Menekşeoğlu Ahmet Kıvanç, Sindel Dilşad
Department of Physical Medicine and Rehabilitation, Istanbul Faculty of Medicine, Istanbul University, Istanbul, Turkey.
Turk Thorac J. 2022 Mar;23(2):154-161. doi: 10.5152/TurkThoracJ.2022.21024.
Since coronavirus disease 2019 mainly affects the respiratory system, pulmonary rehabilitation has increased its importance during the novel coronavirus pandemic. Healthcare professionals must use appropriate personal protective equipment during rehabilitation of patients infected with severe acute respiratory syndrome coronavirus 2. Comorbidities of the patient should be taken into consideration while organizing the rehabilitation program. Clinical manifestations range from asymptomatic to acute respiratory distress syndrome. There is no need for pulmonary rehabilitation in asymptomatic patients. Pulmonary rehabilitation may be recommended in patients with mild-moderate disease. It is advised that patients be followed up during the rehabilitation period. Positioning and passive range of motion exercises are beneficial in preventing immobilization complications in patients with critical illness. Post-coronavirus disease 2019 rehabilitation program should be established according to the needs and functional levels of the patients.
由于2019冠状病毒病主要影响呼吸系统,在新型冠状病毒大流行期间,肺康复的重要性日益增加。在对感染严重急性呼吸综合征冠状病毒2的患者进行康复治疗时,医护人员必须使用适当的个人防护设备。在制定康复计划时,应考虑患者的合并症。临床表现从无症状到急性呼吸窘迫综合征不等。无症状患者无需进行肺康复。轻中度疾病患者可建议进行肺康复。建议在康复期间对患者进行随访。体位摆放和被动关节活动度训练有助于预防危重症患者的制动并发症。2019冠状病毒病后的康复计划应根据患者的需求和功能水平制定。