Anxiety Levels in Severe COVID-19 Patients Before and After Undergoing Upper Arm Exercises and Breathing Exercises at H. Adam Malik Hospital Medan

Authors : Nurul Citta Banu PUTRİ, Amira PERMATASARİ TARİGAN, Pandiaman PANDİA, Andika PRADANA, Putri Chairani EYANOER, Elmeida EFFENDY, Sudirman PARNİNGOTAN SİNAGA

Pages : 140-145

View : 18 | Download : 21

Publication Date : 2023-06-27

Article Type : Research Paper

Abstract :Background: The number of COVID-19 cases in Indonesia has reached more than 1.5 million, of which 121,011 people are still in treatment. Stress and anxiety are the dominant psychological aspects of COVID-19 pandemic and have been shown to affect overall quality of life. Therefore, this research purpose to assess the level of anxiety in severe COVID-19 patients before and after undergoing upper arm exercises and breathing exercises. Methods : This study is a clinical trial using a two-group pretest-posttest quasi-experimental study design on 36 patients who diagnosed with confirmed COVID-19 severe severity who were treated in isolation room for 6 months period who met the inclusion and exclusion criteria. Then, conduct baseline examinations such as: vital signs, laboratories, and Hospital Anxiety and Depression Scale insert ignore into journalissuearticles values(HADS); in the emergency room for COVID-19 patients before undergoing physiotherapy. A comparison of the results of HADS measurements was made between before and after the intervention insert ignore into journalissuearticles values(upper arm exercises and breathing exercises);. If the data were normally distributed, paired t-test was used insert ignore into journalissuearticles values(p<0.05);. If the data is not normally distributed, Wilcoxon\`s test is used Results: The study sample was dominated by men with a total of 23 people insert ignore into journalissuearticles values(63.9%); compared to 13 women insert ignore into journalissuearticles values(36.1%);. Conditions before exercise, found 18 people insert ignore into journalissuearticles values(50%); moderate cases, 17 people insert ignore into journalissuearticles values(47.2%); severe cases and 1 person insert ignore into journalissuearticles values(2.8%); mild cases. In the post-exercise condition, there were 15 people insert ignore into journalissuearticles values(41.7%); with moderate cases, 12 people insert ignore into journalissuearticles values(33.3%); severe cases and 9 people insert ignore into journalissuearticles values(25%); mild cases. Out Of 53 severe COVID-19 patients who performed upper arm exercises and breathing exercises, the average HADS measurement results before exercise was 14.27 + 2.02 and after exercise 12.19 + 3.20. It was found that mean difference before and after exercise was 2.0833 + 2.11. After t paired test was done, a significance p value was found = 0.000 insert ignore into journalissuearticles values(p<0.05);. Conclusion : Anxiety level in severe COVID-19 patients significantly difference before and after undergoing upper arm exercises and breathing exercises.
Keywords : COVID 19 Upper arm exercises, breathing exercise, anxiety