Evaluation of the dynamics of quality of life, anxiety levels and depressive disorders in patients after spa rehabilitation with the inclusion of Nordic walking

Authors:

Tikanov Alexey Olegovich – Assistant of the Department of Medical Rehabilitation with the Course of Continuing Professional Education, Federal State Budgetary Educational Institution of Higher Education “Altai State Medical University” of the Ministry of Health of the Russian Federation, 40 Lenin Avenue, 656038 Barnaul, Russian Federation; e-mail: axel8482@yandex.ru.

Kulishova Tamara Viktorovna – Grand PhD in Medical Science (Dr. Med. Sci.), Professor of the Department of Medical Rehabilitation with the Course of Continuing Professional Education, Federal State Budgetary Educational Institution of Higher Education “Altai State Medical University” of the Ministry of Health of the Russian Federation, 40 Lenin Avenue, 656038 Barnaul, Russian Federation; e-mail: tkulishova@bk.ru.

Boyko Elena Alexandrovna – PhD in Medical Sciencess (Cand. Med. Sci.), Associate Professor of the Department of Medical Rehabilitation with the Course of Continuing Professional Education, Federal State Budgetary Educational Institution of Higher Education “Altai State Medical University” of the Ministry of Health of the Russian Federation, 40 Lenin Avenue, 656038 Barnaul, Russian Federation; e-mail: boyko65@mail.ru.

Babushkin Igor Evgenievich – PhD in Medical Sciencess (Cand. Med. Sci.), Associate Professor, Head of the Department of Medical Rehabilitation with the Course of Continuing Professional Education, Federal State Budgetary Educational Institution of Higher Education “Altai State Medical University” of the Ministry of Health of the Russian Federation, 40 Lenin Avenue, 656038 Barnaul, Russian Federation; e-mail: bie61@mail.ru.

Annotation:

Introduction. The COVID-19 pandemic has led to an increase in the number of patients with long-term sequelae, including psychoemotional and physical impairments. Rehabilitation of such patients in a sanatorium setting, utilizing comprehensive programs, is an important area of medical care.

Aim. To evaluate the impact of a sanatorium rehabilitation program with the addition of Nordic walking on the quality of life, as well as the levels of anxiety and depressive manifestations in patients who have had COVID-19 pneumonia.

Materials and methods. The study was conducted at a sanatorium and included 120 patients aged 35-69 years. Assessments were performed before and after the rehabilitation course using the SF-36 questionnaire and the HADS scale. The intervention group followed a standard rehabilitation program supplemented with Nordic walking sessions, while the control group received only standard methods.

Results. The findings revealed statistically significant improvements in the physical and psychoemotional state of the intervention group as measured by the SF-36 scales (physical functioning, vitality, and mental health) and the HADS scale.

Discussion. The results indicate that the inclusion of Nordic walking in rehabilitation programs contributes to a more pronounced reduction in anxiety and depression levels and improves quality of life compared to traditional rehabilitation methods.

Conclusion. Comprehensive programs incorporating Nordic walking represent a promising approach for optimizing the recovery of patients post-COVID-19.

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