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[新型冠状病毒肺炎康复后的呼吸物理治疗:临床实践决策算法]

[Respiratory physiotherapy in post-COVID-19: a decision-making algorithm for clinical practice].

作者信息

Arbillaga-Etxarri Ane, Lista-Paz Ana, Alcaraz-Serrano Victoria, Escudero-Romero Raúl, Herrero-Cortina Beatriz, Balañá Corberó Ana, Sebio-García Raquel, Vilaró Jordi, Gimeno-Santos Elena

机构信息

Departamento de Fisioterapia, Facultad de Ciencias de la Salud, Universidad de Deusto, Gipuzkoa, España.

Facultad de Fisioterapia, Universidade da Coruña, A Coruña, España.

出版信息

Open Respir Arch. 2021 Oct 12;4(1):100139. doi: 10.1016/j.opresp.2021.100139. eCollection 2022 Jan-Mar.

Abstract

The outbreak of COVID-19 has posed a great challenge for the healthcare system which has been later aggravated by the need of managing clinical manifestations and potential sequelae in COVID-19 survivors. In this context, respiratory Physiotherapy emerges as a cornerstone in the interdisciplinary management warranted in this population. Given that the implementation and resources available for the interdisciplinary therapeutic interventions in Spain is scarce, it is essential to perform a comprehensive, exhaustive and personalised assessment. This will allow us to establish more accurate selection criteria in order to optimise the use of existing human and material resources. To this end, we propose here a decision-making algorithm for clinical practice to assess the clinical manifestations in people recovered from COVID-19 based on well-established, validated tests and assessment tools. This algorithm can be used at any clinical practice environment (primary care/community or hospital-based), combined with a patient-centered model and the use of community and e-Health resources and its application to improve the Physiotherapy care of these patients in the COVID-19 era.

摘要

新冠疫情的爆发给医疗系统带来了巨大挑战,而新冠康复者临床表现及潜在后遗症的管理需求更是加剧了这一挑战。在此背景下,呼吸物理治疗成为了针对这一人群进行跨学科管理的基石。鉴于西班牙可用于跨学科治疗干预的资源稀缺,进行全面、详尽且个性化的评估至关重要。这将使我们能够制定更准确的选择标准,以优化现有人力和物力资源的使用。为此,我们在此提出一种临床实践决策算法,基于成熟且经过验证的测试和评估工具,来评估新冠康复者的临床表现。该算法可在任何临床实践环境(基层医疗/社区或医院)中使用,结合以患者为中心的模式以及社区和电子健康资源的应用,以改善新冠疫情时代这些患者的物理治疗护理。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/d46d/10369665/b01a215e651d/gr1.jpg

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