四年后,我们能学到什么? 一个多中心服务评估,探索长期Covid中的症状,功能影响,恢复和护理途径
Cassie Lee1, Paul Williams2, Amiad Abrahams1,3
1Imperial College Healthcare NHS Trust, London, UK.
概括
长期Covid (LC) 严重影响日常生活和工作,大多数患者在感染后三年内没有完全康复. 许多人经历了未得到满足的护理需求,这表明长期康复的支持缺口.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 公共卫生 公共卫生
- 纵向研究 纵向研究
背景情况:
- 长期Covid (LC) 呈现了持续的健康挑战,需要持续的医疗保健参与.
- 了解患者的经验对于有效的长期治疗LC至关重要.
研究的目的:
- 为了探索患者对正在进行的LC症状的看法.
- 评估LC对日常生活和职业能力的影响.
- 确定患者报告的康复促进者和未满足的护理需求.
主要方法:
- 在英格兰和威尔士向513名访问LC服务的个人分发了一项在线混合方法调查.
- 从269名受访者的数据进行了定量和定性分析.
- 该研究涉及与患者代表的联合制作.
主要成果:
- 超过94%的参与者报告说没有完全从LC中恢复过来,疲劳,认知功能障碍和喘息是常见的症状.
- 近41%的参与者经历了恢复的平原,20%的人报告症状恶化.
- 62.7%的人报告说,他们有未满足的护理需求,尽管持续出现症状和对职业的影响,但许多人不再接受护理.
结论:
- 在持续需要长期Covid支持和当前的护理提供之间存在很大的差距.
- 患者报告的结果突出显示了持续的症状负担和功能限制.
- 解决未满足的护理需求对于改善长期康复和LC幸存者的生活质量至关重要.
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