患有COVID-19后持续症状的患者参加多学科评估:特征,医学结论和满意度
C Gouraud1, P Thoreux2, C Ouazana-Vedrines1
1Université Paris Cité and Université Sorbonne Paris Nord, Inserm, INRAE, Center for Research in Epidemiology and Statistics (CRESS), F-75004 Paris, France; Service de Psychiatrie de l'adulte, AP-HP, Hôpital Hôtel-Dieu, F-75004 Paris, France.
患有持续后COVID-19症状的患者往往会感到疲劳和生活质量受损. 一个多学科计划诊断了功能性体力障碍,并推了康复,导致了高患者满意度.
科学领域:
- 多学科的护理服务.
- 后COVID-19综合征是什么
- 长期COVID研究研究
背景情况:
- 在COVID-19 (长期COVID) 后持续的症状显著影响患者的福祉.
- 多学科日间医院项目正在出现,以管理复杂的COVID-19后条件.
研究的目的:
- 描述参加COVID-19后多学科计划的患者.
- 记录诊断和提供的建议.
- 为了评估患者对该计划的满意度.
主要方法:
- 对286名患有持续后COVID-19症状的患者的回顾性图表审查.
- 标准化问卷评估了疲劳,体力活动,生活质量,焦虑,抑郁和心理负担.
- 收集了医疗记录结论和3个月的随访满意度调查.
主要成果:
- 大多数患者 (平均年龄44岁,70%为女性) 报告疲劳 (86%),呼吸困难 (65%),疼痛 (61%) 和认知功能障碍 (58%) 超过400天.
- 生活质量低下和高水平的疲劳,焦虑和抑郁是普遍存在的.
- 76%的人表现出功能性体质障碍的迹象,通常没有明确的临床发现; 91%的人接受了康复建议.
结论:
- 这项计划中的患者有长期的症状和生活质量受损,经常被诊断为功能性体质障碍.
- 尽管症状严重,但患者对多学科计划表示高度满意.
- 这些发现强调了需要全面管理长期COVID症状的必要性.
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