Health Sciences Institute, University for International Integration of the Afro-Brazilian Lusophony (UNILAB), Redençao 62790-000, Ceará, Brazil.
Int J Environ Res Public Health. 2023 Jan 31;20(3):2563. doi: 10.3390/ijerph20032563.
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.
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.
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.
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.
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。
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。
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。
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。