COVID-19大流行对慢性病患者的影响:一项纵向前性研究
Rubén A García-Lara1,2, Sami Suleiman-Martos3, Germán Dominguez-Vías4
1Íllora Health Center, Granada-Metropolitan Health District, Andalusian Health Service, Granada, Spain.
Journal of clinical nursing
|March 13, 2024
概括
COVID-19大流行对慢性病患者产生了负面影响.
科学领域:
- 初级保健研究研究初级保健研究
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 慢性病患者的常规临床监测对于管理长期健康状况至关重要.
- COVID-19大流行给全球医疗保健系统带来了前所未有的挑战,可能会破坏患者的护理.
- 了解大流行对初级保健的临床变量的影响,对于未来的健康危机准备至关重要.
研究的目的:
- 评估COVID-19大流行对慢性病患者关键临床变量的影响.
- 评估疫情初期和之后的功能状态,认知功能和生物标志物的变化.
- 确定在公共卫生紧急情况中可能需要高度关注的特定临床参数.
主要方法:
- 在初级保健机构进行了前性纵向研究.
- 在三个时间点收集了148名慢性病患者的数据:流行前 (T1),紧急状态 (T2) 和过渡阶段 (T3).
- 评估了功能状态 (巴特尔指数),认知功能 (SPMSQ) 和临床变量 (HbA1c,血压,心率,BMI,脂质).
主要成果:
- 在疫情爆发期间 (T2),BMI,总胆固醇和高密度胆固醇水平的显著降低.
- 功能状态 (巴特尔指数),认知功能 (SPMSQ),血压,甘油三和LDL水平在T2恶化,在T3持续.
- 虽然HbA1c水平通过T3得到改善,但HDL水平与流行前值相比呈现恶化趋势.
结论:
- 由于COVID-19的流行,慢性病患者的功能,认知和生物变量显著受到干扰.
- 短期和中期观察到对认知和功能状态,血压和脂质概况的负面影响.
- 这些发现凸显了在健康危机期间对特定临床参数进行专注监测的必要性,并建议进一步研究特定疾病影响.
相关概念视频
Longitudinal Studies
158
Longitudinal studies are also widely used in other medical and social science fields. For instance, in cardiovascular research, they can monitor patients' health over decades to identify risk factors for heart disease, such as high cholesterol or smoking, and evaluate the long-term effectiveness of preventive measures. Similarly, in mental health studies, researchers might follow individuals from adolescence into adulthood to understand the development and progression of conditions like...
158
Longitudinal Research
12.0K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
12.0K
Introduction to Epidemiology
723
Epidemiology, known as the cornerstone of public health, involves studying the distribution and determinants of health-related events in defined populations and applying these insights to control health issues. This is essential for understanding how diseases spread, identifying populations at greater risk, and implementing measures to control or prevent outbreaks. Epidemiology addresses not only infectious diseases but also non-communicable conditions like cancer and cardiovascular disease,...
723
Chronic Obstructive Pulmonary Disease-I: Introduction
2.8K
Chronic Obstructive Pulmonary Disease (COPD) is a long-lasting respiratory condition requiring continuous attention and care. It is a progressive lung disease that leads to breathing challenges due to airflow obstruction. It manifests as persistent respiratory symptoms and restricted airflow resulting from abnormalities in the airways and alveoli, usually due to long-term exposure to harmful particles or gases. COPD mainly consists of two primary conditions: emphysema and chronic bronchitis.
2.8K
Observational Studies
8.5K
Observational studies are a type of analytical study where researchers observe events without any interventions. In other words, the researcher does not influence the response variable or the experiment's outcome.
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
There are three types of observational studies – Prospective, retrospective, and cross-sectional.
Prospective Study
Prospective studies, also known as longitudinal or cohort studies, are carried out by collecting future data from groups sharing similar characteristics. One...
8.5K
Stress and Mental Health
156
Chronic stress profoundly affects mental health, significantly influencing mood, behavior, and overall quality of life. Research closely links chronic stress with mental health conditions such as depression, anxiety, and substance use disorders. Ongoing exposure to stress can lead to physiological and psychological changes, initiating a cycle of emotional distress and maladaptive coping mechanisms.
Individuals with depression often experience challenges in both their personal and professional...
Individuals with depression often experience challenges in both their personal and professional...
156


