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新冠疫情期间和之后的康复环境:建议概述。

Rehabilitation setting during and after Covid-19: An overview on recommendations.

机构信息

Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University, Italy. E-mail:

出版信息

J Rehabil Med. 2021 Jan 5;53(1):jrm00141. doi: 10.2340/16501977-2776.

Abstract

OBJECTIVE

The aim of this review is to identify the best evidence to define rehabilitative approaches to acute and post-acute phases of coronavirus 2019 (COVID-19) disease.

METHODS

A literature search (of PubMed, Google Scholar, PEDro and Cochrane databases) was perform-ed for relevant publications from January to April 2020.

RESULTS

A total of 2,835 articles were retrieved, and the search resulted in a final total 31 published arti-cles. A narrative synthesis of the selected articles was then performed. Some studies examine the effect of the pandemic on rehabilitation services and provide suggestions for a new reorganization of these services. Other studies focus on COVID-19 sequelae, formulating recommendations for rehabilitative interventions.

CONCLUSION

For COVID-19 patients, an integrated rehabilitative process is recommended, involving a multidisciplinary and multi-professional team provid-ing neuromuscular, cardiac, respiratory, and swallowing interventions, and psychological support, in order to improve patients' quality of life. The intervention of a physician expert in rehabilitation should assess the patient, and a dedicated intervention set up after thorough assessment of the patient's clinical condition, in collaboration with all rehabilitation team professionals.

摘要

目的

本综述旨在确定针对 2019 年冠状病毒病(COVID-19)急性和亚急性期的最佳康复方法。

方法

对 2020 年 1 月至 4 月的相关文献进行了检索(PubMed、Google Scholar、PEDro 和 Cochrane 数据库)。

结果

共检索到 2835 篇文章,搜索结果最终共有 31 篇已发表的文章。对所选文章进行了叙述性综合分析。一些研究探讨了大流行对康复服务的影响,并为这些服务的新重组提供了建议。其他研究则侧重于 COVID-19 的后遗症,为康复干预措施制定了建议。

结论

对于 COVID-19 患者,建议采用综合康复治疗方法,涉及多学科和多专业团队,提供神经肌肉、心脏、呼吸和吞咽干预措施以及心理支持,以提高患者的生活质量。应由康复医学专家的医生进行干预,在对患者的临床状况进行全面评估后,与所有康复团队专业人员一起设立专门的干预措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ef6d/8772378/9570163cefe4/JRM-53-1-2737-g001.jpg

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