Rico Hernansanz G, Supervía M, López Sánchez A, Peña Peña D, Arroyo Riaño M O
Servicio de Medicina Física y Rehabilitación, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España.
Servicio de Medicina Física y Rehabilitación, Hospital General Universitario Gregorio Marañón, Instituto de Investigación Sanitaria Gregorio Marañón (IiSGM), Madrid, España; Division of Preventive Cardiology, Department of Cardiovascular Medicine. Mayo Clinic, Minnesota, USA.
Rehabilitacion (Madr). 2022 Oct-Dec;56(4):320-327. doi: 10.1016/j.rh.2021.09.006. Epub 2021 Oct 2.
In Madrid, during the pandemic, due to hospital saturation, medicalisation of hotels was required for the transfer of patients infected by SARS-CoV-2 with favourable evolution. Their typical clinical situation was one of fatigue and physical deconditioning, requiring and benefiting from a rehabilitative approach. The Rehabilitation Department developed educational material in paper format on therapeutic exercise adapted to the different functional situations detected. To describe the profile of patients admitted to a medicalised hotel and to analyse the degree of satisfaction, utility and adherence to the exercise prescribed during hospitalisation and at home and the related factors.
We conducted a descriptive study of patients admitted to the Hotel Colon during April and May 2020. We analysed the socio-demographic and clinical variables, as well as the responses to the adherence and satisfaction questionnaires about rehabilitation management during admission and at discharge.
100 patients participated in the study with a mean age of 52±14.5 years, where 61% (n=61) were women. 99% (n=99) reported they understood the material with a 90% (n=90) adherence to exercise during admission and 58% (n=58) at discharge. 92% (n=92) were "very satisfied" with the educational material and considered it easy to perform in 100% (n=100) of cases.
The use of paper-based educational material of therapeutic exercise appears to be an effective resource in the management of patients with SARS-CoV-2 infection during admission, thus minimising the exposure of healthcare staff.
在马德里疫情期间,由于医院饱和,需要将病情好转的新型冠状病毒感染患者转移至酒店进行医疗安置。他们典型的临床状况是疲劳和身体机能下降,需要并受益于康复治疗方法。康复科编写了纸质版教育材料,内容是针对所发现的不同功能状况的治疗性锻炼。描述入住医疗化酒店患者的情况,并分析满意度、实用性以及对住院期间和出院后在家中规定锻炼的依从性及其相关因素。
我们对2020年4月和5月入住科隆酒店的患者进行了描述性研究。我们分析了社会人口统计学和临床变量,以及对入院和出院时康复管理的依从性和满意度调查问卷的回复。
100名患者参与了研究,平均年龄为52±14.5岁,其中61%(n = 61)为女性。99%(n = 99)的患者表示理解材料内容,入院期间锻炼依从率为90%(n = 90),出院时为58%(n = 58)。92%(n = 92)的患者对教育材料“非常满意”,并认为在100%(n = 100)的情况下都易于操作。
使用纸质版治疗性锻炼教育材料似乎是入院期间管理新型冠状病毒感染患者的有效资源,从而最大限度地减少医护人员的接触。