Oxford Brookes University, Oxford, UK
Clin Med (Lond). 2020 Jul;20(4):359-365. doi: 10.7861/clinmed.2020-0353. Epub 2020 Jun 9.
After severe COVID-19 disease, many patients will experience a variety of problems with normal functioning and will require rehabilitation services to overcome these problems. The principles of and evidence on rehabilitation will allow an effective response. These include a simple screening process; use of a multidisciplinary expert team; four evidence-based classes of intervention (exercise, practice, psychosocial support, and education particularly about self-management); and a range of tailored interventions for other problems. The large number of COVID-19 patients needing rehabilitation coupled with the backlog remaining from the crisis will challenge existing services. The principles underpinning vital service reconfigurations needed are discussed.
在经历严重的 COVID-19 疾病后,许多患者的正常功能会出现各种问题,需要康复服务来克服这些问题。康复的原则和证据将允许有效的应对。这些原则包括一个简单的筛查过程;使用多学科专家团队;四类基于证据的干预措施(运动、实践、心理社会支持和教育,特别是关于自我管理);以及针对其他问题的一系列针对性干预措施。大量需要康复的 COVID-19 患者加上危机遗留的积压问题将给现有服务带来挑战。讨论了为满足这一需求对关键服务进行重新配置所依据的原则。