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新冠疫情对一个发展中国家的影响以及新冠后康复面临的挑战

The Impact of COVID-19 and the Challenges of Post-COVID Rehabilitation in a Developing Country.

作者信息

Uddin Taslim, Rahim Hasna Raihan, Khandaker Md Nuruzzaman

机构信息

Department of Physical Medicine and Rehabilitation, Bangabandhu Sheikh Mujib Medical University, Dhaka, Bangladesh.

Department of Physical Medicine and Rehabilitation, Combined Military Hospital, Dhaka, Bangladesh.

出版信息

Front Rehabil Sci. 2022 Jan 20;2:746061. doi: 10.3389/fresc.2021.746061. eCollection 2021.

Abstract

The coronavirus disease 2019 (COVID-19) and its impact on human functioning are gaining increased interest. Like many other lower-income countries, the Bangladesh health and rehabilitation sector was adversely affected by COVID-19. Multiple challenges were identified for preparedness and medical rehabilitation during COVID-19 surges. Appropriate supervision of multispecialty long COVID clinics and attention to rehabilitation teamwork are important. Rehabilitation plays a key role in the management of patients with COVID-19 and can reduce the length of hospital stay and improve health outcomes. While waiting for people to be fully vaccinated; ensuring equitable access to COVID-19 vaccination, health care, and rehabilitation services among people with disabilities should be a part of the core mission during the pandemic. All levels of care including, critical, post-acute, or long covid clinic scale-up of rehabilitation services are needed. A physiatrist-led rehabilitation team approach is vital for the adaptation of rehabilitation interventions to improve the functional outcomes of persons with impairment and disability affected by COVID-19.

摘要

2019冠状病毒病(COVID-19)及其对人类功能的影响正受到越来越多的关注。与许多其他低收入国家一样,孟加拉国的卫生和康复部门受到了COVID-19的不利影响。在COVID-19激增期间,人们发现了在防备和医疗康复方面存在多重挑战。对多专科的长期新冠诊所进行适当监督并关注康复团队合作非常重要。康复在COVID-19患者的管理中起着关键作用,可以缩短住院时间并改善健康结果。在等待人们完全接种疫苗的同时,确保残疾人公平获得COVID-19疫苗接种、医疗保健和康复服务应成为疫情期间核心任务的一部分。需要各级护理,包括在重症、急性后期或长期新冠诊所扩大康复服务规模。由物理治疗师主导的康复团队方法对于调整康复干预措施以改善受COVID-19影响的损伤和残疾患者的功能结局至关重要。

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