Jung Jae Hyu, Jeon Eun Hui, Ko Jin Young
From the Department of Occupational Therapy, Gyeonggi Provincial Medical Center, Anseong, Korea (JHJ); Department of Local Public Health Care Headquarters, Gyeonggi Provincial Medical Center, Anseong, Korea (EHJ); Department of Rehabilitation, Seoul National University Bundang Hospital, Korea (JYK).
Am J Phys Med Rehabil. 2024 Dec 1;103(12):1110-1116. doi: 10.1097/PHM.0000000000002514. Epub 2024 Apr 30.
This study aimed to investigate the long-term effects of a psychological rehabilitation program that was effective on anxiety, depression, and quality of sleep in hospitalized COVID-19 patients.
This is longitudinal study. Thirteen patients in the experimental group who received a psychological rehabilitation program during hospitalization and 16 patients in the control group who received conservative treatment completed the questionnaire 6 mos after discharge. Questionnaires are the Zung Self-Rating Anxiety Scale, Zung Self-Rating Depression Scale, Patient Health Questionnaire-9, Visual Analysis Scale, and the Korean version of the Insomnia Severity Index.
The Visual Analysis Scale for depression significantly improved in the experimental group compared with control group at discharge (E = -2.40, P < 0.001) and follow-up (E = -3.36, P < 0.001). The Zung Self-Rating Depression Scale and Patient Health Questionnaire-9 scores significantly improved at discharge (E = -4.05, P = 0.01 and E = -2.29, P = 0.01) but not at follow-up (E = -4.64, P = 0.12 and E = -1.81, P = 0.22). There are no significant interactions for Visual Analysis Scale for anxiety (E = -0.27, P = 0.79), Zung Self-Rating Anxiety Scale scores (E = -1.48, P = 0.51), and insomnia (E = -0.69, P = 0.63) scores during the follow-up.
Psychological rehabilitation showed a significant long-term reduction in depression, but not in anxiety. Therefore, continuous intervention and management of mental health are required after discharge.
本研究旨在调查一项心理康复计划对住院的新冠肺炎患者焦虑、抑郁和睡眠质量的长期影响，该计划已被证明对这些方面有效。
这是一项纵向研究。13名在住院期间接受心理康复计划的实验组患者和16名接受保守治疗的对照组患者在出院6个月后完成问卷调查。问卷包括zung自评焦虑量表、zung自评抑郁量表、患者健康问卷-9、视觉分析量表和韩国版失眠严重指数。
与对照组相比，实验组出院时（E=-2.40，P<0.001）和随访时（E=-3.36，P<0.001）抑郁视觉分析量表显著改善。zung自评抑郁量表和患者健康问卷-9评分在出院时显著改善（E=-4.05，P=0.01和E=-2.29，P=0.01），但随访时未改善（E=-4.64，P=0.12和E=-1.81，P=0.22）。随访期间，焦虑视觉分析量表（E=-0.27，P=0.79）、zung自评焦虑量表评分（E=-1.48，P=0.51）和失眠（E=-0.69，P=0.63）评分无显著交互作用。
心理康复显示抑郁有显著的长期减轻，但焦虑没有。因此，出院后需要持续的心理健康干预和管理。
