Facultad de Ciencias de la Salud, 27965Pontificia Universidad Javeriana Cali. Universidad del Valle, Cali, Colombia.
Programa de Doctorado en Ciencias Médicas, Escuela de Graduados Facultad de Medicina, 28040Universidad Austral de Chile, Valdivia, Chile.
Chron Respir Dis. 2022 Jan-Dec;19:14799731221104102. doi: 10.1177/14799731221104102.
The Coronavirus disease (COVID-19) pandemic has significantly altered the provision of rehabilitation services, especially pulmonary rehabilitation (PR). Our objective was to assess the provision of PR services in Latin America 18 months after the COVID-19 pandemic was declared.
A cross-sectional study that included professionals dedicated to PR in centres in Latin America was applied. Responses to an online questionnaire were collected from May to September 2021. The following data were included for the analysis: demographic data, evaluation strategies, program structure, PR intervention in post-COVID-19 patients, and perception of strategies therapies for the care of post-COVID-19 patients. The questionnaire was distributed in Spanish and Portuguese languages.
Responses were received from 196 PR centres. Exercise tolerance was predominantly measured with the six-minute walk test. Less than 50% of the institutions evaluate quality of life, physical qualities, symptoms, and lung function. Most of the programmes have physiotherapists (90.8%), as well as pulmonologists (60%), and psychologists (35%), among other professionals.
PR services in Latin America have adapted in their way to the requirements of the pandemic, and most continued to provide face-to-face services. It was identified that the application of the programs is heterogeneous both in evaluations and interventions.
冠状病毒病（COVID-19）大流行极大地改变了康复服务的提供方式，特别是肺康复（PR）。我们的目的是评估 COVID-19 大流行宣布 18 个月后拉丁美洲的 PR 服务提供情况。
本研究采用了一项横断面研究，包括拉丁美洲中心专门从事 PR 的专业人员。从 2021 年 5 月至 9 月，我们收集了对在线问卷的回复。分析中包括以下数据：人口统计学数据、评估策略、方案结构、COVID-19 后患者的 PR 干预以及 COVID-19 后患者护理策略的治疗效果。问卷以西班牙语和葡萄牙语两种语言分发。
共收到来自 196 个 PR 中心的回复。运动耐量主要通过六分钟步行测试进行测量。不到 50%的机构评估生活质量、身体质量、症状和肺功能。大多数方案都有物理治疗师（90.8%）、肺病专家（60%）和心理学家（35%）等专业人员。
拉丁美洲的 PR 服务已经根据大流行的要求进行了调整，并且大多数机构仍在提供面对面服务。研究发现，无论是在评估还是干预方面，方案的应用都是异质的。
