住院治疗COVID-19后残疾人家庭炼计划:随机对照试验
Mara Paneroni1, Simonetta Scalvini2, Elisa Perger3
1Istituti Clinici Scientifici Maugeri IRCCS, Cardio-Respiratory Rehabilitation Unit of the Institute of Lumezzane, Brescia, Italy.
Annals of physical and rehabilitation medicine
|March 13, 2024
概括
一个带有远程咨询的家庭炼计划改善了COVID-19后严重限制的患者的劳力耐受性. 这种干预措施对那些在初始康复后有显著残留残疾的人有显著的好处.
科学领域:
- 康复医学 康复医学 康复医学
- 肺部病理学 肺部病理学
- 运动生理学 运动生理学
背景情况:
- 对于持续性劳力不耐受症的最佳COVID-19后康复策略仍然不清楚.
- 持续缺氧或运动能力下降的个人在住院后的护理需要有效的干预措施.
研究的目的:
- 评估在COVID-19后患者的家庭炼计划与远程咨询相结合的有效性.
- 在这个人群中评估劳动力耐受性和其他呼吸系统参数的改善.
主要方法:
- 这是一项多中心随机对照试验,涉及79名COVID-19后不耐劳的参与者.
- 干预组:4周的渐进式,自我指导的炼与每两周一次的理疗师视频通话.
- 对照组:从事自我指导的体力活动;主要结果通过6分钟步行测试 (6MWT) 测量.
主要成果:
- 在劳力耐受性 (6MWT) 中没有观察到有意义的整体跨组差异.
- 在干预组中,患有严重基线劳力不耐受 (<70%预测6MWT距离) 的参与者表现出最显著的改善.
- 两个小组在两个月后实现了类似的6MWT距离.
结论:
- 一个带有远程咨询的家庭炼计划可以显著改善特定的COVID-19后患者的劳力耐受性.
- 在住院康复后,重度不耐力和残留残疾的个体中,益处最为明显.
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