新冠后疲劳症候群患者疲劳管理干预的效果。

Outcomes of a Fatigue Management Intervention for People With Post COVID-19 Condition.

机构信息

From the Discipline of Occupational Therapy, School of Medicine, Trinity Centre for Health Sciences, Trinity College Dublin, Dublin, Ireland Trinity College Dublin, Dublin, Ireland (TS, DC); Department of Occupational Therapy, St James's Hospital, James's Street, Dublin, Ireland (LN, KC, AO'G); Department of Infectious Diseases, St James's Hospital, Dublin, Ireland, Dublin (CB, PC, CK, PN); Department of Clinical Medicine, School of Medicine, Trinity College, Dublin, Ireland (CB, BK); and Respiratory Medicine, St James's Hospital, Dublin, Ireland (BK, PN).

出版信息

Am J Phys Med Rehabil. 2024 May 1;103(5):410-417. doi: 10.1097/PHM.0000000000002368. Epub 2023 Nov 22.

DOI:10.1097/PHM.0000000000002368

PMID:38014889

Abstract

OBJECTIVE

Fatigue is identified as one of the most prevalent and persistent problems reported by people with post COVID-19 condition that negatively impacts on everyday living and resumption of pre-COVID-19 lifestyle. A pilot occupational therapy fatigue management intervention was designed for patients presenting with post COVID-19 condition fatigue.

DESIGN

A retrospective analysis was carried out after the delivery of the fatigue management intervention. Self-reported measures of fatigue, well-being, and health status were taken at baseline and repeated at 2 wks after intervention. Baseline and postintervention scores were compared using nonparametric analysis.

RESULTS

Sixty participants (73% female), median age 50.5 yrs (range, 17-74), 93% reporting symptoms persisting for 12 wks or longer, completed the fatigue management intervention. All participants reported moderate to severe fatigue impacting on everyday activity at baseline. The greatest impact of fatigue was on engagement in leisure and work activity. Statistically significant improvement in fatigue ( P < 0.001), well-being ( P < 0.001), and health status ( P < 0.001) were noted after the intervention.

CONCLUSIONS

Findings indicate the potential of occupational therapy fatigue management interventions to enable self-management strategies and reduce the negative impact of fatigue among people with post COVID-19 condition.

摘要

目的

疲劳被确定为 COVID-19 后人群中最常见和最持久的问题之一，对日常生活和恢复 COVID-19 前的生活方式产生负面影响。针对 COVID-19 后疲劳患者，设计了一项职业治疗疲劳管理干预的试点研究。

设计

在实施疲劳管理干预后，进行了回顾性分析。在基线时和干预后 2 周时，采用自我报告的疲劳、幸福感和健康状况测量方法进行测量。使用非参数分析比较基线和干预后的评分。

结果

60 名参与者（73%为女性），中位年龄为 50.5 岁（范围为 17-74 岁），93%的参与者报告症状持续 12 周或更长时间，完成了疲劳管理干预。所有参与者在基线时均报告有中度至重度疲劳，对日常活动有影响。疲劳对参与休闲和工作活动的影响最大。干预后，疲劳（P < 0.001）、幸福感（P < 0.001）和健康状况（P < 0.001）均显著改善。