Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, No.1650 Taiwan Boulevard Sect. 4, Taichung, Taiwan; School of Medicine, National Yang-Ming University, No. 155, Sec. 2, Linong Street, Taipei, Taiwan.
Department of Intensive Care Medicine, Chi-Mei Medical Center, No. 901, Zhonghua Rd., Yongkang Dist., Tainan, Taiwan; Center for Quality Management, Chi-Mei Medical Center, No. 901, Zhonghua Rd., Yongkang Dist., Tainan, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan.
J Formos Med Assoc. 2021 Jan;120(1 Pt 1):83-92. doi: 10.1016/j.jfma.2020.08.015. Epub 2020 Aug 17.
The COronaVIrus Disease 2019 (COVID-19), which developed into a pandemic in 2020, has become a major healthcare challenge for governments and healthcare workers worldwide. Despite several medical treatment protocols having been established, a comprehensive rehabilitation program that can promote functional recovery is still frequently ignored. An online consensus meeting of an expert panel comprising members of the Taiwan Academy of Cardiovascular and Pulmonary Rehabilitation was held to provide recommendations for rehabilitation protocols in each of the five COVID-19 stages, namely (1) outpatients with mild disease and no risk factors, (2) outpatients with mild disease and epidemiological risk factors, (3) hospitalized patients with moderate to severe disease, (4) ventilator-supported patients with clear cognitive function, and (5) ventilator-supported patients with impaired cognitive function. Apart from medications and life support care, a proper rehabilitation protocol that facilitates recovery from COVID-19 needs to be established and emphasized in clinical practice.
2020 年爆发的 2019 年冠状病毒病(COVID-19)已成为全球各国政府和医疗工作者面临的重大医疗保健挑战。尽管已经制定了多项医疗治疗方案,但促进功能恢复的综合康复方案仍经常被忽视。台湾心肺及重症加护医学会专家小组举行了一次线上共识会议,就 COVID-19 五个阶段的康复方案提出建议,分别为:(1)轻症且无风险因素的门诊患者;(2)轻症且具有流行病学风险因素的门诊患者;(3)中重度疾病住院患者;(4)具有明确认知功能的呼吸机支持患者;(5)认知功能受损的呼吸机支持患者。除了药物和生命支持护理外,还需要在临床实践中制定并强调促进 COVID-19 康复的适当康复方案。