Marta de la Plaza San Frutos, Vanesa Abuín Porras, María Blanco Morales, María García Arrabé, Cecilia Estrada Barranco, Margarita Rubio Alonso
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引用次数: 1
Abstract
Introduction: COVID-19 pandemic has challenged healthcare systems worldwide. The aim of this study was to assess the results of a Respiratory Telerehabilitation Program implemented to patients post-COVID-19 in postacute phase of mild to critical course of COVID-19 who had persistent respiratory symptoms and had not received any vaccination. The intervention was performed during confinement.
Methods: A quasi-experimental nonrandomized study was conducted in Spain during confinement. Respiratory Telerehabilitation Program was guided by a specialized physical therapist through a web platform (Zoom by Zoom Video Communications, San Jose, CA, USA). Participants were recruited through social webs. Outcome measures included respiratory rate, heart rate, percutaneous oxygen saturation, Mahler's Dyspnea Index, anxiety status, and quality of life [EuroQol 5 Dimension 5 (EQ-5D)].
Results: A total number of 148 participants were recruited, with a final number of 100 participants completing the protocol (50 experimental group (EG)/50 control group (CG)). A total of 500 telerehabilitation sessions were performed for this study. In the EG, pre-post intervention comparative analysis showed significative changes in Mahler's functional dyspnea (p < 0.001), the State-Trait Anxiety Inventory (p < 0.001), oxygen saturation (p < 0.001), heart rate (p < 0.001), quality-of-life questionnaire (p < 0.001), and respiratory rate (p < 0.001). Participants in the CG showed an improvement in all the variables, but the differences were not statistically significant except in Mahler's functional dyspnea (p = 0.001) and in the quality-of-life questionnaire (p = 0.043). Percentage changes in pre-post intervention were calculated and compared between EG and CG. There were statistically significative differences in all the outcomes in favor of the EG.
Conclusion: The implementation of a pulmonary telerehabilitation program for COVID-19 not vaccinated survivors in postacute phase with mild to critical course of COVID-19 with respiratory sequelae has proven its benefits in cardiorespiratory variables and dyspnea-related anxiety.
导言:COVID-19大流行给全球医疗保健系统带来了挑战。本研究的目的是评估在COVID-19轻度至危重病程急性期后持续呼吸道症状且未接种任何疫苗的COVID-19后患者实施的呼吸远程康复计划的结果。干预是在禁闭期间进行的。方法:在西班牙坐月子期间进行准实验非随机研究。呼吸远程康复项目由专业物理治疗师通过网络平台(Zoom by Zoom Video Communications, San Jose, CA, USA)进行指导。参与者是通过社交网站招募的。结局指标包括呼吸频率、心率、经皮氧饱和度、马勒呼吸困难指数、焦虑状态和生活质量[EuroQol 5维度5 (EQ-5D)]。结果:共纳入受试者148人，最终完成方案的受试者为100人(实验组50人/对照组50人)。本研究共进行了500次远程康复治疗。在EG中，干预前和干预后的比较分析显示马勒功能性呼吸困难(p p p p p p = 0.001)和生活质量问卷(p = 0.043)有显著变化。计算并比较EG和CG干预前后的百分比变化。支持EG的所有结果均有统计学差异。结论:对急性期后伴有呼吸后遗症的轻至危重期COVID-19未接种疫苗的幸存者实施肺部远程康复计划已证明其在心肺变量和呼吸困难相关焦虑方面的益处。
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Therapeutic Advances in Respiratory Disease delivers the highest quality peer-reviewed articles, reviews, and scholarly comment on pioneering efforts and innovative studies across all areas of respiratory disease.
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