Wootton Sally L, King Meredith, Alison Jennifer A, Mahadev Sri, Chan Andrew S L
Chronic Disease Community Rehabilitation Service Northern Sydney Local Health District Sydney NSW Australia.
Faculty of Medicine and Health The University of Sydney Sydney NSW Australia.
Respirol Case Rep. 2020 Oct 7;8(8):e00669. doi: 10.1002/rcr2.669. eCollection 2020 Nov.
International statements have suggested the pulmonary rehabilitation (PR) model as an appropriate rehabilitation option for people recovering from coronavirus disease 2019 (COVID-19). In this case series, we present our COVID-19 telehealth rehabilitation programme, delivered within a PR setting, and discuss the management of our first three cases. All patients were male, with a median age of 73 years. Following hospital discharge, the patients presented with persistent limitations and/or symptoms (e.g. breathlessness, fatigue, and reduced exercise capacity) which warranted community-based rehabilitation. Patients were assessed and provided with an initial six-week rehabilitation programme supported via telehealth using a treatable traits approach. Patients demonstrated improvements in exercise capacity and breathlessness; however, fatigue levels worsened in two cases and this was attributed to the difficulties of managing returning to work and/or carer responsibilities whilst trying to recover from a severe illness. We found that PR clinicians were well prepared and able to provide an individualized rehabilitation programme for people recovering from COVID-19.
国际声明已建议将肺康复(PR)模式作为从2019冠状病毒病(COVID-19)中康复的患者的一种合适的康复选择。在本病例系列中,我们介绍了在PR环境中开展的COVID-19远程医疗康复计划,并讨论了我们前三例病例的管理情况。所有患者均为男性,中位年龄为73岁。出院后,患者出现持续的功能受限和/或症状(如呼吸困难、疲劳和运动能力下降),需要进行社区康复。对患者进行了评估,并通过远程医疗为其提供了一个为期六周的初始康复计划,采用可治疗特征方法。患者的运动能力和呼吸困难有所改善;然而,有两例患者的疲劳程度加重,这归因于在试图从重病中康复的同时还要应对重返工作岗位和/或照顾责任的困难。我们发现,PR临床医生准备充分,能够为从COVID-19中康复的患者提供个性化的康复计划。