严重 COVID-19 后的短期肺康复治疗。

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL International Journal of Preventive Medicine Pub Date : 2024-01-30 eCollection Date: 2023-01-01 DOI:10.4103/ijpvm.ijpvm_320_22
Marzieh Hashemi, Vajihe Atashi, Shila Haghighat, Raheleh Sadegh, Ramin Sami
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引用次数: 0

摘要

背景:重度 COVID-19 患者存在肺功能受损、运动能力下降、精神失常和生活质量下降等各种问题。本研究旨在评估短期肺康复治疗对重度 COVID-19 患者康复的有效性:本研究是一项回顾性队列研究。本研究于 2021 年对 92 名符合纳入标准的重度 COVID-19 患者进行了研究。该组患者接受了为期 3 周、每周两次(共六次)的跨专业肺康复治疗,其中包括体育锻炼、教育活动和其他健康相关服务(咨询和心理治疗)。评估结果包括 6 分钟步行测试、医院焦虑和抑郁量表评分以及 SF-12 生活质量问卷,这些都是在肺康复治疗前后完成的。数据分析采用分析性和描述性统计方法:统计分析显示,参与研究的患者中,男性占 60.86%,女性占 39.14%,平均年龄为(54.9±12.3)岁。研究结果还显示,肺康复治疗前,6 分钟步行测试的平均距离为(289.2174±130.5)米;而干预后,这一距离达到了(343.0870±103.5)米,差异有统计学意义(P = 0.00)。此外,在干预前后,患者的焦虑和抑郁程度、日常活动能力以及身体健康状况也发生了明显变化(P < 0.05):短期肺康复治疗是一种安全、有效且无副作用的治疗方法,可有效缓解焦虑和抑郁,提高日常活动能力和运动能力,从而改善重症 COVID-19 康复患者的生活质量。
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Short-term Pulmonary Rehabilitation after Recovering from Severe COVID-19.

Background: Patients with severe COVID-19 suffer from various problems such as impaired lung function, decreased exercise capacity, mental disorders, and reduced quality of life. This study aimed to evaluate the effectiveness of short-term pulmonary rehabilitation in patients recovering from severe COVID-19.

Methods: The present study was a retrospective cohort study. This study was conducted in 2021 on 92 patients with severe COVID-19 who met the inclusion criteria. Inter-professional pulmonary rehabilitation sessions were performed for 3 weeks, twice a week (six sessions in total), for this group of patients, which included physical exercises, educational activities, and other health-related services (counseling and psychotherapy). Outcomes assessed included a 6-min walk test, the score of the Hospital Anxiety and Depression Scale, and the SF-12 Quality of Life Questionnaire, which were completed before and after pulmonary rehabilitation. Data analysis was performed using analytical and descriptive statistics.

Results: The statistical analyses showed that 60.86% of patients participating in the study were male and 39.14% were female, and the mean age of patients was 54.9 ± 12.3 years. The findings also showed that the average distance traveled in the 6-min walk test before pulmonary rehabilitation was 289.2174 ± 130.5 m; however, after the intervention, this rate reached 343.0870 ± 103.5 m, which demonstrated a statistically significant difference (P = 0.00). Also, significant changes were observed in anxiety and depression, the ability to perform daily activities, and the physical health of patients before and after the intervention (P < 0.05).

Conclusions: Short-term pulmonary rehabilitation is a safe and useful treatment without side effects that can be effective in reducing anxiety and depression, increasing the ability to perform daily activities and exercise capacity, and consequently, improving the quality of life of patients recovering from severe COVID-19.

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来源期刊
International Journal of Preventive Medicine
International Journal of Preventive Medicine MEDICINE, GENERAL & INTERNAL-
CiteScore
3.20
自引率
4.80%
发文量
107
期刊介绍: International Journal of Preventive Medicine, a publication of Isfahan University of Medical Sciences, is a peer-reviewed online journal with Continuous print on demand compilation of issues published. The journal’s full text is available online at http://www.ijpvmjournal.net. The journal allows free access (Open Access) to its contents and permits authors to self-archive final accepted version of the articles on any OAI-compliant institutional / subject-based repository. The journal will cover technical and clinical studies related to health, ethical and social issues in field of Preventive Medicine. Articles with clinical interest and implications will be given preference.
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