Department of Respiratory Care, Prince Sultan Military College of Health Sciences, 34313 Dammam, Saudi Arabia.
UCL Respiratory, University College London, WC1E 6BT London, UK.
Front Biosci (Landmark Ed). 2021 Jul 30;26(7):246-252. doi: 10.52586/4938.
Individuals with COPD are at higher risk of severe disease and mortality if they contract COVID-19. Shielding and social distancing have negatively impacted the delivery of routine care for COPD patients, which should be maintained to avoid further deterioration. We aimed to review the literature about the key toolkits of non-pharmacological treatments of COPD patients before and during the COVID-19 pandemic. In particular, we focused on smoking cessation, pulmonary rehabilitation, and telehealth delivery approaches during the COVID-19 crisis. Smoking cessation services are important to mitigate the spread of the virus, especially in people with chronic lung disease; the pandemic, in one way or another, has helped to enhance people's motivation to quit smoking. Also, tele-rehabilitation is considered as effective as conventional pulmonary rehabilitation in controlling symptoms of disease, promoting physical activity, and enhancing self-management of COPD. Tele-rehabilitation offers flexibility and it could be the dominant mode for providing a pulmonary rehabilitation programme. Finally, the use of telehealth (TH) modes has trended during the pandemic. Consensus about the effectiveness of TH in reducing exacerbation events is still inconclusive. In the context of COPD, further clinical research must concentrate on understanding attitudes, behaviours, and motivations towards smoking cessation. Further recommendations include gauging the feasibility of a long-term tele-rehabilitation programme in large COPD populations, designing more COPD-related mobile apps, and evaluating the feasibility of tele-rehabilitation in clinical practice.
患有 COPD 的个体如果感染 COVID-19，患重病和死亡的风险更高。防护和社交隔离对 COPD 患者的常规护理产生了负面影响，应维持这些护理以避免进一步恶化。我们旨在回顾 COVID-19 大流行之前和期间 COPD 患者非药物治疗的关键工具包的文献。特别是，我们专注于 COVID-19 危机期间的戒烟、肺康复和远程医疗提供方法。戒烟服务对于减轻病毒传播很重要，尤其是在患有慢性肺部疾病的人群中；大流行以某种方式帮助增强了人们戒烟的动机。此外，远程康复在控制疾病症状、促进身体活动和增强 COPD 自我管理方面被认为与常规肺康复一样有效。远程康复具有灵活性，它可能成为提供肺康复计划的主要模式。最后，远程医疗（TH）模式在大流行期间得到了广泛应用。关于 TH 降低加重事件的有效性的共识仍然没有定论。在 COPD 的背景下，进一步的临床研究必须集中在了解戒烟的态度、行为和动机上。进一步的建议包括评估在大型 COPD 人群中进行长期远程康复计划的可行性，设计更多与 COPD 相关的移动应用程序，并评估远程康复在临床实践中的可行性。
