后COVID-19患者的功能:在门诊处进行一项横截面研究,研究长期影响
Sanna Stålnacke1, Helena Liira1, Velina Vangelova-Korpinen1
1Outpatient Clinic for Persistent Symptom Rehabilitation, University of Helsinki and Helsinki University Central Hospital, Helsinki, Finland.
Scandinavian journal of primary health care
|October 3, 2024
概括
长期的COVID或COVID-19后状态 (PCC) 显著损害了日常功能. 康复应该解决并发症,焦虑,抑郁和吸烟,以获得更好的结果.
科学领域:
- 医疗康复 医疗康复
- 公共卫生 公共卫生
- 纵向研究是指长度研究.
背景情况:
- COVID-19感染的长期健康后果,称为后COVID-19状态 (PCC),可能会影响日常功能.
- 了解PCC患者的功能限制程度对于开发有效的干预措施至关重要.
研究的目的:
- 评估和比较COVID-19后病情 (PCC) 患者与没有PCC的个体的功能.
- 确定与PCC患者功能限制相关的因素.
主要方法:
- 一项涉及442名PCC患者和198名对照者的横截面研究.
- 使用WHODAS 2.0问卷和体力测试 (6分钟步行测试,手握强度测试) 评估功能.
- 评估了并发病,生活方式,焦虑和抑郁.
主要成果:
- 与对照组相比,PCC患者在所有WHODAS 2.0领域的残疾分数显著更高.
- 在PCC患者中观察到,步行测试距离减少了6分钟.
- 伴随性疾病,焦虑,抑郁和吸烟是PCC中中度至重度功能限制的预测因素.
结论:
- 后COVID-19状态与实质性和广泛的功能障碍有关.
- 诸如并发症,心理健康和吸烟习惯等因素显著影响PCC中的功能结果.
- 为了管理PCC,对康复的综合,多因素的方法是必不可少的.
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