康复干预和后COVID状态的结果:一个范围审查
Emily G Saunders1, Dimitra V Pouliopoulou1,2, Erin Miller1
1School of Physical Therapy, Faculty of Health Science, Western University, London, Ontario, Canada.
BMJ public health
|February 28, 2025
概括
这次审查确定了COVID-19后条件 (PCC) 的康复干预措施. 大多数干预措施将教育和运动与疲劳和心理症状相结合,但需要全面的方法才能完全恢复PCC.
科学领域:
- 康复医学 康复医学 康复医学
- 传染病管理 传染病管理
- 公共卫生 公共卫生
背景情况:
- 后COVID-19状态 (PCC) 呈现出复杂的多系统症状,影响了许多健康领域.
- 现有的PCC康复干预措施多样化,但其全部范围尚不清楚.
- 对PCC康复的系统理解对于有效的患者护理至关重要.
研究的目的:
- 进行范围审查,确定PCC成年人的康复干预措施.
- 记录用于评估这些干预措施的结果措施.
- 为PCC.提供信息,制定全面的,多方面的康复策略.
主要方法:
- 搜索了多个数据库 (CINAHL,EMBASE,MEDLINE,PsychINFO,CENTRAL,Scopus) 按照乔安娜·布里格斯研究所的框架进行搜索.
- 包括实验和观察性研究,调查从开始到2024年1月为PCC的康复.
- 基于PCC常见表现的综合干预措施和结果措施,并使用TIDieR检查清单评估报告质量.
主要成果:
- 确定了74项研究,主要是观察性 (62.2%),重点是治疗呼吸障碍,疲劳和心理症状.
- 干预通常结合教育,炼和治疗.
- 有限的研究解决了后炼不适,认知缺陷和平衡问题;关于坚持和不良事件的报道往往是不够的.
结论:
- 目前对PCC的康复方法需要扩展,以涵盖全方位的症状.
- 为了改善患者的治疗结果,需要更全面,更包容的策略.
- 需要加强报告标准,以确保研究可重复性和临床适用性.
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