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Dergiler / Medical Records / 2026 / Sayı: 1

Akıllı Telefon Bağımlılığının Azaltılması ve Fibromiyalji Sonuçlarının İyileştirilmesi: Randomize Kontrollü Bir Çalışma

Reducing Smartphone Addiction and Improving Fibromyalgia Outcomes: A Randomized Controlled Trial

Nazlı Ölçücü(Antalya Atatürk Devlet Hastanesi)0000-0001-5280-4383
Selkin Yılmaz Muluk(Antalya Atatürk Devlet Hastanesi)0009-0004-8147-938X
Sayfa
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Yayın Tarihi
2026-03-22
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⚡ TL;DR(1 Cümlede Hızlı Çıkarım)

Bulgular, öz izlemenin fibromiyalji bakımında yeterince kullanılmayan ancak etkili bir davranış stratejisi olabileceğini düşündürmektedir.

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Amaç & Hipotez:Amaç: Akıllı telefonların aşırı kullanımı fibromiyaljide ağrı ve sakatlığı kötüleştirebilir.
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Temel Bulgular & Veri:Akıllı telefon bağımlılığının fibromiyalji üzerindeki olası olumsuz etkileri hakkında sağlık eğitimi, bu aşırı kullanımın azaltılmasına yardımcı olabilir.
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Sonuç & Katkı:Bulgular, öz izlemenin fibromiyalji bakımında yeterince kullanılmayan ancak etkili bir davranış stratejisi olabileceğini düşündürmektedir.
🔬Tür:Deneysel Tarla Denemesi
📍Kapsam:2024 · 83 hasta
⚙️Değişkenler:Davranışsal tıp · fibromiyalji · sağlık eğitimi

Özet

Amaç: Akıllı telefonların aşırı kullanımı fibromiyaljide ağrı ve sakatlığı kötüleştirebilir. Akıllı telefon bağımlılığının fibromiyalji üzerindeki olası olumsuz etkileri hakkında sağlık eğitimi, bu aşırı kullanımın azaltılmasına yardımcı olabilir. Bu çalışmanın amacı, fibromiyaljili hastalarda akıllı telefon bağımlılığı (SA) ile toplam fibromiyalji etkisi (TFI) arasındaki ilişkiyi incelemek ve sağlık eğitiminin ağrı ve sakatlığı azaltmadaki etkilerini değerlendirmektir. Gereç ve Yöntem: Çalışma, randomize kontrollü bir çalışma olarak tasarlanmış ve bir devlet hastanesinin fizyoterapi kliniğinde yürütülmüştür. Hastalar müdahale ve kontrol gruplarına randomize edilmiş ve 21 gün boyunca takip edilmiştir. 83 hasta (müdahale grubunda 42 hasta ortalama yaş 40,36±6,54 yıl; kontrol grubunda 41 hasta ortalama yaş 40,90±9,42 yıl) çalışmaya dahil edilmiştir. Müdahale grubuna, egzersiz günlüğüyle öz izlemenin yanı sıra, SA'nın olumsuz etkileri hakkında tek seferlik bir sağlık eğitimi seansı verildi. Kontrol grubu ise aynı günlüğü kullanarak yalnızca öz izleme yaptı. Çalışma, eğitim artı öz izlemeyi, yalnızca öz izlemeyle karşılaştırdı. Birincil sonuçlar, başlangıçta ve 21. günde SA (Akıllı Telefon Bağımlılığı Ölçeği-Kısa Versiyon, SAS-SV ile ölçülmüştür) ve TFI'yi (gözden geçirilmiş Fibromiyalji Etki Anketi, FIQR ile ölçülmüştür) içeriyordu. İkincil sonuçlar, 20 günlük süre boyunca izlenen günlük akıllı telefon ekran süresi (DSST) ve günlük egzersiz süresi (DET) idi. Sonuçlar: Genç ve bekar fibromiyalji hastaları daha yüksek SA seviyeleri gösterdi. Her iki grup da 21 günlük sürenin ardından DSST, DET, SA ve TFI'da iyileşme gösterdi. İyileşmeler müdahale grubunda daha fazlaydı, ancak gruplar arası farklılıklar istatistiksel olarak anlamlı değildi. SA puanlarındaki düşüşler, TFI puanlarındaki düşüşlerle pozitif korelasyon gösterdi. Hasta eğitimiyle veya eğitimsiz öz izleme, SA ve TFI'yi iyileştirdi. Sonuç: Hekim takibiyle öz izleme, davranış değişikliğini teşvik etmek için yeterliydi. SA'nın azalması, hastalarda semptom yükünün azalmasıyla ilişkilendirildi. Bulgular, öz izlemenin fibromiyalji bakımında yeterince kullanılmayan ancak etkili bir davranış stratejisi olabileceğini düşündürmektedir. Bu çalışma, 26 Ocak 2024 tarihinde ClinicalTrials.gov (NCT06239779) adresinde retrospektif olarak kaydedildi.

Abstract

Aim: Smartphone overuse may worsen pain and disability in fibromyalgia. Health education about potential negative effects of smartphone addiction on fibromyalgia may help decrease this overuse. The aim of this study is to examine the relationship between smartphone addiction (SA), and total fibromyalgia impact (TFI) in patients with fibromyalgia, and to assess the effects of health education on decreasing pain and disability. Material and Methods: Study was designed as a randomized controlled trial, and was conducted in the physiatry clinic of a state hospital. Patients were randomized into intervention and control groups and followed for 21 days. 83 patients (42 intervention group mean age 40.36 ± 6.54 years; 41 control group mean age 40.90 ± 9.42 years) were included. The intervention group received one-time health education session on negative effects of SA, alongside self-monitoring with an exercise diary. The control group engaged in self-monitoring only, using the same diary. The study compared education plus self-monitoring versus self-monitoring alone. Primary outcomes included SA (measured by the Smartphone Addiction Scale-Short Version, SAS-SV) and TFI (measured by the revised Fibromyalgia Impact Questionnaire, FIQR) at baseline and on day 21. Secondary outcomes included daily smartphone screen time (DSST) and daily exercise time (DET) tracked during the 20-day period. Results: Young and single fibromyalgia patients exhibited higher SA levels. Both groups showed improvements in DSST, DET, SA, and TFI after 21 day period. Improvements were greater in the intervention group, however between-group differences were not statistically significant. Reductions in SA scores correlated positively with reductions in TFI scores. Self-monitoring with or without patient education, improved SA and TFI. Conclusion: Self-monitoring with physician follow-up was sufficient to promote behavior change. Decreased SA was linked to reduced symptom burden in patients. Findings suggest that self-monitoring may be an underused yet effective behavioral strategy in fibromyalgia care. This study was retrospectively registered at ClinicalTrials.gov (NCT06239779) on 26 January 2024.

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Bu Makaleye Atıf Yap

Ölçücü, N., Muluk, S. Y. (2026). Akıllı Telefon Bağımlılığının Azaltılması ve Fibromiyalji Sonuçlarının İyileştirilmesi: Randomize Kontrollü Bir Çalışma. Medical Records, Sayı: 1. https://doi.org/10.37990/medr.1767518

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