基于家庭远程康复计划对新冠病毒感染康复后患者心肺功能及生活质量的影响
The effects of a home telerehabilitation-based program on the cardiopulmonary function and quality of life in post-COVID-19 patients.
作者信息
Semphuet Thanaporn, Jianramas Netchanok, Nissapatorn Veeranoot, Sivakorn Chaisith, De Lourdes Pereira Maria, Ratnarathon Anuttra Chaovavanich, Salesingh Chenpak, Jaiyen Eittipad, Chaiyakul Salinee, Piya-Amornphan Nitita, Thiangtham Thanrada, Longlalerng Khomkrip
机构信息
Department of Physical Therapy, School of Allied Health Sciences, Walailak University, Nakhon Si Thammarat, Thailand.
Movement Science and Exercise Research Center-Walailak University (MoveSE-WU), Thailand.
出版信息
Heliyon. 2024 Nov 15;10(22):e40453. doi: 10.1016/j.heliyon.2024.e40453. eCollection 2024 Nov 30.
BACKGROUND
Relatively few studies have explored the impact of home telerehabilitation-based (HTB) programs on patients with post-COVID-19 syndrome. Thus, this study aimed to investigate the effect of HTB programs on the cardiopulmonary function, body composition, muscle strength, and quality of life (QoL) of patients with post-COVID-19 syndrome.
METHODS
A quasi-experimental study was performed. Fifty-one patients with COVID-19 were divided into two groups after being discharged from the hospital. Participants in the control group (n = 26) were advised to engage in breathing and stretching exercises plus their preferred exercise program. In comparison, participants in the intervention group (n = 25) were instructed to perform a combination of aerobic, breathing, and resistance exercises. To monitor the exercise program at home, the physiotherapists called the participants using a mobile phone application platform once a month and once a week in the control and intervention groups, respectively. Outcome measurements consisted of cardiopulmonary functions including exercise capacity using the 6-min walk test (6 MWT), and the pulmonary function test (PFT). Leg muscle strength and endurance were determined using the 1-min sit-to-stand test (1MSTS). Other physical fitness parameters were also examined including the hand grip strength test and body composition attributes. The 36-item Short Form questionnaire was used to determine the quality of life. All outcome measurements were tested before hospital discharge and at 3-month follow-up.
RESULTS
Participants of the control ( = 18) and intervention ( = 14) groups completed a 3-month post-discharge exercise program. No statistically significant differences were found between the two groups for all outcome measurements ( > 0.05). However, the 6 MWT and 1MSTS values increased significantly at the time of the 3-month follow-up compared to the baseline values at the time of discharge for both groups.
CONCLUSION
Patients with post-COVID-19 syndrome exhibited beneficial effects on exercise capacity, leg muscle strength, and endurance after completing a 3-month duration post-discharge HTB program.
TRIAL REGISTRATION
https://thaiclinicaltrials.org/ with identifier number TCTR20210823004.
背景
相对较少的研究探讨了基于家庭远程康复（HTB）的项目对新冠后综合征患者的影响。因此，本研究旨在调查HTB项目对新冠后综合征患者心肺功能、身体成分、肌肉力量和生活质量（QoL）的影响。
方法
进行了一项准实验研究。51名新冠患者出院后被分为两组。对照组（n = 26）的参与者被建议进行呼吸和伸展运动以及他们喜欢的运动项目。相比之下，干预组（n = 25）的参与者被指导进行有氧、呼吸和阻力运动的组合。为了在家中监测运动项目，物理治疗师分别在对照组和干预组每月和每周使用手机应用平台给参与者打电话一次。结果测量包括心肺功能，使用6分钟步行试验（6MWT）和肺功能测试（PFT）来评估运动能力。使用1分钟坐立试验（1MSTS）来确定腿部肌肉力量和耐力。还检查了其他身体素质参数，包括握力测试和身体成分属性。使用36项简短问卷来确定生活质量。所有结果测量均在出院前和3个月随访时进行测试。
结果
对照组（n = 18）和干预组（n = 14）的参与者完成了为期3个月的出院后运动项目。两组在所有结果测量上均未发现统计学上的显著差异（P > 0.05）。然而，与出院时的基线值相比，两组在3个月随访时6MWT和1MSTS值均显著增加。
结论
新冠后综合征患者在完成为期3个月的出院后HTB项目后，运动能力、腿部肌肉力量和耐力均表现出有益效果。
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