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影响新冠康复患者身体机能和生活质量的因素

Factors Influencing Physical Performance and Quality of Life in Post-COVID-19 Patients.

作者信息

Thammachai Ajchamon, Amput Patchareeya, Wongphon Sirima

机构信息

Department of Physical Therapy, School of Allied Health Sciences, University of Phayao, Phayao 56000, Thailand.

Unit of Excellence of Human Performance and Rehabilitations, University of Phayao, Phayao 56000, Thailand.

出版信息

Diseases. 2025 Apr 19;13(4):120. doi: 10.3390/diseases13040120.

Abstract

: This study aims to identify the factors related to demographic variables and physical performance associated with quality of life (QoL) in post-COVID-19 pa-tients who have recovered from mild infection and were not hospitalized. : Seventy-four post-COVID-19 individuals who recovered from mild COVID-19 infec-tion were assessed for the baseline demographic variables (age, sex, height, weight, body mass index; BMI) and clinical information (comorbidities, duration of COVID-19 infection, and exercise habits). Vital signs (heart rate, blood pressure, and oxygen sat-uration; SpO) were measured. Physical performance was evaluated for upper- and lower-limb muscle strength, ability of balance, and cardiorespiratory performance. All participants were assessed for QoL. : Hand grip strength was negatively asso-ciated with gender and age while positively associated with the duration of COVID-19. Quadricep strength also showed a negative association with gender and duration of COVID-19. Age was positively associated with multiple quality of life dimensions, while emotional role limitations were negatively associated with the duration of COVID-19 and waist circumference. Mental health was negatively linked to BMI. : This study highlights the complex impact of COVID-19 on physical per-formance and QoL, revealing that older adults often report better QoL despite reduced muscle strength, particularly in women. The findings emphasize the need for targeted rehabilitation programs addressing both physical and emotional health for vulnerable groups.

摘要

本研究旨在确定与未住院且已从轻度感染中康复的新冠后患者生活质量(QoL)相关的人口统计学变量和身体机能因素。对74名从轻度新冠感染中康复的新冠后个体进行了基线人口统计学变量(年龄、性别、身高、体重、体重指数;BMI)和临床信息(合并症、新冠感染持续时间和运动习惯)评估。测量了生命体征(心率、血压和血氧饱和度;SpO)。对上肢和下肢肌肉力量、平衡能力和心肺功能进行了身体机能评估。对所有参与者进行了生活质量评估。握力与性别和年龄呈负相关,与新冠感染持续时间呈正相关。股四头肌力量也与性别和新冠感染持续时间呈负相关。年龄与多个生活质量维度呈正相关,而情感角色限制与新冠感染持续时间和腰围呈负相关。心理健康与BMI呈负相关。本研究强调了新冠对身体机能和生活质量的复杂影响,表明尽管肌肉力量下降,但老年人,尤其是女性,往往报告的生活质量更好。研究结果强调了针对弱势群体制定兼顾身体和心理健康的针对性康复计划的必要性。

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