在加拿大拉瓦尔长期COVID患者中利用康复服务的情况
Barbara Mazer1,2,3, Stephanie Haynes1, Venezia Ficara1
1School of Physical and Occupational Therapy, Faculty of Medicine and Health Sciences, McGill University, Montreal, Quebec, Canada.
Disability and rehabilitation
|February 4, 2025
概括
北克省拉瓦尔市长期COVID患者的大多数成年人没有获得物理治疗 (PT) 或职业治疗 (OT) 等康复服务,尽管他们的需求尚未得到满足. 改善获得多学科护理的机会对于康复至关重要.
科学领域:
- 康复医学 康复医学 康复医学
- 公共卫生 公共卫生
- 传染性疾病 传染性疾病
背景情况:
- 长期COVID是一种复杂的疾病,具有重大挑战,影响日常功能和生活质量.
- 康复服务对于管理长期COVID症状和功能障碍至关重要.
- 了解服务利用率和未满足需求对于优化护理途径至关重要.
研究的目的:
- 调查使用物理治疗 (PT),职业治疗 (OT),语音语言病理学 (SLP) 和心理 (Psych) 服务在拉瓦尔,北克长期COVID的成年人.
- 识别未满足的康复需求和与服务获取相关的因素.
- 评估患者对接受的康复服务的满意度.
主要方法:
- 对1031名被诊断患有长期COVID的个人进行了电子调查.
- 经过验证的调查问卷评估了后COVID综合征,康复需求和服务利用情况.
- 使用了描述性统计,双变量分析和多变量逻辑回归.
主要成果:
- 观察到使用率较低:OT为3.6%,PT为7.8%,SLP为0.2%,心理学为6.1%.
- 四分之一需要康复服务的参与者由于缺乏信息,转介或经济障碍而无法获得这些服务.
- 与服务获取相关的因素包括住院,接种疫苗状态,并发症,COVID-19以来的持续时间,女性性别,年龄 (≥55),婚姻状况和就业状况.
结论:
- 这个队列中的大多数长期COVID患者没有利用可用的康复服务.
- 存在重大未满足的需求,突出了可获得和全面护理的差距.
- 迫切需要可访问,多学科的康复服务,以适应长期COVID患者的功能要求.
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