[后 COVID 的心身康复]。

Pub Date : 2024-05-01 Epub Date: 2024-03-16 DOI:10.1055/a-2259-9236
Axel Kobelt-Pönicke, Svenja Käbitz, Christoph Kröger
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引用次数: 0

摘要

研究目的 COVID 后遗症有许多不同的症状。医疗康复的指征以主要症状为基础。受保人如果有疲劳感且没有相关的器质性疾病,通常会在心身医学诊所进行康复治疗。本研究将探讨心身康复治疗对后 COVID 患者的效果。方法 将 91 名后 COVID 患者与 124 名精神障碍患者和 68 名癌症患者就疲劳和抑郁程度的改善以及满意度和社会医疗参数进行比较。结果 在入院时,三组患者的疲劳程度没有差异,同样有所减轻。入院时 COVID 后和抑郁评分高的患者在出院时的疲劳程度有显著的临床意义。出院时就业预后为负的精神障碍患者比例明显增加。讨论 虽然心身康复可以减轻疲劳,但出院时患有后 COVID 的疲劳患者比例仍然很高。结论 后 COVID 患者的康复治疗理念必须考虑到该疾病通常具有的个体化病程。心身康复在这方面可以做出重要贡献。
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[Psychosomatic Rehabilitation for Post-COVID].

Aim of the study Post-COVID is characterized by a large number of different symptoms. The indication for medical rehabilitation is based on the main symptom. Insured individuals who suffer from fatigue and have no relevant organic disorder are often rehabilitated in psychosomatic clinics. In the present study, the effectiveness of psychosomatic rehabilitation in patients with post-COVID will be investigated. Methods 91 patients with post-COVID are compared to 124 patients with mental disorders and 68 patients with cancer regarding the improvement of fatigue and depressiveness as well as satisfaction and socio-medical parameters. Results At admission, the level of fatigue did not differ in the three groups and was equally reduced. Patients with post-COVID and high depression scores at admission had clinically significant levels of fatigue at discharge. The proportion of patients with mental disorders who were discharged with a negative prognosis for employment was significantly increased. Discussion Although psychosomatic rehabilitation can reduce fatigue, the proportion of patients suffering from fatigue with post-COVID at discharge is still high. Conclusion The treatment concept for the rehabilitation of patients with post-COVID must take into account the often individual course of the disease. Psychosomatic rehabilitation can make an important contribution here.

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