D'Souza Aruska N, Granger Catherine L, Calulo Rivera Zoe, Burke Aisling, Ngwenya Riley, Struck Carly, Merrett Myvanwy, Fazio Timothy N, Juj Genevieve, Peiris Casey L
Allied Health, The Royal Melbourne Hospital, 300 Grattan Street, Parkville, Vic 3050, Australia.
Health Intelligence Unit, The Royal Melbourne Hospital, 300 Grattan Street, Parkville, Vic 3050, Australia; and Electronic Medical Records Team, The Royal Melbourne Hospital, 300 Grattan Street, Parkville, Vic 3050, Australia; and Melbourne Medical School, The University of Melbourne, Parkville, Vic 3050, Australia.
Aust Health Rev. 2024 Dec;48(6):729-738. doi: 10.1071/AH24146.
Objective This study aimed to evaluate the feasibility of a workplace-delivered outpatient multidisciplinary service (ReCOV) for staff experiencing post COVID-19 condition ('Long COVID'). Methods A mixed-methods study of staff at a large, tertiary hospital with Long COVID who attended the service was conducted. Participants completed questionnaires to determine baseline symptoms and were offered allied health appointments for up to 12weeks each based on clinical indication. Acceptability, implementation, practicality and limited efficacy were evaluated via one-on-one semi-structured interviews and analysed using inductive thematic analysis. Limited efficacy was evaluated via pre- and post-questionnaires and demand via multidisciplinary utilisation. Results Twenty-three (median age 37 [interquartile range 30-45] years, 52% female) participants were included. Participants had appointments with a median of 4 [3-5] different professions; most commonly exercise physiology (n =19, 83%), occupational therapy (n =17, 74%) and neuropsychology (n =15, 65%). Median time spent on the ReCOV service was 15 [9-19] weeks. Thirteen semi-structured interviews were completed and analysed. Participants valued ReCOV for being a COVID-19 specific, convenient, flexible and multidisciplinary service at their workplace. Participants preferred the service to have been available for longer than 12weeks to achieve further benefits as many participants perceived little change in physical health. Conclusions Attending a multidisciplinary service located at their workplace was feasible for staff to manage post COVID-19 symptoms. Further research is required to confirm the efficacy on patient outcomes.
目的 本研究旨在评估为感染新冠病毒后出现症状（“长新冠”）的员工提供的 workplace-delivered 门诊多学科服务（ReCOV）的可行性。方法 对一家大型三级医院中患有长新冠并参加该服务的员工进行了一项混合方法研究。参与者完成问卷以确定基线症状，并根据临床指征每人最多可获得为期12周的联合健康预约。通过一对一的半结构化访谈评估可接受性、实施情况、实用性和有限疗效，并采用归纳主题分析进行分析。通过问卷前后对比评估有限疗效，并通过多学科利用情况评估需求。结果 纳入了23名参与者（中位年龄37岁[四分位间距30 - 45岁]，52%为女性）。参与者平均与4[3 - 5]个不同专业的人员进行了预约；最常见的是运动生理学（n = 19，83%）、职业治疗（n = 17，74%）和神经心理学（n = 15，65%）。在ReCOV服务上花费的中位时间为15[9 - 19]周。完成并分析了13次半结构化访谈。参与者认为ReCOV是一项针对新冠病毒的、方便、灵活且多学科的工作场所服务。由于许多参与者认为身体健康变化不大，他们希望该服务的提供时间能超过12周以获得更多益处。结论 对于员工来说，在工作场所接受多学科服务来管理新冠病毒感染后的症状是可行的。需要进一步研究以确认对患者结局的疗效。
