Hung Pam, Brehon Katelyn, Miciak Maxi, Brown Darren A, Bostick Geoffrey, Brown Cary, Churchill Katie, Hall Mark, Hoddinott Lance, Hudon Anne, Hunter Simone, Perreault Kadija, Wieler Marguerite, Skolnik Kate, Lam Grace Y, Weatherald Jason, Gross Douglas P
From the: Rehabilitation Research Centre, University of Alberta, Edmonton, Alberta, Canada.
Chelsea and Westminster Hospital NHS Foundation Trust, London, England, United Kingdom of Great Britain and Northern Ireland.
Physiother Can. 2024 Mar 6;76(1):8-24. doi: 10.3138/ptc-2023-0021. eCollection 2024 Feb.
The aim of this qualitative study is to understand the need for, access to, and quality of rehabilitation services for people living with Long COVID. Little is known about the experiences of people living with Long COVID accessing rehabilitation services. Therefore, we explored health concerns leading people living with Long COVID to seek help to address functional concerns and their experiences with accessing and participating in rehabilitation.
Interpretive description guided exploration of participants' experiences with Long COVID rehabilitation in Alberta, Canada. Semi-structured interviews were completed with 56 participants recruited from: three publicly funded Long COVID clinics, a specialized private physiotherapy clinic, a telephone-based rehabilitation advice line, and a Workers' Compensation Board-funded Long COVID rehabilitation program. Recruitment through mass media coverage allowed us to include people who did not access rehabilitation services. Data analysis was informed by Braun and Clarke's reflexive thematic analysis.
Four themes were identified: (1) the burden of searching for guidance to address challenges with functioning and disability; (2) supportive relationships promote engagement in rehabilitation; (3) conditions for participation in safe rehabilitation; and (4) looking forward - provision of appropriate interventions at the right time.
Our findings highlight the experiences of accessing rehabilitation services for people living with Long COVID. Results suggest approaches to Long COVID rehabilitation should be accessible, multi-disciplinary, flexible, and person-centred.
这项定性研究的目的是了解长期新冠患者对康复服务的需求、获取情况及服务质量。对于长期新冠患者获取康复服务的经历，我们知之甚少。因此，我们探讨了导致长期新冠患者寻求帮助以解决功能问题的健康问题，以及他们在获取和参与康复方面的经历。
采用诠释性描述法，对加拿大艾伯塔省长期新冠患者的康复经历进行探索。对从以下渠道招募的56名参与者进行了半结构化访谈：三个由公共资金资助的长期新冠诊所、一家专门的私人物理治疗诊所、一条基于电话的康复咨询热线，以及一个由工人赔偿委员会资助的长期新冠康复项目。通过大众媒体报道进行招募，使我们能够纳入未获取康复服务的人群。数据分析采用了布劳恩和克拉克的反思性主题分析法。
确定了四个主题：（1）为应对功能和残疾挑战而寻求指导的负担；（2）支持性的关系促进康复参与；（3）参与安全康复的条件；（4）展望——在合适的时间提供适当的干预措施。
我们的研究结果突出了长期新冠患者获取康复服务的经历。结果表明，长期新冠康复的方法应易于获取、多学科、灵活且以患者为中心。
