[影响COVID-19患者死亡率和功能恢复的生物心理社会因素 接受易感定位:一项前性观察研究]
Fabrizio Acevedo P1, José M Aravena C2, Felipe Ceballos V1
1Servicio de Medicina Física y Rehabilitación, Hospital San José, Santiago, Chile.
概括
容易感染COVID-19且需要ICU护理的患者面临更高的死亡风险. 诸如男性性别,年龄较大和社会脆弱性等因素预测死亡率,而教育和易受影响的定位周期有助于功能恢复.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 需要易患COVID-19的患者通常会出现更严重的疾病和并发症.
- 了解影响这一弱势群体结果的因素对于改善护理至关重要.
研究的目的:
- 确定与死亡率相关的社会,健康和医院因素.
- 确定与日常生活活动 (ADL) 功能恢复相关的因素.
主要方法:
- 从2021年6月到2022年3月进行的前性观察研究.
- 包括85名因COVID-19而入院ICU的成年患者,需要容易定位.
- 使用后勤和线性回归分析来评估死亡率和功能恢复预测指标.
主要成果:
- 男性性别,年龄较大,精神健康史,心肺呼吸系统疾病和高社会优先生活与增加的住院死亡率有关.
- 长时间住院与在出院和出院后功能恢复较差相关.
- 倾向性定位周期的增加和高等教育水平与出院后更好的功能恢复有关.
结论:
- 生物心理社会评估可以预测严重的COVID-19患者的生存和功能预后.
- 医院内干预措施可能会增强COVID-19重病幸存者的短期功能恢复.
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