Costantino Maria, Giudice Valentina, Farroni Mario, Marongiu Francesco, De Caro Francesco, Filippelli Amelia
Department of Medicine, Surgery, and Dentistry, University of Salerno, 84081 Baronissi, Italy.
University Hospital "San Giovanni di Dio e Ruggi d'Aragona", 84121 Salerno, Italy.
J Clin Med. 2024 Aug 27;13(17):5091. doi: 10.3390/jcm13175091.
With limited pharmacological interventions, post-COVID-19 condition is a clinical challenge, and supplementary therapies are essential for symptom relief and enhancing quality of life (QoL). In our prospective observational study, we aimed to evaluate the impact of Salus per aquam (Spa) therapy on post-COVID-19 symptoms and QoL in individuals who suffer from chronic joint, musculoskeletal, skin, and/or respiratory conditions. A total of 159 individuals undergoing Spa therapy were enrolled, and 78 of them had post-COVID-19 symptoms, assessed using Visual Analogue Scale (VAS) and modified British Medical Research Council Questionnaire (mMRC-DS scales), as well as the Short Form 36 Health Status Survey (SF-36) questionnaire for QoL. Spa therapy significantly reduced most post-COVID-19 symptoms, especially chronic fatigue, pain, brain fog, and persistent cough (all < 0.05), as well as physical (+72%) and emotional (+66%) limitations. When stratified by sex, males showed a greater improvement from baseline, while females consistently displayed a higher amelioration in all QoL dimensions. Moreover, full vaccination with 3-4 doses significantly protected against SARS-CoV-2 re-infections and post-COVID-19 development ( < 0.05). Spa therapy demonstrated effectiveness in mitigating post-COVID-19 symptoms and enhancing QoL in patients suffering from chronic diseases.
由于药物干预有限，新冠后状况是一项临床挑战，补充疗法对于缓解症状和提高生活质量至关重要。在我们的前瞻性观察研究中，我们旨在评估水疗法（Spa）对患有慢性关节、肌肉骨骼、皮肤和/或呼吸道疾病的个体的新冠后症状和生活质量的影响。共有159名接受水疗法的个体被纳入研究，其中78人有新冠后症状，使用视觉模拟量表（VAS）、改良英国医学研究委员会问卷（mMRC-DS量表）以及用于生活质量评估的简短健康调查36项问卷（SF-36）进行评估。水疗法显著减轻了大多数新冠后症状，尤其是慢性疲劳、疼痛、脑雾和持续性咳嗽（均P<0.05），以及身体（提高72%）和情绪（提高66%）方面的限制。按性别分层时，男性从基线水平改善更大，而女性在所有生活质量维度上始终表现出更高的改善程度。此外，接种3-4剂全程疫苗可显著预防新冠病毒再次感染和新冠后状况的发生（P<0.05）。水疗法在减轻患有慢性疾病患者的新冠后症状和提高生活质量方面显示出有效性。
