针对长期Covid (后Covid状态) 管理的干预措施:生活系统审查
Dena Zeraatkar1,2, Michael Ling3, Sarah Kirsh2
1Department of Anesthesia, McMaster University, Hamilton, ON, Canada zeraatd@mcmaster.ca.
BMJ (Clinical research ed.)
|November 27, 2024
概括
认知行为疗法 (CBT) 和联合的身体和精神健康康复疗法在管理长期COVID症状方面表现有前途. 这些干预措施可能会减少疲劳,提高注意力,并改善患者的整体健康结果.
科学领域:
- 医学研究 医学研究
- 公共卫生 公共卫生
- 康复医学 康复医学 康复医学
背景情况:
- 长期的Covid,或COVID后的状况,是一个复杂的挑战,带有各种不同的症状,影响全球数百万人.
- 现有的管理策略各不相同,需要对基于证据的干预措施进行全面评估.
研究的目的:
- 系统地审查和比较各种干预措施在长期COVID管理方面的有效性.
- 综合当前关于药物和非药物疗法的证据,以治疗COVID后的疾病.
主要方法:
- 进行了活体系统审查,搜索了多个数据库 (Medline,Embase,CINAHL,PsycInfo,AMED,Cochrane) 到2023年12月.
- 包括涉及长期COVID的成年人 (≥18岁) 的随机对照试验,将干预措施与安慰剂,假药或常规护理进行比较.
主要成果:
- 分析了24项试验 (3695名患者),包括药物,体力活动,行为,饮食和基于设备的干预措施.
- 中等确定性证据表明,在线认知行为疗法 (CBT) 可能会降低疲劳,提高注意力.
- 中等确定性证据表明,综合体和精神健康康复计划可以改善整体健康,减少抑郁症,提高生活质量. 间歇性有氧运动也对身体功能有好处.
结论:
- 认知行为疗法 (CBT) 和综合身体和心理健康康复可能有效地改善与长期COVID相关的症状.
- 可能需要进一步的研究来探索其他干预措施,因为目前对许多干预措施的证据有限.
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