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急性医院环境及其他场景下COVID-19的物理治疗管理:临床实践建议的更新

Physiotherapy management for COVID-19 in the acute hospital setting and beyond: an update to clinical practice recommendations.

作者信息

Thomas Peter, Baldwin Claire, Beach Lisa, Bissett Bernie, Boden Ianthe, Cruz Sherene Magana, Gosselink Rik, Granger Catherine L, Hodgson Carol, Holland Anne E, Jones Alice Ym, Kho Michelle E, van der Lee Lisa, Moses Rachael, Ntoumenopoulos George, Parry Selina M, Patman Shane

机构信息

Department of Physiotherapy, Royal Brisbane and Women's Hospital, Brisbane, Australia.

Caring Futures Institute, College of Nursing and Health Sciences, Flinders University, Adelaide, Australia.

出版信息

J Physiother. 2022 Jan;68(1):8-25. doi: 10.1016/j.jphys.2021.12.012. Epub 2021 Dec 23.

Abstract

This document provides an update to the recommendations for physiotherapy management for adults with coronavirus disease 2019 (COVID-19) in the acute hospital setting. It includes: physiotherapy workforce planning and preparation; a screening tool for determining requirement for physiotherapy; and recommendations for the use of physiotherapy treatments and personal protective equipment. New advice and recommendations are provided on: workload management; staff health, including vaccination; providing clinical education; personal protective equipment; interventions, including awake proning, mobilisation and rehabilitation in patients with hypoxaemia. Additionally, recommendations for recovery after COVID-19 have been added, including roles that physiotherapy can offer in the management of post-COVID syndrome. The updated guidelines are intended for use by physiotherapists and other relevant stakeholders caring for adult patients with confirmed or suspected COVID-19 in the acute care setting and beyond.

摘要

本文件提供了急性医院环境中2019冠状病毒病(COVID-19)成年患者物理治疗管理建议的更新内容。它包括:物理治疗人员规划与准备;用于确定物理治疗需求的筛查工具;以及物理治疗治疗方法和个人防护装备使用的建议。关于以下方面提供了新的建议:工作量管理;工作人员健康,包括疫苗接种;提供临床教育;个人防护装备;干预措施,包括清醒俯卧位、低氧血症患者的活动和康复。此外,还增加了COVID-19后康复的建议,包括物理治疗在COVID-19后综合征管理中可发挥的作用。更新后的指南供在急性护理环境及其他环境中照顾确诊或疑似COVID-19成年患者的物理治疗师和其他相关利益攸关方使用。

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