2019冠状病毒病大流行期间印度医院/诊所和家庭环境中神经物理治疗变化的调查

Komal Bhanot, D. Gandhi, Mridul Makkar, Himani Khatter, J. Pandian
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引用次数: 0

摘要

新冠肺炎疫情暴露了脆弱的医疗保健行业,给经济部门带来了负担。神经系统疾病患者无论是否呈COVID阳性,都需要从急性期到慢性期的身体康复。目的评估2019冠状病毒病大流行期间印度医院/诊所和家庭环境中神经物理治疗的定性和定量变化。通过在线调查,在印度的物理治疗师中实施了一项横断面观察性研究,这些物理治疗师在大流行期间在医院/诊所治疗神经系统患者,并在家庭环境中使用在线调查。本研究采用方便抽样方法招募参与者。结果和结论:无论是在医院还是在患者家中工作,大多数物理治疗师都表示,向患者提供的转诊和治疗次数有所减少。两组在提供治疗时都采用了各种形式的远程康复。尽管有证据支持物理治疗对呼吸系统护理的必要性,但大多数受访者并未付诸实践。我们的受访者样本没有实施或使用治疗递送的协议/指南。本文将需求分为三大类:(a)制定和实施神经物理治疗的情境化临床实践指南和临床监测系统,(b)纳入有研究支持的呼吸物理治疗课程,以治疗此类流行病中的神经病例,以及(c)修改公共和私人领域的政策,确保纳入和实施神经疾病的物理治疗。并开展宣传活动,教育公众即使在类似的大流行期间也要接受不间断的物理治疗。
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Survey on Changes in Neurophysiotherapy at a Hospital/Clinic and Home-Based Settings in India During COVID-19 Pandemic
Background COVID-19 exposed the weakened healthcare sector and burdened the economic sector. Patients with neurological diseases require physical rehabilitation from the acute to chronic phase irrespective of their COVID positive status. Objective To evaluate the qualitative and quantitative changes in neurological physiotherapy at hospital/clinic and home-based settings in India during the COVID-19 pandemic. Methodology Using an online survey, a cross-sectional observational study was implemented among physiotherapists in India who treated neurological patients amidst the pandemic at hospital/clinic and for home-based settings using an online survey. Convenience sampling was used for recruiting participants in the study. Results and Conclusion Most of the physiotherapists, whether working in hospitals or in patients’ homes, indicated a decline in the number of referrals and therapy sessions given to their patients. Both groups resorted to the use of various forms of telerehabilitation in delivering therapy. Even though there is evidence supporting the necessity of physiotherapy for respiratory care, most of the respondents did not put it into practice. No protocols/guidelines for therapy delivery were implemented or used by our sample of respondents. This paper highlights the needs under 3 main categories: (a) development and implementation of contextualized clinical-practice-guidelines and clinical-monitoring systems for neurological physiotherapy, (b) incorporating respiratory physiotherapy sessions supported by research to treat neurological cases in such pandemics, and (c) to modify policies both at public and private domains ensuring incorporation and implementation of physiotherapy for neurological conditions, and to raise campaigns that educate the public on the significance of receiving uninterrupted physiotherapy, even during similar pandemics.
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