[Pneumological Rehabilitation in Patients with Long Covid - Health Changes at the End of the Inpatient Rehabilitation Measure].

IF 1.4 4区 医学 Q3 REHABILITATION
Rehabilitation Pub Date : 2023-12-01 Epub Date: 2023-01-17 DOI:10.1055/a-1964-7401
Mercedes Rutsch, Jördis Frommhold, Heike Buhr-Schinner, Thomas Gross, Per Otto Schüller, Ruth Deck
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引用次数: 4

Abstract

Background: Some people suffering from Covid-19 can be affected by persistent symptoms and long-term consequences of the disease (Long Covid) beyond their acute phase. Consequently, this can lead to restrictions in participation. Therefore, the focus is on medical rehabilitation in which Long Covid is treated as a new challenge.

Methods: A prospective, exploratory observational study will be conducted. The written survey of Long Covid rehabilitants takes place at the beginning and end of the pneumological rehabilitation. The aim of the study is to describe the rehabilitation contents and goals, the subjective burdens, the social and occupational participation as well as the health-related changes. Among other factors, disease-specific symptoms, quality of life, participation, psychological impairments, fatigue, and performance were recorded.

Results: Long Covid rehabilitants (N=221) participate in the written survey. At the end of rehabilitation, the questionnaire survey indicated significant improvements in almost all outcome parameters with a large effect (p<0.01; ES between 0.76 (anxiety) and 1.30 (fatigue)). All corona symptoms, such as breathlessness on exertion, fatigue or lack of strength improved significantly at the end of rehabilitation. Moreover, the rehabilitants most frequently name the improvement of their health (92%), the increase of their performance (92%) and the improvement of the respiratory muscle strength (78%) as rehabilitation goals. In fact, these goals are achieved by 60 to 70%, significantly fewer rehabilitation patients reach the restoration of their ability to work (32%) or a better ability to concentrate (17%). Respiratory physiotherapy, endurance training and medical training therapy are described as most helpful. At the end of rehabilitation, 76% rated their rehabilitation success as good to excellent based on a single question.

Conclusion: The first data of the study reveal that Long Covid rehabilitants are exposed to substantial burdens. Through medical rehabilitation, the patients experience medical and social support and experience significant improvements in all recorded health-related outcomes.

[长期肺炎患者的肺部康复-住院康复措施结束时的健康变化]。
背景:一些Covid-19患者在急性期后可能会受到持续症状和疾病长期后果(长Covid)的影响。因此,这可能导致对参与的限制。因此,医疗康复成为关注的焦点,长冠肺炎被视为一项新的挑战。方法:前瞻性、探索性观察研究。在肺炎康复的开始和结束时对长冠状病毒康复者进行书面调查。本研究的目的是描述康复的内容和目标、主观负担、社会和职业参与以及健康相关的变化。除其他因素外,还记录了疾病特异性症状、生活质量、参与、心理障碍、疲劳和表现。结果:长冠康复者221例参与书面调查。在康复结束时,问卷调查显示几乎所有结局参数均有显著改善,且效果较大(p)结论:本研究的第一个数据表明,长冠康复者面临着巨大的负担。通过医疗康复,患者获得医疗和社会支持,并在所有记录的健康相关结果方面获得显著改善。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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来源期刊
Rehabilitation
Rehabilitation REHABILITATION-
CiteScore
0.90
自引率
11.10%
发文量
0
审稿时长
6-12 weeks
期刊介绍: Die Zeitschrift Die Rehabilitation richtet sich an Mitarbeiterinnen und Mitarbeiter in Einrichtungen, Forschungsinstitutionen und Trägern der Rehabilitation. Sie berichtet über die medizinischen, gesetzlichen, politischen und gesellschaftlichen Grundlagen und Rahmenbedingungen der Rehabilitation und über internationale Entwicklungen auf diesem Gebiet. Schwerpunkte sind dabei Beiträge zu Rehabilitationspraxis (medizinische, berufliche und soziale Rehabilitation, Qualitätsmanagement, neue Konzepte und Versorgungsmodelle zur Anwendung der ICF, Bewegungstherapie etc.), Rehabilitationsforschung (praxisrelevante Ergebnisse, Methoden und Assessments, Leitlinienentwicklung, sozialmedizinische Fragen), Public Health, Sozialmedizin Gesundheits-System-Forschung sowie die daraus resultierenden Probleme.
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