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香港长期新冠症状对个人的影响:对职业治疗实践的启示。

Impact of Long COVID symptoms on individuals in Hong Kong: Implications for occupational therapy practices.

作者信息

Tsui Chi-Man, Chan Sze-Chit, Lam Ling-Fung, Lam Man-Kit Jadon, Lee Tsz-Yan, Leung Kelly

机构信息

The Hong Kong Polytechnic University, Kowloon, Hong Kong.

Occupational therapy student, The Hong Kong Polytechnic University, Kowloon, Hong Kong.

出版信息

Br J Occup Ther. 2025 Mar;88(3):158-165. doi: 10.1177/03080226241295599. Epub 2024 Nov 4.

Abstract

INTRODUCTION

From occupational therapy perspective, this study investigates the nature and impact of Long COVID symptoms on individuals in Hong Kong according to their gender, age, and occupation and to understand their treatment needs.

METHOD

A total of 193 participants with an acute COVID-19 episode 3 months ago and having recovered from it who were experiencing subjective symptoms of Long COVID were recruited through snowball sampling from local COVID-19 support groups and healthcare facilities to participate in a cross-sectional design via an online survey assessing their symptoms and the impact on daily activities, and exploring their treatment preferences.

FINDINGS

Respiratory, systemic, sleep, and cognitive symptoms were found to be the most prevalent, with significant variations in symptom severity and impact on daily life across different age and occupational status groups. The treatment preference was quite strongly inclined to traditional Chinese medicine.

CONCLUSION

This study has uncovered the critical and yet recognized roles of occupational therapy in managing Long COVID impact by identifying the potential gaps of occupational therapy in its management and calling for advocating promotion in the community and interdisciplinary collaboration with traditional Chinese medicine. Implications about occupational therapy management and the healthcare policies for tailoring treatment programs are discussed.

摘要

引言

从职业治疗的角度来看,本研究根据香港个体的性别、年龄和职业,调查了长期新冠症状的性质及其对他们的影响,并了解他们的治疗需求。

方法

通过从当地新冠支持小组和医疗保健机构进行滚雪球抽样,招募了193名3个月前有过新冠急性发作且已康复但仍有长期新冠主观症状的参与者,通过在线调查参与横断面设计,评估他们的症状、对日常活动的影响,并探索他们的治疗偏好。

结果

发现呼吸、全身、睡眠和认知症状最为普遍,不同年龄和职业状况组的症状严重程度以及对日常生活的影响存在显著差异。治疗偏好强烈倾向于中医。

结论

本研究揭示了职业治疗在管理长期新冠影响方面的关键但尚未得到充分认识的作用,确定了职业治疗在其管理中的潜在差距,并呼吁在社区中倡导推广以及与中医进行跨学科合作。讨论了职业治疗管理和定制治疗方案的医疗政策的影响。

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