以专职医疗人员为主导、在工作场所为医院员工提供长期 COVID 服务的可行性:一项混合方法研究。

Aruska N D'Souza, Catherine L Granger, Zoe Calulo Rivera, Aisling Burke, Riley Ngwenya, Carly Struck, Myvanwy Merrett, Timothy N Fazio, Genevieve Juj, Casey L Peiris
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摘要

本研究旨在评估针对 COVID-19 后症状("Long COVID")的员工提供的工作场所门诊多学科服务(ReCOV)的可行性。研究方法对一家大型三级甲等医院中患有 "Long COVID "并接受该服务的员工进行了一项混合方法研究。参与者填写了调查问卷以确定基线症状,并根据临床指征接受了最多 12 周的专职医疗预约。通过一对一半结构式访谈对接受度、实施情况、实用性和有限疗效进行评估,并使用归纳式主题分析法进行分析。有限疗效通过前后调查问卷进行评估,需求则通过多学科使用情况进行评估。结果23名参与者(中位数年龄为37岁[四分位距为30-45岁],52%为女性)被纳入其中。参与者约见了中位数为 4 [3-5] 个不同的专业人员;最常见的是运动生理学(19 人,占 83%)、职业疗法(17 人,占 74%)和神经心理学(15 人,占 65%)。接受 ReCOV 服务的时间中位数为 15 [9-19] 周。完成并分析了 13 个半结构式访谈。参与者认为 ReCOV 是一项针对 COVID-19 的、方便、灵活的多学科服务。由于许多参与者认为身体健康方面的变化不大,因此参与者希望该服务能够持续 12 周以上,以获得更多益处。结论对于员工来说,在工作场所接受多学科服务以控制 COVID-19 后症状是可行的。需要进一步的研究来确认对患者疗效的影响。
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Feasibility of an allied health led, workplace delivered Long COVID service for hospital staff: a mixed-methods study.

Objective This study aimed to evaluate the feasibility of a workplace-delivered outpatient multidisciplinary service (ReCOV) for staff experiencing post COVID-19 condition ('Long COVID'). Methods A mixed-methods study of staff at a large, tertiary hospital with Long COVID who attended the service was conducted. Participants completed questionnaires to determine baseline symptoms and were offered allied health appointments for up to 12weeks each based on clinical indication. Acceptability, implementation, practicality and limited efficacy were evaluated via one-on-one semi-structured interviews and analysed using inductive thematic analysis. Limited efficacy was evaluated via pre- and post-questionnaires and demand via multidisciplinary utilisation. Results Twenty-three (median age 37 [interquartile range 30-45] years, 52% female) participants were included. Participants had appointments with a median of 4 [3-5] different professions; most commonly exercise physiology (n =19, 83%), occupational therapy (n =17, 74%) and neuropsychology (n =15, 65%). Median time spent on the ReCOV service was 15 [9-19] weeks. Thirteen semi-structured interviews were completed and analysed. Participants valued ReCOV for being a COVID-19 specific, convenient, flexible and multidisciplinary service at their workplace. Participants preferred the service to have been available for longer than 12weeks to achieve further benefits as many participants perceived little change in physical health. Conclusions Attending a multidisciplinary service located at their workplace was feasible for staff to manage post COVID-19 symptoms. Further research is required to confirm the efficacy on patient outcomes.

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