物理治疗干预对 COVID-19 患者功能结果的影响:临床实验研究。

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2024-10-01 DOI:10.1002/pri.2136
Athar Abufara, Akram Amro, Muntaser S Ahmad
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引用次数: 0

摘要

背景:COVID-19 是一种传染性极强的病毒,可引起肺炎,并迅速发展为急性呼吸窘迫。对于 COVID-19 患者,物理治疗在无创支持管理、体位改变、胸部物理治疗(CPT)和床上移动方面至关重要。本研究旨在探讨物理治疗干预对 COVID-19 患者急性期功能结果水平的影响:研究对象为 60 名重症 COVID-19 患者(54 名男性和 6 名女性),平均年龄为 50 岁。干预组(30 人)每天进行两次物理治疗,包括体位、CPT、有氧运动、呼吸运动和早期活动,而对照组(30 人)只接受标准医疗护理。患者在基线和出院时接受了两次测试,包括外周血氧饱和度、呼吸频率(RR)测试、呼吸困难率、两分钟步行测试、肺活量计评分、用力肺活量(FVC)和一秒用力呼气容积(FEV1):两组患者的基线评分和出院评分均有明显改善。而干预组在出院时所有结果指标均有明显改善(P 值 = 0.00)。本研究发现,物理治疗可改善 COVID-19 患者的血氧饱和度、RR、呼吸困难和肺功能测试,但 FVC(P 值 = 0.402)和 FEV1(P 值 = 0.114)除外:结论:物理治疗师对 COVID-19 患者的干预可增加呼吸功能和治疗时间。
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The effect of physiotherapy intervention on functional outcomes among COVID-19 patients: Clinical experimental study.

Background: COVID-19 is a highly contagious virus that causes pneumonia, which quickly progresses to acute respiratory distress. In the case of COVID-19, physiotherapy is critical in non-invasive support management, postural changes, chest physiotherapy (CPT), and bed mobility. This study aims to look into the effects of physiotherapy intervention on functional outcome levels in COVID-19 patients in the acute stage.

Methods: A total of 60 severe COVID-19 patients (54 males and 6 females) with a mean age of 50 years were studied. The intervention group (n = 30) had two daily physiotherapy sessions that included positioning, CPT, cardio exercises, breathing exercises, and early mobility, whereas the control group (n = 30) received only standard medical care. Patients were tested twice at the baseline and discharge using peripheral oxygen saturation, respiratory rate (RR) test, dyspnea rate, two-min walk test, and spirometer scores, forced vital capacity (FVC) and forced expiratory volume in one second (FEV1).

Results: The two groups improved significantly between the baseline and discharge ratings. The intervention group, on the other hand, significantly improved all outcome indicators at discharge (p-value = 0.00). This study found that physiotherapy management improved oxygen saturation, RR, dyspnea, and lung function tests in COVID-19 patients except in FVC (p-value = 0.402) and FEV1(p-value = 0.114).

Conclusion: Physiotherapist interventions with COVID-19 patients increase respiratory function and treatment time.

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来源期刊
CiteScore
3.30
自引率
5.90%
发文量
53
期刊介绍: Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.
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