131n\u0131 s\u00f6yledikleri \u0130ngilizce videolar olu\u015fturduk. Videolar\u0131 be\u011fendiler \u00e7\u00fcnk\u00fc ger\u00e7ek hastalar\u0131n bir fizyoterapist deste\u011fiyle egzersiz yapt\u0131\u011f\u0131n\u0131 g\u00f6steriyor ve farkl\u0131 yeteneklere sahip hastalar i\u00e7in \u00e7e\u015fitli egzersizler i\u00e7eriyordu. Videolar\u0131 daha kapsay\u0131c\u0131 hale getirmek i\u00e7in, Hindi, Gujarati, Bengalce gibi di\u011fer dillerde de sunmak \u00fczere NIHR'den fon ba\u015fvurusunda bulunduk.<\/p>\n

 <\/p>\n

<\/h2>\n

Ara\u015ft\u0131rman\u0131n amac\u0131 nedir?<\/strong><\/h2>\n

Bu projede, Next Steps giri\u015fimimizin bir par\u00e7as\u0131 olarak geli\u015ftirilen rehabilitasyon egzersiz videolar\u0131n\u0131n, taburcu edilmeden \u00f6nce Sa\u011fl\u0131k Bak\u0131m Profesyonelleri (HCP'ler) taraf\u0131ndan hastanede Sj\u00f6gren sendromlu hastalara (PwS) verilip verilemeyece\u011fini g\u00f6rmek istiyoruz. Taburcu olduktan sonra, PwS'lerin bu egzersiz videolar\u0131n\u0131 evde kullanarak fiziksel egzersiz ve rehabilitasyona ne \u00f6l\u00e7\u00fcde uyum sa\u011flad\u0131\u011f\u0131n\u0131 belirleyece\u011fiz. Bu, video kayna\u011f\u0131yla s\u00fcrekli etkile\u015fimi te\u015fvik edecek fakt\u00f6rleri optimize etmeye odaklanmam\u0131z\u0131 ve daha geni\u015f kapsaml\u0131 m\u00fcdahale uygulamas\u0131 ve gelecekteki bir etkinlik denemesi i\u00e7in en uygun tasar\u0131m(lar)\u0131 belirlememizi sa\u011flayacakt\u0131r.<\/p>\n

\u00a0<\/strong><\/p>\n

Bu nas\u0131l ba\u015far\u0131lacak?<\/strong><\/h2>\n

\u00c7al\u0131\u015fmam\u0131z s\u0131ras\u0131nda \u015funlar\u0131 yapaca\u011f\u0131z:<\/p>\n

    \n
  1. Video i\u00e7eri\u011fi hakk\u0131nda g\u00f6r\u00fc\u015fmek ve gerekirse geri bildirimlerine g\u00f6re videolar\u0131 iyile\u015ftirmek amac\u0131yla, fel\u00e7li hastalar, aile \u00fcyeleri\/bak\u0131m verenleri ve klinisyenler (fizyoterapistler) ile g\u00f6r\u00fc\u015fmeler yap\u0131lacakt\u0131r. Bu ama\u00e7la, \u0130ngilizce dilindeki mevcut videolar\u0131m\u0131z kat\u0131l\u0131mc\u0131larla payla\u015f\u0131lacakt\u0131r. Hasta grubumuz, ya\u015f, cinsiyet, engellilik durumu (hafif ve orta dereceli fel\u00e7) ve etnik k\u00f6ken a\u00e7\u0131s\u0131ndan \u00e7e\u015fitli hastalar\u0131 i\u00e7erecektir.<\/li>\n
  2. G\u00fcneybat\u0131 b\u00f6lgesindeki \u00e7e\u015fitli inme \u00fcnitelerindeki personele, hastaneden taburcu edilmeden \u00f6nce inme ge\u00e7iren hastalara egzersiz videolar\u0131n\u0131 tan\u0131tmalar\u0131n\u0131 rica edece\u011fiz. Terapistleri taburculuk sonras\u0131 materyalleri sunmalar\u0131 i\u00e7in e\u011fiterek, serviste uygulama y\u00f6ntemini geli\u015ftirece\u011fiz. Daha sonra, videolar\u0131 kullan\u0131p kullanmad\u0131klar\u0131n\u0131 ve egzersizlere kat\u0131l\u0131p kat\u0131lmad\u0131klar\u0131n\u0131 \u00f6\u011frenmek i\u00e7in 3 ve 6 ay sonra inme ge\u00e7iren hastalar\u0131 takip edece\u011fiz. \u015eunlar\u0131 anlamak i\u00e7in at\u00f6lye \u00e7al\u0131\u015fmalar\u0131 d\u00fczenleyece\u011fiz: \u0130nsanlar videolarla etkile\u015fim kuruyor mu?; Ne kadar s\u00fcreyle yap\u0131yorlar?; Kolayla\u015ft\u0131r\u0131c\u0131 fakt\u00f6rler nelerdir?; E\u011fer etkile\u015fim kurmuyorlarsa, engeller nelerdir?<\/li>\n
  3. Yukar\u0131daki 1 ve 2 numaral\u0131 maddelerden elde edilen bulgular\u0131 tart\u0131\u015fmak ve gelecekteki \u00e7al\u0131\u015fmalar\/uygulamalar\/denemeler i\u00e7in fikirleri ele almak \u00fczere hizmet komisyoncular\u0131, hay\u0131r kurumu ortaklar\u0131, sa\u011fl\u0131k profesyonelleri ve hasta ortaklar\u0131yla \u00e7al\u0131\u015ftaylar d\u00fczenleyin.<\/li>\n<\/ol>\n

    <\/h2>\n

    Ara\u015ft\u0131rmay\u0131 kim y\u00fcr\u00fct\u00fcyor?<\/strong><\/h2>\n

    Dr. Praveen Kumar, Bat\u0131 \u0130ngiltere \u00dcniversitesi Fizyoterapi B\u00f6l\u00fcm\u00fc K\u0131demli \u00d6\u011fretim \u00dcyesi.<\/p>\n

    Daha fazla bilgi<\/h2>\n

    Hakk\u0131nda Dr. Praveen Kumar<\/a>.<\/p>\n

    Daha fazla bilgi almak veya bu projeye dahil olmak i\u00e7in l\u00fctfen ileti\u015fime ge\u00e7in.\u00a0bnssg.research@nhs.net<\/a>.<\/p>\n

     <\/p>\n <\/div>\r\n <\/section><\/div><\/div><\/div>","protected":false},"excerpt":{"rendered":"

    Section titled module-1 Could rehabilitation exercise videos (real patients exercising under the guidance of an experienced physiotherapist) be given as part of standard care by health care professionals (HCPs) to people with stroke (PwS) prior to discharge from the hospital, and would PwS adhere to physical exercises and rehabilitation and improve functional outcomes by using […]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":32896,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_acf_changed":false,"footnotes":""},"tags":[],"class_list":["post-34619","page","type-page","status-publish","hentry"],"acf":[],"_links":{"self":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34619","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/comments?post=34619"}],"version-history":[{"count":2,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34619\/revisions"}],"predecessor-version":[{"id":34621,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/34619\/revisions\/34621"}],"up":[{"embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/pages\/32896"}],"wp:attachment":[{"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/media?parent=34619"}],"wp:term":[{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/bnssghealthiertogether.org.uk\/tr\/wp-json\/wp\/v2\/tags?post=34619"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}