Escola Bahiana de Medicina e Saúde Pública. Av. Dom João VI 275, Brotas. 40290-000 Salvador BA Brasil.
Rede CoVida. Salvador BA Brasil.
Cien Saude Colet. 2022 Jun;27(6):2133-2142. doi: 10.1590/1413-81232022276.00752022. Epub 2022 Mar 9.
The recovery of people affected by COVID-19 is a process that continues beyond the acute condition of infection by Sars-CoV-2. The impairment of several body systems can cause functional impacts and demand continuous physical therapy assistance both in outpatient care and in Primary Health Care (PHC). In this essay, we seek to discuss the challenges of organizing and offering Physical Therapy assistance in response to the COVID-19 pandemic in Brazil. The analysis was summarized in three dimensions: offering physical therapy assistance in PHC, outpatient care, via telehealth. It is concluded that functional rehabilitation depends on the PHC's response capacity; there is a shortage of rehabilitation services that precedes the pandemic, and may not respond satisfactorily to the demands of the current epidemiological context; it is necessary to articulate the outpatient physiotherapy and PHC teams; although telehealth is a resource and an opportunity to increase the population's access to functional rehabilitation, its use requires caution; the physiotherapist plays a crucial role in the entire COVID-19 care continuum.
受 COVID-19 影响人群的康复是一个持续的过程,超出了 Sars-CoV-2 感染的急性期。多个身体系统的损伤会导致功能障碍,并需要在门诊护理和初级卫生保健(PHC)中持续提供物理治疗帮助。在本文中,我们试图讨论在巴西组织和提供物理治疗援助以应对 COVID-19 大流行所面临的挑战。分析总结为三个方面:在 PHC 中提供物理治疗援助、门诊护理、通过远程医疗。结论是功能康复取决于 PHC 的反应能力;在大流行之前,康复服务就已经短缺,并且可能无法满足当前流行病学背景下的需求;需要协调门诊理疗师和 PHC 团队;尽管远程医疗是增加人群获得功能康复的资源和机会,但使用时需要谨慎;理疗师在整个 COVID-19 护理连续体中发挥着至关重要的作用。