Understanding recovery of people recovering from COVID-19 receiving treatment from primary care allied health professionals: a mixed-methods study.

IF 2.1 4区 医学 Q1 REHABILITATION Disability and Rehabilitation Pub Date : 2024-12-01 Epub Date: 2024-02-06 DOI:10.1080/09638288.2024.2311330
Anne I Slotegraaf, Anja J Th C M de Kruif, Carla S Agasi-Idenburg, Sonja M D van Oers, Amber Ronteltap, Cindy Veenhof, Marissa H G Gerards, Arie C Verburg, Thomas J Hoogeboom, Marian A E de van der Schueren
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Abstract

Purpose: To quantitatively assess changes in recovery of people recovering from COVID-19 treated by a primary care allied health professional, and to qualitatively describe how they dealt with persistent complaints.

Materials and methods: This mixed-methods study is part of a Dutch prospective cohort study, from which thirty participants were selected through purposive sampling. Quantitative data on recovery were collected at start of treatment and 6 months. Additionally, by use of semi-structured interviews participants were asked on how persistent complaints influenced their lives, and how they experienced received primary care allied health treatment.

Results: Despite reported improvements, most participants still experienced limitations at 6 months. Hospital participants reported a higher severity of complaints, but home participants reported more diverse complaints and a longer recovery. Most participants were satisfied with the primary care allied healthcare. Tender loving care and a listening ear, learning to manage limits, and support and acceptance of building up in small steps were perceived as contributing most to participants' recovery.

Conclusion: Although improvements were reported on almost all outcomes, most participants suffered from persistent complaints. Despite these persistent complaints, many participants reported being better able to cope with persistent complaints because they had decreased substantially in their intensity.

Trial registration: Clinicaltrials.gov registry (NCT04735744).

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了解接受初级保健专职医疗人员治疗的 COVID-19 康复者的康复情况:一项混合方法研究。
目的:定量评估接受初级保健专职医疗人员治疗的 COVID-19 康复者的康复变化,并定性描述他们如何处理持续投诉:这项混合方法研究是荷兰前瞻性队列研究的一部分,通过有目的的抽样从中选出了 30 名参与者。在治疗开始和 6 个月时收集了有关康复情况的定量数据。此外,研究人员还通过半结构式访谈询问了参与者顽固的主诉对其生活的影响,以及他们接受初级保健联合医疗治疗的经历:结果:尽管报告称症状有所改善,但大多数参与者在 6 个月后仍会受到限制。在医院就诊的参试者所反映的症状更为严重,而在家中就诊的参试者所反映的症状更为多样,康复时间也更长。大多数参与者对初级联合医疗保健服务表示满意。他们认为,温柔的关爱和倾听、学会控制极限、支持和接受小步快跑对参与者的康复贡献最大:尽管几乎所有的结果都有所改善,但大多数参与者仍有持续的抱怨。尽管这些症状持续存在,但许多参与者表示能够更好地应对持续的症状,因为这些症状的强度已经大大降低:试验注册:Clinicaltrials.gov 注册表(NCT04735744)。
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来源期刊
Disability and Rehabilitation
Disability and Rehabilitation 医学-康复医学
CiteScore
5.00
自引率
9.10%
发文量
415
审稿时长
3-6 weeks
期刊介绍: Disability and Rehabilitation along with Disability and Rehabilitation: Assistive Technology are international multidisciplinary journals which seek to encourage a better understanding of all aspects of disability and to promote rehabilitation science, practice and policy aspects of the rehabilitation process.
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