COVID-19 lockdown disrupts support networks integral to maintaining foot health: a mixed-methods study.
COVID-19 lockdown disrupts support networks integral to maintaining foot health: a mixed-methods study.
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DOI：
10.1186/s13047-021-00486-4
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发表时间：
2021-06-30
影响因子：
2.9
通讯作者：
Portillo MC
中科院分区：
文献类型：
--
作者：
Cherry L;Gates L;Culliford D;Walker-Bone K;Portillo MC
为了应对新冠肺炎大流行，人们被建议留在家里以控制病毒传播。政府规定的对自由活动的限制影响了个人对体育活动的参与，据报道，活动增加会带来生物、心理和社会健康方面的好处，反之，久坐行为会导致健康状况变差。良好的足部健康是进行体力活动和最大限度地参与职业活动和日常生活的关键。使用基于网络的平台进行了以人群为基础的横断面研究。通过对封闭式和开放式调查问题的回答来获取定量和定性数据。任何有足部健康状况的人都有资格参加这项在线调查。链接通过专业网络、支持团体和慈善机构发送，使用滚雪球策略来最大限度地提高参与度。255名受访者完成了这项调查。大多数人(n = 193人，75.69%)报告了持续的足部疼痛或问题，已经存在4周或更长时间，而49名受访者(19.22%)注意到新的疼痛或问题。疼痛是最常见的症状(n = 139，54.51%)，而足部外观的改变也很常见(n = 122，47.84%)，常伴有明显的肿胀。肌肉骨骼足部症状经常被报告(n = 123，48%)，并且与报告的体力活动减少显著相关(x2 = 6.61，p = 0.010)。在定性分析之后，出现了5个主题和11个分主题，由49个独立的准则提供信息。出现了一个中心主题--封锁扰乱支持网络，包括正式的(医疗保健提供者)和非正式的(朋友或家人)。这5个分主题分别是：1.脚痛是常伴，2.自我护理，3.‘要么应付要么崩溃’的情景，4.未来寻求医疗保健的意图，以及5.进行体力活动的能力下降。疼痛是新冠肺炎封锁期间最常见的足部问题。封锁限制扰乱了维持脚部健康不可或缺的支持网络。糟糕的足部健康状况影响了人们保持身体活动的能力。以前被认为相对较小的投诉，如皮肤和指甲护理，被发现由于有限的支持网络而加剧，导致更大的负面影响。网上版载有补充材料，可在10.1186/s13047021-00486-4查阅。
In response to the COVID-19 pandemic, populations were advised to remain at home to control viral spread. Government-mandated restrictions on free movement affected individuals’ engagement with physical activity, with reported increases leading to biopsychosocial health benefits and conversely increased sedentary behaviour leading to poorer health. Good foot health is key to enabling physical activity and maximal participation in activities of occupation and daily living. A population-based cross-sectional study was performed, using a web-based platform. Quantitative and qualitative data were captured through responses to closed and open survey questions. Anybody with a foot health condition was eligible to participate in the online survey. Links were sent through professional networks, support groups and charities, using a snowball strategy to maximise participation. Two hundred fifty-five respondents completed the survey. Most (n = 193, 75.69%) reported an ongoing foot pain or problem that had been present for 4 weeks or longer, whilst 49 respondents (19.22%) noted a new pain or problem. Pain was the most frequently reported symptom (n = 139, 54.51%), whilst change in appearance of the foot was also commonly reported (n = 122, 47.84%), often alongside the observable presence of swelling. Musculoskeletal foot symptoms were frequently reported (n = 123, 48%), and were significantly associated with reported reduced physical activity (X2 = 6.61, p = 0.010). Following qualitative analysis five themes and 11 subthemes emerged, informed by 49 independent codes. A central theme of lockdown disrupting support networks, both formal (healthcare providers) and informal (friends or family members) emerged. The 5 sub-themes were: 1. foot pain is a constant companion, 2. self-care, 3. ‘cope or crumble’ scenarios, 4. future intent to access healthcare and 5. reduced ability to undertake physical activity. Pain was the most frequently reported foot problem during COVID-19 lockdown restriction. Lockdown restrictions disrupted support networks integral to maintaining foot health. Poor foot health impacted people’s ability to remain physically active. Complaints previously considered relatively ‘minor’ such as support for skin and nail care, were found to be exacerbated by restricted support networks, leading to greater negative impact. The online version contains supplementary material available at 10.1186/s13047-021-00486-4.
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DOI：
10.3390/ijerph17113899
发表时间：
2020-06-01
影响因子：
--
作者：
Lesser, Iris A.;Nienhuis, Carl P.
通讯作者：
Nienhuis, Carl P.
影响因子：
0.7
作者：
Rogers, Lee C;Lavery, Lawrence A;Armstrong, David G
通讯作者：
Armstrong, David G
影响因子：
4.7
作者：
Bushey, Michael A.;Kroenke, Kurt;Weitlauf, Sharon
通讯作者：
Weitlauf, Sharon
影响因子：
--
作者：
Viswanath, Aparna;Monga, Puneet
通讯作者：
Monga, Puneet
DOI：
10.1073/pnas.2007658117
发表时间：
2020-07-07
影响因子：
11.1
作者：
Bonaccorsi, Giovanni;Pierri, Francesco;Pammolli, Fabio
通讯作者：
Pammolli, Fabio