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支持 COVID-19 后患者和照护者的模式:范围综述。

Models of Support for Caregivers and Patients with the Post-COVID-19 Condition: A Scoping Review.

机构信息

Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony (UNILAB), Redençao 62790-000, Ceará, Brazil.

出版信息

Int J Environ Res Public Health. 2023 Jan 31;20(3):2563. doi: 10.3390/ijerph20032563.

Abstract

BACKGROUND

In December 2019, an outbreak of the coronavirus disease 2019 (COVID-19), caused by the novel severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), occurred in the city of Wuhan, China. On 30 January 2020, the World Health Organization declared the outbreak a public health emergency of international concern. In October 2021, with the advancement of the disease, the World Health Organization defined the post-COVID-19 condition. The post-COVID-19 condition occurs in individuals with a history of probable or confirmed infection with SARS-CoV-2, usually 3 months after the onset of the disease. The chronicity of COVID-19 has increased the importance of recognizing caregivers and their needs.

METHODS

We conducted a scoping review following international guidelines to map the models of support for caregivers and patients with the post-COVID-19 condition. The searches were conducted in electronic databases and the grey literature. The Population, Concept, and Context framework was used: Population: patients with the post-COVID-19 condition and caregivers; Concept: models of caregiver and patient support; and Context: post-COVID-19 condition. A total of 3258 records were identified through the electronic search, and 20 articles were included in the final sample.

RESULTS

The studies approached existing guidelines and health policies for post-COVID-19 condition patients and support services for patients and home caregivers such as telerehabilitation, multidisciplinary care, hybrid models of care, and follow-up services. Only one study specifically addressed the home caregivers of patients with this clinical condition.

CONCLUSIONS

The review indicates that strategies such as telerehabilitation are effective for training and monitoring the patient-family dyad, but the conditions of access and digital literacy must be considered.

摘要

背景

2019 年 12 月,一种由新型严重急性呼吸综合征冠状病毒 2(SARS-CoV-2)引起的 2019 年冠状病毒病(COVID-19)疫情在中国武汉市爆发。2020 年 1 月 30 日,世界卫生组织宣布该疫情为国际关注的突发公共卫生事件。2021 年 10 月,随着疾病的进展,世界卫生组织定义了 COVID-19 后状况。COVID-19 后状况发生在曾患有 SARS-CoV-2 感染的可能或确诊病例的个体中,通常在疾病发作后 3 个月。COVID-19 的慢性化增加了识别护理人员及其需求的重要性。

方法

我们按照国际指南进行了范围综述,以绘制针对 COVID-19 后状况患者和护理人员的支持模式图。搜索在电子数据库和灰色文献中进行。使用了人群、概念和背景框架:人群:COVID-19 后状况患者和护理人员;概念:护理人员和患者支持模式;背景:COVID-19 后状况。通过电子搜索共确定了 3258 条记录,最终有 20 篇文章纳入了最终样本。

结果

这些研究方法涉及针对 COVID-19 后状况患者的现有指南和卫生政策,以及针对患者和家庭护理人员的支持服务,例如远程康复、多学科护理、混合护理模式和随访服务。只有一项研究专门针对这种临床状况患者的家庭护理人员。

结论

综述表明,远程康复等策略对于培训和监测患者-家庭对非常有效,但必须考虑获取途径和数字素养的条件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/226f/9916224/dfbf473deaf3/ijerph-20-02563-g001.jpg

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