Department of Occupational Therapy, Gyeonggi Provincial Medical Center, Suwon, Korea.
Department of Local Public Health Care Headquarters, Gyeonggi Provincial Medical Center, Suwon, Korea.
PLoS One. 2022 Dec 27;17(12):e0278475. doi: 10.1371/journal.pone.0278475. eCollection 2022.
To improve the mental health of isolated patients with COVID-19 by face-to-face psychological rehabilitation program.
Randomized controlled study.
Single community-based hospital.
109 patients (52 in experimental group, 57 in control group) with COVID-19 were recruited from May 27 to September 17, 2021.
A psychological rehabilitation program that consists of education, craft, and physical activity. The activity program was provided by a multidisciplinary rehabilitation team of doctors, nurses, occupational therapists, and physical therapists. The purpose of the education was to provide accurate information about COVID-19, and craft and physical activity were for improving physical health, occupational balance, participation in activities, and reducing boredom.
The primary outcome was degree of anxiety assessed using the Zung Self-Rating Anxiety Scale (SAS). Secondary outcomes were severity of depression, and quality of sleep assessed using the Zung Self-Rating Depression Scale (SDS), Patient Health Questionnaire-9 (PHQ-9), Visual Analysis Scale (VAS), and the Korean version of the Insomnia Severity Index (ISI-K).
Isolated patients complained of anxiety, depression, and insomnia the most in the early stages of hospitalization and isolation. In addition, the psychological rehabilitation program significantly improved mental health scale, including scores of SAS (F = 12.46, p = .001), SDS (F = 6.76, p = .01), and ISI-K (F = 4.41, p = .04).
The psychological rehabilitation program is effective for improving anxiety, depression, and quality of sleep for isolated patients with COVID-19.
通过面对面的心理康复计划改善 COVID-19 隔离患者的心理健康。
随机对照研究。
单一社区医院。
2021 年 5 月 27 日至 9 月 17 日招募了 109 名 COVID-19 患者（实验组 52 名，对照组 57 名）。
心理康复计划包括教育、手工艺和体育活动。活动计划由医生、护士、职业治疗师和物理治疗师组成的多学科康复团队提供。教育的目的是提供有关 COVID-19 的准确信息，手工艺和体育活动是为了改善身体健康、职业平衡、参与活动和减少无聊感。
主要观察指标是使用 Zung 自评焦虑量表（SAS）评估的焦虑程度。次要观察指标是使用 Zung 自评抑郁量表（SDS）、患者健康问卷-9（PHQ-9）、视觉分析量表（VAS）和韩国版失眠严重程度指数（ISI-K）评估的抑郁严重程度和睡眠质量。
住院和隔离初期，隔离患者抱怨最多的是焦虑、抑郁和失眠。此外，心理康复计划显著改善了心理健康量表，包括 SAS（F = 12.46，p =.001）、SDS（F = 6.76，p =.01）和 ISI-K（F = 4.41，p =.04）的评分。
心理康复计划对改善 COVID-19 隔离患者的焦虑、抑郁和睡眠质量有效。
