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重症 COVID-19 康复后的短期肺康复

Short-term Pulmonary Rehabilitation after Recovering from Severe COVID-19.

作者信息

Hashemi Marzieh, Atashi Vajihe, Haghighat Shila, Sadegh Raheleh, Sami Ramin

机构信息

Department of Internal Medicine, School of Medicine, Isfahan University of Medical Sciences, Isfahan, Iran.

Department of Nursing and Midwifery Care Research Center, Adult Health Nursing, School of Nursing and Midwifery, Isfahan University of Medical Sciences, Isfahan, Iran.

出版信息

Int J Prev Med. 2024 Jan 30;14:134. doi: 10.4103/ijpvm.ijpvm_320_22. eCollection 2023.

Abstract

BACKGROUND

Patients with severe COVID-19 suffer from various problems such as impaired lung function, decreased exercise capacity, mental disorders, and reduced quality of life. This study aimed to evaluate the effectiveness of short-term pulmonary rehabilitation in patients recovering from severe COVID-19.

METHODS

The present study was a retrospective cohort study. This study was conducted in 2021 on 92 patients with severe COVID-19 who met the inclusion criteria. Inter-professional pulmonary rehabilitation sessions were performed for 3 weeks, twice a week (six sessions in total), for this group of patients, which included physical exercises, educational activities, and other health-related services (counseling and psychotherapy). Outcomes assessed included a 6-min walk test, the score of the Hospital Anxiety and Depression Scale, and the SF-12 Quality of Life Questionnaire, which were completed before and after pulmonary rehabilitation. Data analysis was performed using analytical and descriptive statistics.

RESULTS

The statistical analyses showed that 60.86% of patients participating in the study were male and 39.14% were female, and the mean age of patients was 54.9 ± 12.3 years. The findings also showed that the average distance traveled in the 6-min walk test before pulmonary rehabilitation was 289.2174 ± 130.5 m; however, after the intervention, this rate reached 343.0870 ± 103.5 m, which demonstrated a statistically significant difference ( = 0.00). Also, significant changes were observed in anxiety and depression, the ability to perform daily activities, and the physical health of patients before and after the intervention ( < 0.05).

CONCLUSIONS

Short-term pulmonary rehabilitation is a safe and useful treatment without side effects that can be effective in reducing anxiety and depression, increasing the ability to perform daily activities and exercise capacity, and consequently, improving the quality of life of patients recovering from severe COVID-19.

摘要

背景

重症新型冠状病毒肺炎(COVID-19)患者存在多种问题,如肺功能受损、运动能力下降、精神障碍及生活质量降低。本研究旨在评估短期肺康复对重症COVID-19康复患者的有效性。

方法

本研究为回顾性队列研究。2021年对92例符合纳入标准的重症COVID-19患者进行了研究。为该组患者进行了为期3周、每周两次(共六次)的多专业肺康复治疗,包括体育锻炼、教育活动及其他与健康相关的服务(咨询和心理治疗)。评估的结果包括6分钟步行试验、医院焦虑抑郁量表评分及SF-12生活质量问卷,这些均在肺康复前后完成。采用分析性和描述性统计进行数据分析。

结果

统计分析显示,参与研究的患者中60.86%为男性,39.14%为女性,患者平均年龄为54.9±12.3岁。研究结果还显示,肺康复前6分钟步行试验的平均行走距离为289.2174±130.5米;然而,干预后该距离达到343.0870±103.5米,差异具有统计学意义(P = 0.00)。此外,干预前后患者的焦虑和抑郁、日常活动能力及身体健康状况均有显著变化(P < 0.05)。

结论

短期肺康复是一种安全有效的治疗方法,无副作用,可有效减轻焦虑和抑郁,提高日常活动能力和运动能力,从而改善重症COVID-19康复患者的生活质量。

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