新冠康复者症状的远程康复监督和居家呼吸肌训练:一项嵌套定性研究,探索随机对照试验参与者的观点。

Supervised Telerehabilitation and Home-Based Respiratory Muscle Training for Post-COVID-19 Condition Symptoms: A Nested Qualitative Study Exploring the Perspectives of Participants in a Randomized Controlled Trial.

机构信息

Research Group of Humanities and Qualitative Research in Health Science of Universidad Rey Juan Carlos (Hum&QRinHS), Department of Physical Therapy, Occupational Therapy, Physical Medicine and Rehabilitation, Universidad Rey Juan Carlos, Comunidad Autónoma de Madrid (Alcorcón), Spain.

Nursing Department, Sant Joan de Deus, Universitat de Barcelona, Generalitat de Cataluña (Barcelona), Spain.

出版信息

Phys Ther. 2024 May 1;104(5). doi: 10.1093/ptj/pzae043.

Abstract

OBJECTIVE

The purpose of this study was to describe the experiences of individuals with post-coronavirus 19 (COVID-19) condition symptoms who underwent a supervised telerehabilitation and home-based respiratory muscle training (TSHB-RMT) program.

METHODS

A qualitative descriptive study was conducted. Participants were recruited using purposeful sampling. The inclusion criteria consisted of: patients aged over 18 years who presented persistent COVID-19 symptoms of fatigue and dyspnea for at least 3 months after the COVID-19 diagnosis. In total, 28 patients were included. In-depth interviews and researcher field notes were used to collect the data. A thematic analysis was performed.

RESULTS

Three themes reflect the patients' perspective on the TSHB-RMT before the program (reasons for participating), during the treatment program, and upon completion of the study. Among the reasons for participation, participants highlighted the absence of improvement and treatment, and feeling abandoned and forgotten by the health system. The treatment required discipline on behalf of the patients. Mondays and Tuesdays were the most difficult days for performing the therapy, and the physical therapist was perceived as a tool for adherence, change, and a source of validated information. The patients perceived positive effects quite soon; however, it was necessary to extend the follow-up after completing the program because they abandoned the program due to the lack of guidance for exercise supervision.

CONCLUSION

This study described relevant aspects that physical therapist professionals should consider when providing TSHB-RMT treatment.

IMPACT

TSHB-RMT requires discipline, perseverance, effort, and a commitment to the group. The physical therapist is perceived as the tool that facilitates adherence and participation. The effects are rapidly perceived, leading to improved self-confidence and autonomy; however, it is necessary to increase the follow-up time.

摘要

目的

本研究旨在描述接受远程监督家庭呼吸肌训练(TSHB-RMT)的新冠后症状患者的体验。

方法

采用定性描述性研究。使用目的性抽样招募参与者。纳入标准包括:年龄在 18 岁以上,在新冠诊断后至少 3 个月持续出现新冠疲劳和呼吸困难症状。共纳入 28 名患者。采用深入访谈和研究者现场记录收集数据。进行主题分析。

结果

三个主题反映了患者对 TSHB-RMT 项目前(参与原因)、治疗期间和研究完成后的看法。参与原因方面,患者强调缺乏改善和治疗,感到被医疗系统抛弃和遗忘。治疗需要患者自律。周一和周二是进行治疗最困难的日子,物理治疗师被视为坚持、改变和验证信息的工具。患者很快就感受到了积极的效果,但在完成项目后需要延长随访时间,因为他们由于缺乏锻炼监督的指导而放弃了项目。

结论

本研究描述了物理治疗师专业人员在提供 TSHB-RMT 治疗时应考虑的相关方面。

影响

TSHB-RMT 需要纪律、毅力、努力和对团体的承诺。物理治疗师被视为促进坚持和参与的工具。效果很快被感知,从而增强了自信和自主性;但需要增加随访时间。

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