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个体对因 COVID-19 住院后参与肺康复计划障碍的看法:一项定性研究。

Perceptions of individuals regarding barriers to participation in a pulmonary rehabilitation program after hospitalization due to COVID-19: A qualitative study.

机构信息

Postgraduate Program in Rehabilitation Sciences and Physical Functional Performance, Federal University of Juiz de Fora, Juiz de Fora, Brazil.

Cardiac and Respiratory Physiotherapy Department, Federal University of Juiz de Fora, Juiz de Fora, Brazil.

出版信息

PLoS One. 2023 Nov 28;18(11):e0294963. doi: 10.1371/journal.pone.0294963. eCollection 2023.

DOI:10.1371/journal.pone.0294963
PMID:38015886
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10684017/
Abstract

INTRODUCTION

Several individuals with post-COVID-19 syndrome referred for pulmonary rehabilitation did not participate. This study aimed to explore individuals' barriers to participating in posthospitalization COVID-19 rehabilitation.

MATERIALS AND METHODS

This was a qualitative, multicenter study performed using semistructured interviews. This study included 20 individuals hospitalized for COVID-19 who refused to participate in a pulmonary rehabilitation program at a university hospital.

RESULTS

Individuals reported difficulties accessing the rehabilitation center, mainly due to distance, transport costs and conditions, and lack of companions. Health problems (e.g., surgeries, pain, and mobility difficulties) and lack of time due to work, commuting, and household work were also reported. Another reported theme was not perceiving the need for rehabilitation due to feeling well. Minor themes included the need for more information about rehabilitation and a lack of interest, motivation, and medical encouragement.

CONCLUSION

Individuals hospitalized for COVID-19 faced several barriers to participating in a pulmonary rehabilitation program. These barriers included difficulties in accessing the rehabilitation center, health problems, lack of time, and the perception that rehabilitation was unnecessary. There is a need for actions to overcome these barriers to make the program available to a larger number of individuals.

摘要

简介

有几位新冠后综合征患者被转诊接受肺康复治疗,但他们没有参与。本研究旨在探讨患者参与住院后新冠康复治疗的障碍。

材料和方法

这是一项采用半结构式访谈的定性、多中心研究。该研究纳入了 20 名因 COVID-19 住院但拒绝参加大学医院肺康复计划的患者。

结果

患者报告说难以前往康复中心,主要是因为距离、交通费用和条件以及缺乏陪伴。还报告了一些健康问题(如手术、疼痛和行动困难)以及因工作、通勤和家务而缺乏时间的问题。另一个报告的主题是由于感觉良好而不认为需要康复。次要主题包括需要更多关于康复的信息以及缺乏兴趣、动力和医疗鼓励。

结论

因 COVID-19 住院的患者在参与肺康复计划时面临多种障碍。这些障碍包括难以前往康复中心、健康问题、缺乏时间以及认为康复不必要。需要采取行动克服这些障碍,以使更多的患者能够参与该计划。

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本文引用的文献

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Effect of Pulmonary Rehabilitation Approaches on Dyspnea, Exercise Capacity, Fatigue, Lung Functions, and Quality of Life in Patients With COVID-19: A Systematic Review and Meta-analysis.肺康复方法对 COVID-19 患者呼吸困难、运动能力、疲劳、肺功能和生活质量的影响:系统评价和荟萃分析。
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Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review.急性新冠病毒感染后综合征的康复干预措施:系统评价。
Int J Environ Res Public Health. 2022 Apr 24;19(9):5185. doi: 10.3390/ijerph19095185.
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Outpatient Pulmonary Rehabilitation in Patients with Long COVID Improves Exercise Capacity, Functional Status, Dyspnea, Fatigue, and Quality of Life.新冠后门诊肺部康复可改善运动能力、功能状态、呼吸困难、疲劳及生活质量。
Respiration. 2022;101(6):593-601. doi: 10.1159/000522118. Epub 2022 Feb 24.
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Effects of Home-Based Pulmonary Rehabilitation on Dyspnea, Exercise Capacity, Quality of Life and Impact of the Disease in COPD Patients: A Systematic Review.家庭肺康复对慢性阻塞性肺疾病患者呼吸困难、运动能力、生活质量及疾病影响的作用:一项系统评价
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Short-Term Effects of a Respiratory Telerehabilitation Program in Confined COVID-19 Patients in the Acute Phase: A Pilot Study.呼吸远程康复计划对急性期 COVID-19 确诊患者的短期影响:一项试点研究。
Int J Environ Res Public Health. 2021 Jul 14;18(14):7511. doi: 10.3390/ijerph18147511.
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Benefits of pulmonary rehabilitation in COVID-19: a prospective observational cohort study.新冠肺炎肺康复的益处:一项前瞻性观察队列研究。
ERJ Open Res. 2021 May 31;7(2). doi: 10.1183/23120541.00108-2021. eCollection 2021 Apr.
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Post-acute COVID-19 syndrome.新冠病毒感染后长期综合征。
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Health-related quality of life, functional decline, and long-term mortality in older patients following hospitalisation due to COVID-19.COVID-19 住院后老年患者的健康相关生活质量、功能下降和长期死亡率。
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