2019年严重冠状病毒病后重症神经病/肌病患者康复期间与健康相关的生活质量

IF 1.5 4区 医学 Q3 REHABILITATION International Journal of Rehabilitation Research Pub Date : 2023-03-01 DOI:10.1097/MRR.0000000000000558
Aleksander Zupanc, Gaj Vidmar, Neža Majdič, Primož Novak
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引用次数: 0

摘要

我们的目的是评估COVID-19重症神经病和/或肌病患者康复期间的健康相关生活质量(HRQoL)。该前瞻性队列研究包括157例接受康复治疗的患者(中位年龄64岁)。HRQoL采用欧洲质量5维问卷[EQ-5D指数,范围0(或异常小于)至1,视觉模拟量表(VAS),范围0-100]进行评估,由患者在入院和出院时完成。此外,用de Morton活动指数(DEMMI)、6分钟步行测试(6MWT)和功能独立性测试(FIM)对他们进行评估。入院时EQ- 5d指数中位数为0.32,EQ VAS中位数为48;出院时EQ- 5d指数中位数为0.61,EQ VAS中位数为80。154例(98%)患者报告了一些或极端的问题,其中包括流动性方面的问题,151例(96%)患者报告了日常活动方面的问题,136例(87%)患者报告了自我护理方面的问题,84例(54%)患者报告了疼痛或不适方面的问题,52例(34%)患者报告了入院时的焦虑或抑郁。出院时,仍有96例(61%)患者报告了一些或极端的问题,包括行动能力问题,95例(61%)患者报告了日常活动问题,70例(45%)患者报告了疼痛或不适,46例(29%)患者报告了自我护理问题,19例(12%)患者报告了焦虑或抑郁问题。同时,患者的DEMMI(中位数从41分增加到67分)、6MWT(从60分增加到293分)和运动FIM(从56分增加到84分)均有显著改善。因此,自我报告的HRQoL的改善与临床评估的活动能力、步行耐力和功能独立性的改善是平行的。
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Health-related quality-of-life during rehabilitation in patients with critical illness neuropathy/myopathy after severe coronavirus disease 2019.

Our aim was to evaluate health-related quality-of-life (HRQoL) of the patients with critical illness neuropathy and/or myopathy after severe COVID-19 during their rehabilitation. The prospective cohort study included 157 patients (median age 64 years) admitted to rehabilitation. HRQoL was assessed the using European Quality 5-Dimensions questionnaire [EQ-5D index , range 0(or exceptionally less) to 1, and Visual Analogue Scale (VAS), range 0-100], which was completed by the patients at admission and discharge. Additionally, they were assessed with the de Morton Mobility Index (DEMMI), the 6-Minute Walk Test (6MWT), and the Functional Independence Measure (FIM). Median EQ-5D index was 0.32 and median EQ VAS was 48 at admission, and median EQ-5D index was 0.61 and median EQ VAS 80 at discharge. Some or extreme problems were reported by 154 (98%) patients regarding the mobility dimension, 151 (96%) regarding usual activities, 136 (87%) regarding self-care, 84 (54%) regarding pain or discomfort dimension, and 52 patients (34%) regarding anxiety or depression at admission. At discharge, some or extreme problems were still reported by 96 patients (61%) regarding mobility, 95 (61%) regarding usual activities, 70 patients (45%) regarding pain or discomfort, 46 (29%) regarding self-care, and 19 patients (12%) regarding anxiety or depression. At the same time, the patients exhibited significant improvements in the DEMMI (median increased from 41 to 67 points), 6MWT (from 60 to 293 m) and motor FIM (from 56 to 84 points). The improvement of the self-reported HRQoL was, thus, paralleled by the improvements in clinician-assessed mobility, walking endurance and functional independence.

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来源期刊
CiteScore
3.10
自引率
0.00%
发文量
88
审稿时长
6-12 weeks
期刊介绍: International Journal of Rehabilitation Research is a quarterly, peer-reviewed, interdisciplinary forum for the publication of research into functioning, disability and contextual factors experienced by persons of all ages in both developed and developing societies. The wealth of information offered makes the journal a valuable resource for researchers, practitioners, and administrators in such fields as rehabilitation medicine, outcome measurement nursing, social and vocational rehabilitation/case management, return to work, special education, social policy, social work and social welfare, sociology, psychology, psychiatry assistive technology and environmental factors/disability. Areas of interest include functioning and disablement throughout the life cycle; rehabilitation programmes for persons with physical, sensory, mental and developmental disabilities; measurement of functioning and disability; special education and vocational rehabilitation; equipment access and transportation; information technology; independent living; consumer, legal, economic and sociopolitical aspects of functioning, disability and contextual factors.
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