Universidad Europea de Madrid - Madrid, Spain.
Rev Assoc Med Bras (1992). 2022 May;68(5):632-635. doi: 10.1590/1806-9282.20211336.
The coronavirus disease 2019 pandemic is an economic, social, and health challenge. During the coronavirus disease 2019 lockdown, a telematics platform for respiratory physiotherapy and mindfulness was created, aiming to reduce dyspnea and anxiety and to increase quality of life in post-coronavirus disease 2019 patient.
A quasi-experimental study was performed on post-coronavirus disease 2019 patients, with breathing exercises and mindfulness with remote supervision by a respiratory physiotherapist. Dyspnea on exertion (Mahler Scale), quality of life (EuroQol-5D score), and anxiety (State-Trait Anxiety Inventory questionnaire) were measured before and after the rehabilitation program.
A total of 20 subjects completed the program, with a significant decrease in the measures of dyspnea on exertion (p<0.001), state anxiety (p=0.004), and trait anxiety (p=0.001) and a significant increase in quality of life (p=0.016).
Coronavirus disease 2019 should be treated using a multidisciplinary approach that includes respiratory rehabilitation. At present, there are few studies on respiratory rehabilitation and mindfulness in post-coronavirus disease 2019 patients. The results of this study showed that the implementation of breathing exercises and mindfulness with remote supervision was effective in decreasing dyspnea and anxiety and in increasing quality of life in post-coronavirus disease 2019 patients during confinement.
2019 年冠状病毒病疫情是一项经济、社会和健康方面的挑战。在 2019 年冠状病毒病封锁期间，创建了一个远程呼吸物理治疗和正念治疗平台，旨在减轻呼吸困难和焦虑，并提高新冠肺炎患者的生活质量。
对新冠肺炎患者进行了一项准实验研究，包括呼吸锻炼和正念训练，并由呼吸理疗师远程监督。在康复计划前后测量了呼吸困难（Mahler 量表）、生活质量（EuroQol-5D 评分）和焦虑（状态-特质焦虑问卷）。
共有 20 名患者完成了该计划，用力呼吸困难的测量显著降低（p<0.001），状态焦虑（p=0.004）和特质焦虑（p=0.001）显著降低，生活质量显著提高（p=0.016）。
应采用多学科方法治疗 2019 年冠状病毒病，包括呼吸康复。目前，关于新冠肺炎患者的呼吸康复和正念治疗的研究较少。本研究结果表明，在隔离期间，实施远程监督的呼吸锻炼和正念训练对减轻呼吸困难、焦虑和提高新冠肺炎患者的生活质量是有效的。
