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多学科团队评估后新冠康复患者的随访:一项试点研究。

FOLLOW-UP OF PATIENTS WITH POST COVID-19 CONDITION AFTER A MULTIDISCIPLINARY TEAM ASSESSMENT: A PILOT STUDY.

作者信息

Wigge Alexander, Philipson Johanna, Hällgren Solveig, Filipsson Helena, Stålnacke Britt-Marie

机构信息

Department of Community Medicine and Rehabiliation, Rehabilitation Medicine, Umeå University, Umeå, Sweden.

Department of Clinical Sciences: Neurosciences, Umeå University, Umeå, Sweden.

出版信息

J Rehabil Med Clin Commun. 2024 Sep 23;7:24581. doi: 10.2340/jrm-cc.v7.24581. eCollection 2024.

Abstract

OBJECTIVE

To follow up patients with post-COVID-19 condition (PCC) 6 months after a multidisciplinary team assessment in specialist care regarding symptoms of pain, anxiety, depression, fatigue and cognition, level of activity, physical activity and sick leave.

METHODS

A prospective pilot study conducted in a clinical setting of patients ( = 22) with PCC referred from primary healthcare to a specialist clinic for a 2 day-multidisciplinary team assessment followed by a subsequent rehabilitation plan. Data were collected through questionnaires filled in prior to the team assessment and 6 months later.

RESULTS

Fifteen of the initial 22 patients participated in the follow-up. No statistically significant improvements were seen in any of the questionnaires after 6 months. However, 76.9% of the participants perceived the intervention as being helpful. This differed between the genders, where all the women 100% ( = 8) perceived it as being helpful, compared with 40% ( = 2) of the men ( = 0.012).

CONCLUSIONS

Based on these findings, the benefit of a multidisciplinary team assessment of PCC is not fully convincing. However, since the participants themselves perceived the intervention as being helpful, the team assessment seems to be of some value. Further studies with larger populations would be of interest.

摘要

目的

对新型冠状病毒肺炎后状况(PCC)患者在专科护理中接受多学科团队评估6个月后,就疼痛、焦虑、抑郁、疲劳和认知症状、活动水平、体育活动和病假情况进行随访。

方法

在临床环境中开展一项前瞻性试点研究,纳入22例从初级医疗保健机构转诊至专科诊所的PCC患者,进行为期2天的多学科团队评估,随后制定康复计划。通过在团队评估前和6个月后填写的问卷收集数据。

结果

最初的22例患者中有15例参与了随访。6个月后,任何一份问卷中均未观察到具有统计学意义的改善。然而,76.9%的参与者认为干预措施有帮助。这在性别上存在差异,所有女性(n = 8)中有100%认为有帮助,而男性中只有40%(n = 2)(P = 0.012)。

结论

基于这些发现,多学科团队对PCC进行评估的益处并不完全令人信服。然而,由于参与者自身认为干预措施有帮助,团队评估似乎具有一定价值。开展更大规模人群的进一步研究将很有意义。

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