Estebanez-Pérez María-José, Pastora-Bernal José-Manuel, Vinolo-Gil María-Jesús, Pastora-Estebanez Pablo, Martín-Valero Rocío
Department of Physiotherapy, Faculty of Health Science, University of Malaga, Málaga, Spain.
Department of Nursing and Physiotherapy, Faculty of Nursing and Physiotherapy, University of Cadiz, Cadiz, Spain.
Digit Health. 2024 Feb 26;10:20552076241234432. doi: 10.1177/20552076241234432. eCollection 2024 Jan-Dec.
This research aimed to explore Long COVID patient's quality of life, satisfaction and perception with an individualized and customizable digital physiotherapy intervention during a 4-week period.
A pre-post clinical trial was conducted with 32 Long COVID patients. Quality of life was assessed using the 12-Item Short Form Survey and the European Quality of Life-5 Dimensions questionnaire (EuroQol-5D), while satisfaction and perception were measured using the Telemedicine Satisfaction Questionnaire. Optional open-ended questions were added as qualitative approach. A mixed design method was conducted.
After intervention, a statistically significant improvement ( < 0.05) was observed in quality of life. The SF-12 questionnaire showed an increase of 4.04 points in the physical component and 6.55 points in the mental component with a small/medium effect size. The EuroQoL-5D questionnaire demonstrated a medium effect size with an increase of 0.87 points. Patient perception indicated high rates of satisfaction and values above the minimal clinically important difference. The qualitative approach revealed several interesting findings.
Participants found the digital intervention satisfactory and effective in improving their quality of life. Suggestions for improvement, such as the inclusion of face-to-face sessions, a chat for immediate contact, sound in breath exercises in the digital program, longer duration and continuity of intervention, were mentioned. Larger sample studies and in-deep qualitative methodologies are needed to draw extrapolable conclusions.
NCT04742946.
本研究旨在探讨新冠后综合征患者在为期4周的个性化可定制数字物理治疗干预期间的生活质量、满意度和认知情况。
对32名新冠后综合征患者进行了一项前后对照临床试验。使用12项简短调查问卷和欧洲生活质量五维度问卷（EuroQol-5D）评估生活质量，同时使用远程医疗满意度问卷测量满意度和认知情况。添加了可选的开放式问题作为定性方法。采用了混合设计方法。
干预后，生活质量有统计学意义的显著改善（<0.05）。SF-12问卷显示身体成分增加4.04分，心理成分增加6.55分，效应量为小/中。EuroQoL-5D问卷显示效应量为中等，增加了0.87分。患者认知表明满意度高，且数值高于最小临床重要差异。定性方法揭示了一些有趣的发现。
参与者认为数字干预令人满意且有效改善了他们的生活质量。提到了改进建议，如纳入面对面课程、即时联系聊天功能、数字程序中呼吸练习的声音、更长的干预持续时间和连续性。需要更大样本的研究和深入的定性方法来得出可外推的结论。
NCT04742946。
