Dalbosco-Salas Marcelo, Torres-Castro Rodrigo, Rojas Leyton Andrés, Morales Zapata Franco, Henríquez Salazar Elisabeth, Espinoza Bastías Gabriel, Beltrán Díaz María Elizabeth, Tapia Allers Kris, Mornhinweg Fonseca Daniela, Vilaró Jordi
Dirección de Salud de San Bernardo, Santiago 8070894, Chile.
Escuela de Kinesiología, Facultad de Ciencias de la Salud, Universidad de las Américas, Santiago 7500975, Chile.
J Clin Med. 2021 Sep 27;10(19):4428. doi: 10.3390/jcm10194428.
In many health systems, it is difficult to carry out traditional rehabilitation programs as the systems are stressed. We evaluate the effectiveness of a telerehabilitation program conducted in primary care in post-COVID-19 patients. An observational, prospective study was conducted in seven primary care centers in Chile. We included adult patients (>18 years) with a previous SARS-CoV-2 infection. The telerehabilitation program consisted of 24 sessions of supervised home-based exercise training. The efficacy was measured by the 1-min sit-to-stand test (1-min STST), the 36-Item Short Form Health Survey (SF-36), fatigue, and dyspnea symptoms before and after intervention. We included 115 patients (55.4% female) with a mean age of 55.6 ± 12.7 years. Fifty-seven patients (50%) had antecedents of hospitalization, and 35 (30.4%) were admitted to the ICU. The 1-min STST was improved after the intervention from 20.5 ± 10.2 (53.1 ± 25.0%predicted) to 29.4 ± 11.9 (78.2 ± 28.0%predicted) repetitions ( < 0.001). The SF-36 global score improved significantly from 39.6 ± 17.6 to 58.9 ± 20.5. Fatigue and dyspnea improved significantly after the intervention. Although limited by the absence of a control group, this report showed that a telerehabilitation program applied in primary health care is feasible and was effective in improving physical capacity, quality of life and symptoms in adult survivors of COVID-19.
在许多卫生系统中，由于系统压力大，难以开展传统的康复项目。我们评估了在新冠后患者的初级保健中开展的远程康复项目的有效性。在智利的七个初级保健中心进行了一项观察性前瞻性研究。我们纳入了曾感染过SARS-CoV-2的成年患者（>18岁）。远程康复项目包括24次有监督的居家运动训练课程。通过干预前后的1分钟坐立试验（1-min STST）、36项简短健康调查问卷（SF-36）、疲劳和呼吸困难症状来衡量疗效。我们纳入了115名患者（55.4%为女性），平均年龄为55.6±12.7岁。57名患者（50%）有住院史，35名（30.4%）曾入住重症监护病房。干预后，1分钟坐立试验的重复次数从20.5±10.2（预测值的53.1±25.0%）提高到29.4±11.9（预测值的78.2±28.0%）（<0.001）。SF-36总体评分从39.6±17.6显著提高到58.9±20.5。干预后疲劳和呼吸困难症状显著改善。尽管本报告受限于缺乏对照组，但显示在初级卫生保健中应用的远程康复项目是可行的，并且在改善新冠成年幸存者的身体能力、生活质量和症状方面是有效的。
