远程瑜伽对COVID-19后患者的可行性——混合方法设计。

IF 3.3 2区 医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE
Marie Lundberg, Leonie Klompstra, Lotti Orwelius, Mirjam Schimanke, Cecilia Olsson, Anna Strömberg
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引用次数: 0

摘要

背景:关于COVID-19后康复的证据很少。人们发现瑜伽对其他慢性疾病有益,并且可以在家里以数字形式提供。该研究的目的是通过评估依从性、安全性、有限疗效和经验,探讨远程瑜伽在COVID-19后患者中的可行性。方法:前后混合法设计。参与者是从COVID-19后康复诊所招募的。干预包括标准化的直播远程瑜伽课程,每周两次,持续7周,在12周内使用数字应用程序进行个人瑜伽。通过参与注册和分析应用程序中的日志来衡量远程瑜伽干预的依从性。安全性通过严重不良事件的登记来衡量。有限的有效性检查了在6分钟步行测试、步态速度、认知、健康相关生活质量、精神困扰、睡眠和运动动机方面,covid后患者更好结果的预测方向趋势。我们还评估了干预后患者的经历。结果:纳入9名女性和2名男性,年龄在27 ~ 61岁之间,术后持续时间3 ~ 12个月。坚持:一半的参与者参加了超过50%的在线瑜伽课程。他们喜欢在线瑜伽课程的数字形式和社交方面。一些参与者认为60分钟的瑜伽课程太长了。COVID-19后的人感到有动力参与其中,但当其他事情占用了瑜伽的时间时,他们会感到矛盾。瑜伽应用的坚持程度各不相同,6名患者使用的时间少于推荐时间的50%。安全性:COVID-19后患者因疾病而出现症状,在瑜伽课程期间可能会增加,从而使其更难参与。没有严重不良事件的报道。有限的功效:参与者表示他们更有意识地呼吸,感到放松,压力和焦虑减少。远程瑜伽7周后,认知功能有显著改善(p值= 0.048)。在身体测试、健康相关生活质量、焦虑和抑郁、睡眠或运动动机方面没有发现差异。结论:在线瑜伽课程的坚持度很低,可能会随着瑜伽课程的缩短而提高。在线瑜伽是安全的,但一些参与者的症状有所增加。远程瑜伽与改善认知、呼吸和放松有关。研究结果表明,在线瑜伽对COVID-19后的人来说是可行的,但可能需要对瑜伽课程进行调整,尤其是在许多患者症状加重的情况下。此外,远程瑜伽应该在持续时间和次数方面更加灵活。由于很少有参与者坚持使用该应用程序,因此需要进一步探讨其相关性和有用性。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Feasibility of teleyoga for people with post COVID-19 condition- a mixed method design.

Background: Evidence about rehabilitation of post COVID-19 condition is scarce. Yoga has been found beneficial in other chronic conditions and can be delivered in a digital format at home. The aim of the study was to explore the feasibility of teleyoga in persons with post COVID-19 condition by assessing adherence, safety, limited efficacy and experiences.

Methods: Pre-post mixed-method design. Participants were recruited from a post COVID-19 rehabilitation clinic. The intervention included standardised live-streamed teleyoga sessions twice/week for 7 weeks and individual yoga using a digital application during 12 weeks. Adherence to the teleyoga intervention was measured by registration of participation and by analysing the log in the application. Safety was measured by registration of serious adverse events. Limited efficacy examined trends in the predicted direction for better outcome in patients with a post-COVID condition in the 6-minute walk test, gait speed, cognition, health-related quality-of-life, mental distress, sleep and exercise motivation. We also assessed patients' experiences after the intervention.

Results: Nine women and 2 men were enrolled, aged between 27 and 61 years, and duration of post COVID-19 3-12 months. Adherence: Half of the participants participated in more than 50% of the online yoga sessions. They enjoyed the digital format and the social aspect of the online yoga sessions. Some participants experienced that the yoga sessions of 60 min were too long. People with post COVID-19 felt motivated to participate, however they felt conflicted when other commitments took time away from yoga. Adherence to the yoga application varied, 6 patients used it less than 50% of the recommended time.

Safety: Persons with post COVID-19 experienced symptoms due to their disease, which could increase during the yoga sessions that made it harder to participate. There were no reported serious adverse events. Limited efficacy: Participants expressed that they breathed more consciously and experienced relaxation and reduction of stress and anxiety. After 7 weeks of teleyoga there was a significant improvement in cognitive function (p-value = 0.048). No differences were found in the physical tests, health-related quality-of-life, anxiety and depression, sleep or in exercise motivation.

Conclusion: Adherence to the online yoga sessions was quite low and might be improved with shorter yoga sessions. Online yoga was safe, but some participants experienced an increase in symptoms. Teleyoga was associated with improved cognition, breathing and relaxation. The results show that online yoga could be feasible for people post COVID-19, but adaptation of the yoga-program may be required, especially as many patients experience an increase of symptoms. Furthermore, the teleyoga should be more flexible with regards to the duration and the number of sessions. As few participants were adherent to the application, the relevance and usefulness of this needs to be further explored.

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来源期刊
BMC Complementary Medicine and Therapies
BMC Complementary Medicine and Therapies INTEGRATIVE & COMPLEMENTARY MEDICINE-
CiteScore
6.10
自引率
2.60%
发文量
300
审稿时长
19 weeks
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