COVID-19对基于运动的肺部康复的影响:我们学到了什么?
Audrey Borghi-Silva1, Cássia da Luz Goulart, Rebeca Nunes Silva
1Author Affiliations: Cardiopulmonary Physiotherapy Laboratory, Federal University of São Carlos, São Carlos, São Paulo, Brazil (Drs Borghi-Silva, Goulart, Silva, Back, Camargo, and Trimer); Postgraduate Program of Health Sciences and Technologies, University of Brasilia (UnB), Distrito Federal, Brazil (Dr Goulart); and Postgraduate Program in Rehabilitation Sciences, Nove de Julho University, São Paulo, Brazil (Ms Teles and Dr Sampaio).
在全球范围内,COVID-19大流行扰乱了肺部康复 (PR) 服务. 综合,多学科计划和远程康复显示出希望,但面临着诸如低吸收率和资源限制等挑战.
科学领域:
- 肺部病理学 肺部病理学
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
背景情况:
- COVID-19大流行严重影响了医疗保健的提供,特别是肺部康复 (PR).
- 维持公关服务需要在交付模式和方式上做出重大调整.
- 患者康复,特别是严重的COVID-19和长期COVID,提出了独特的挑战.
研究的目的:
- 审查COVID-19大流行对肺部康复的影响.
- 分析疫情期间公关交付,方式,结果和障碍的变化.
- 综合当前关于COVID-19幸存者的公关策略的证据.
主要方法:
- 在主要数据库 (MEDLINE,Embase,SciELO,Cochrane图书馆) 进行了全面的文献搜索.
- 搜索涵盖了2019年12月1日至2023年8月1日的时间段.
- 审查了相关研究,以确定大流行期间与公关有关的关键主题.
主要成果:
- 综合,多学科的公关计划与个性化的练习处方是有效的.
- 远程康复和门诊模式在慢性阻塞性肺病患者中显示出有效性.
- 公共关系的重大障碍包括低节目可用性,技术挑战和低收入国家的资源限制.
结论:
- 由于大流行,肺部康复治疗模式发生了显著的变化.
- 尽管公关的有效性已被证明,但公关的广泛采用仍然受到系统和技术障碍的阻碍.
- 未来的战略必须解决可访问性和资源差异,以改善全球公关采用.
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