Özet:

The objective is to provide medical care to remote patients using modern computer and telemetry technologies such as telecommunications and audio/video communications. During the Global Coronavirus Disease 2019 (COVID-19) pandemic period, home isolation was recommended to the general population; especially to people with high risk of infection, such as people with obesity. Here, the COVID-19 pandemic is intended to evaluate the data of the telemetic method used for the tracking of obesity-centered patients during the isolation period and to pay attention to the need for alternative tracking methods for chronic diseases such as obesity in times of crisis. Method: All patients registered in the Obesity Center were included in the study. Telephone calls were made by the central managing doctor and the patients were asked whether they had difficulties in providing their diet adjustments, exercise levels, how they feel, current weights, accompanying diseases or medications. The recommendations were given (healthy nutrition, fluid intake, home exercises, dealing with stress, the need for home isolation, the measures to be taken if it is necessary to be outside). The responses were classified and the number of patients for each category was determined. Results: A total of 101 patients were called, 86 patients responded and 15 patients did not respond. Compared to the last recorded weights, 40.7 percent (n=35) of patients gained weight, 50 percent (n=43) of patients lost weight and 9.3 percent (n=8)ined the patient’s weight. 27.9% of patients followed the recommended diet (n=24), 29% (n=29) did not follow any dietary recommendations, and 33% (n=33) partially followed the dietary recommendations. The most common mistake was eating lunch throughout the day and night. 30.2 percent of patients (n = 26) regularly exercised at home, 50 percent (n = 43) did not exercise at all, and 19.8 percent (n = 17) partially exercised at home. The most frequently performed exercises were home-walking programs. When asked how they feel, 53.5 percent (n=46) of the patients found that they were generally good, 24.4 percent (n=21) of the patients generally bad, and 22.1 percent (n=19) of the patients found that they were partially good. The most frequent complaints were sleep disorders and anxiety. Result: Teletip is a easy, secure and effective method of tracking for chronic diseases such as obesity, in exceptional times as the pandemic period we are in. The scope of this method may be extended after medical and legal regulations have been made to ensure that it is safe in all respects for the patients and health professionals who use it.

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