Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial.

Telerehabilitation Intervention in Patients with COVID-19 after Hospital Discharge to Improve Functional Capacity and Quality of Life. Study Protocol for a Multicenter Randomized Clinical Trial.
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针对出院后的新冠病毒肺炎患者进行远程康复干预以提高功能能力和生活质量:一项多中心随机临床试验的研究方案

DOI:
10.3390/ijerph18062924
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发表时间:
2021-03-12
影响因子:
--
通讯作者:
Martín-Valero R
Martín-Valero R
中科院分区:
综合性期刊3区
文献类型:
--
作者:
Pastora-Bernal JM;Estebanez-Pérez MJ;Molina-Torres G;García-López FJ;Sobrino-Sánchez R;Martín-Valero R

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新冠病毒肺炎(COVID - 19)可在呼吸系统造成严重后遗症,常表现为体力丧失、呼吸困难、多发性神经病以及多器官受累。物理治疗干预在功能恢复和生活质量提升方面起着至关重要的作用。关于出院后的康复阶段,目前现有的证据还非常初步。远程康复作为一种对标准物理治疗有前景的补充治疗方法被提出。本研究的主要目的是评估与康复中心的健康教育和/或护理项目相比,出院后个性化远程康复干预在改善功能能力和生活质量方面的有效性。次要目的包括确定患者对远程康复干预的满意度和看法以及实施过程中的障碍,以及从卫生系统的角度评估成本效益。本研究方案将通过在西班牙南部进行的单盲多中心随机临床试验来实施。我们假设实施远程康复计划所呈现的结果不劣于当前标准干预所获得的结果。如果该假设得到证实,这将是一个制定新政策和干预措施以应对这种疾病及其后果的契机。试验注册号NCT04742946。
COVID-19 can cause important sequels in the respiratory system and frequently presents loss of strength, dyspnea, polyneuropathies and multi-organic affectation. Physiotherapy interventions acquire a fundamental role in the recovery of the functions and the quality of life. Regarding the recovery phases after hospital discharge, the current evidence available is very preliminary. Telerehabilitation is presented as a promising complementary treatment method to standard physiotherapy. The main objective of this research is to evaluate the effectiveness of a personalized telerehabilitation intervention after discharge from hospital for the improvement of functional capacity and quality of life compared to a program of health education and/or care in a rehabilitation center. As secondary objectives, to identify the satisfaction and perception of patients with the telerehabilitation intervention and the presence of barriers to its implementation, as well as to evaluate the cost-effectiveness from the perspective of the health system. This study protocol will be carried out through a single blind multicenter randomized clinical trial in the south of Spain. We hypothesize that the implementation of a telerehabilitation program presents results not inferior to those obtained with the current standard intervention. If the hypothesis is confirmed, it would be an opportunity to define new policies and interventions to address this disease and its consequences. Trial registration NCT04742946.
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