大流行期间面对面的肺部康复:患者的观点

Maria Gomes, S. Almeida, S. Souto-Miranda, Guilherme Rodrigues, Alda Sofia Pires De Dias Marques
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引用次数: 0

摘要

由于2019冠状病毒病大流行,目前现场肺康复规划很少。现有规划面临重大常规变化,以确保护理的安全性和连续性,对患者的影响未知。因此,我们探讨了这种变化对大流行期间经历PR的慢性呼吸道疾病患者的影响。进行了定性研究。半结构化的采访被录音并逐字抄写。进行了初步的演绎主题分析。17例(ILD 7例,COPD 8例,哮喘2例;9男性;(63±10岁),确定了5个主题。实施的感染预防和控制措施以及医护人员与患者之间更密切的互动被认为是影响患者对安全环境感知的重要因素。减少与同伴的社会交往,增加HCP工作量和压力被认为有负面影响。PR被认为是必不可少的,可以打破社会隔离,缓解大流行带来的压力,让患者感觉更健康、更有能力、更自信(图1)。现场公关受到患者的重视,在大流行期间被认为是安全和有益的。建议仔细考虑保持公关项目关闭的问题。未来的研究还应探讨的影响
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Face-to-face pulmonary rehabilitation in the middle of the pandemic: patients’ views
On-site pulmonary rehabilitation (PR) programmes are currently scarce due to the COVID-19 pandemic. Existing programmes faced major routine changes to ensure safety and continuity of care with unknown impacts on patients. Thus, we explored the impact of such changes in people with chronic respiratory diseases going through PR during the pandemic. A qualitative study was conducted. Semi-structured interviews were audio-recorded and transcribed per verbatim . A preliminary deductive thematic analysis was performed. 17 patients (7 ILD, 8 COPD and, 2 asthma; 9 males; 63±10 years) were interviewed and 5 themes were identified. Implemented infection prevention and control measures and a closer healthcare professional (HCP)- patient interaction were identified as important factors that contributed to patients’ perception of a safe environment. Reduced social interaction with peers and increased HCP workload and stress were recognised as having a negative impact. PR was perceived as essential, to break social isolation and relieve stress induced by the pandemic, and for patients to feel fitter, more capable, and confident (Fig.1). On-site PR is valued by patients and was perceived safe and beneficial during the pandemic. Careful reflection about maintaining PR programmes closed is recommended. Future studies should also explore the impact of
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