Physical Medicine and Rehabilitation Department, Hospital de Mataró, Barcelona, Spain.
Department of Experimental Science and Healthcare, Faculty of Health Sciences, Universitat Pompeu Fabra, Barcelona, Spain.
Int J Chron Obstruct Pulmon Dis. 2020 Oct 23;15:2621-2627. doi: 10.2147/COPD.S268421. eCollection 2020.
On March 16, 2020, the Spanish government declared a state of alarm due to the rapid spread of coronavirus disease 2019 (COVID-19). Patients with chronic obstructive pulmonary disease (COPD) were restricted to remain confined at home, and medical visits were cancelled for 3 months. The impact of this lockdown on the manifestations of COPD and the quality-of-life of these patients has not been explored.
One hundred patients with COPD were interviewed by telephone from May 2-18, 2020. The interviews included questions about the lockdown, missed medical appointments, fears of the disease, possible COVID-19 infection, and exacerbations of COPD suffered during this period and their management. In addition, the COPD Assessment Test, the Hospital Anxiety and Depression, and the 5-Dimension Euro Quality-of-Life questionnaires were administered.
Sixty-four (64%) patients claimed to have strictly complied with the lockdown, and only 42 (42%) stated they had left home at least once during lockdown. Only one patient (1%) was hospitalized due to COVID-19, and 13 (13%) patients presented an exacerbation of COPD self-managed at home with no admissions due to exacerbation of COPD during this period. A medical consultation or complementary test was cancelled in 90% of the patients, but 61% had a medical telephone visit with a high degree of satisfaction (mean 9.3/10). Most patients declared that their feeling regarding lung disease and general health was similar or even better during lockdown (82% and 81%, respectively).
Our results indicate that in general lockdown had a low impact on COPD patients. Only one patient was affected by COVID-19, but moderate exacerbations of COPD were not infrequent. Although many medical visits and test were cancelled, patients were very satisfied with the medical telephone visits.
2020 年 3 月 16 日，西班牙政府因 2019 年冠状病毒病（COVID-19）的迅速传播而宣布进入紧急状态。慢性阻塞性肺疾病（COPD）患者被限制留在家中，3 个月内取消了医疗预约。这种封锁对 COPD 表现和这些患者生活质量的影响尚未被探讨。
2020 年 5 月 2 日至 18 日，通过电话对 100 例 COPD 患者进行了访谈。访谈内容包括封锁、错过的医疗预约、对疾病的恐惧、可能的 COVID-19 感染以及在此期间 COPD 恶化及其管理的问题。此外，还进行了 COPD 评估测试、医院焦虑和抑郁量表以及 5 维欧洲生活质量问卷。
64%（64%）的患者声称严格遵守了封锁规定，只有 42%（42%）的患者表示在此期间至少离开过一次家。只有 1 名患者（1%）因 COVID-19 住院，13 名（13%）患者因 COPD 恶化在家中自我管理，在此期间因 COPD 恶化而未入院。90%的患者取消了医疗咨询或补充检查，但 61%的患者进行了医疗电话咨询，满意度很高（平均为 9.3/10）。大多数患者表示，在封锁期间，他们对肺部疾病和整体健康的感觉相似甚至更好（分别为 82%和 81%）。
我们的结果表明，总体而言，封锁对 COPD 患者的影响较小。只有 1 名患者受到 COVID-19 的影响，但中度 COPD 恶化并不少见。尽管许多医疗就诊和检查被取消，但患者对医疗电话就诊非常满意。
