Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data
Understanding the impact of the Covid-19 pandemic on delivery of rehabilitation in specialist palliative care services: An analysis of the CovPall-Rehab survey data
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了解 Covid-19 大流行对专业姑息治疗服务中康复服务的影响：对 CovPall-Rehab 调查数据的分析
DOI：
10.1101/2021.04.13.21255380
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发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Bayly J
中科院分区：
文献类型：
--
作者：
Bayly J
背景姑息性康复涉及多专业的过程和干预措施，旨在优化患者在整个晚期疾病中的症状自我管理、独立性和社会参与。在2019冠状病毒病大流行期间，康复服务受到严重干扰。目的了解在2019冠状病毒病大流行期间姑息治疗服务中的康复提供，确定并反思适应性和创新性实践，以告知正在进行的提供。设计横断面全国在线调查。设置/参与者在临终关怀、医院或社区设置中，专科姑息治疗服务的康复领导者，调查时间为2020年7月30日至2020年9月21日。结果61份完整的回复（英格兰，n= 55;苏格兰，n= 4;威尔士，n= 1;和北方爱尔兰，n= 1）最常来自提供成人康复服务的临终关怀机构（56/61，92%）。大多数服务（55/61，90%）报告说，在新冠肺炎期间，康复服务变得遥不可及，一半的服务报告说，病例量减少。康复团队经常有员工因疑似/确诊新型冠状病毒病而请病假（27/61，44%），被重新调配到其他服务/组织（25/61，41%）或休假（15/61，26%）。自由文本回应被构建为四个主题：（i）波动的共享空间;（ii）远程和数字化康复服务;（iii）提供和参与康复的能力;（iv）Covid-19作为积极变化的跳板。这些代表了康复服务如何收缩，重新配置，并被重新定向到更远程的交付模式，以及这如何影响临床医生和患者的能力，参与rehabilitation.ConclusionThis研究表明如何在提供康复大流行期间的变化可以作为一个跳板，积极的变化。混合康复模式有可能扩大专科姑息治疗中康复的公平获得和覆盖范围。
BackgroundPalliative rehabilitation involves multi-professional processes and interventions aimed at optimising patients’ symptom self-management, independence and social participation throughout advanced illness. Rehabilitation services were highly disrupted during the Covid-19 pandemic.AimTo understand rehabilitation provision in palliative care services during the Covid-19 pandemic, identifying and reflecting on adaptative and innovative practice to inform ongoing provision.DesignCross-sectional national online survey.Setting/participantsRehabilitation leads for specialist palliative care services across hospice, hospital, or community settings, conducted from 30/07/20 to 21/09/2020.Findings61 completed responses (England,n= 55; Scotland,n= 4; Wales,n= 1; and Northern Ireland,n= 1) most frequently from services based in hospices (56/61, 92%) providing adult rehabilitation. Most services (55/61, 90%) reported rehabilitation provision becoming remote during Covid-19 and half reported reduced caseloads. Rehabilitation teams frequently had staff members on sick-leave with suspected/confirmed Covid-19 (27/61, 44%), redeployed to other services/organisations (25/61, 41%) or furloughed (15/61, 26%). Free text responses were constructed into four themes: (i) fluctuating shared spaces; (ii) remote and digitised rehabilitation offer; (iii) capacity to provide and participate in rehabilitation; (iv) Covid-19 as a springboard for positive change. These represent how rehabilitation services contracted, reconfigured, and were redirected to more remote modes of delivery, and how this affected the capacity of clinicians and patients to participate in rehabilitation.ConclusionThis study demonstrates how changes in provision of rehabilitation during the pandemic could act as a springboard for positive changes. Hybrid models of rehabilitation have the potential to expand the equity of access and reach of rehabilitation within specialist palliative care.
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关心Covid-19死亡的人的挑战：一项跨国，观察性研究（Covpall）。
影响因子：
4.7
作者：
Oluyase AO;Hocaoglu M;Cripps RL;Maddocks M;Walshe C;Fraser LK;Preston N;Dunleavy L;Bradshaw A;Murtagh FEM;Bajwah S;Sleeman KE;Higginson IJ;CovPall study team
通讯作者：
CovPall study team
影响因子：
4.4
作者：
Eva G;Morgan D
通讯作者：
Morgan D
DOI：
--
发表时间：
2016
期刊：
影响因子：
--
作者：
Brett W. Smith;A. Sparkes
通讯作者：
A. Sparkes
影响因子：
4.4
作者：
Dunleavy L;Preston N;Bajwah S;Bradshaw A;Cripps R;Fraser LK;Maddocks M;Hocaoglu M;Murtagh FE;Oluyase AO;Sleeman KE;Higginson IJ;Walshe C
通讯作者：
Walshe C
劳特利奇运动与锻炼定性研究手册
DOI：
--
发表时间：
2018
期刊：
影响因子：
--
作者：
Brett W. Smith;A. Sparkes
通讯作者：
A. Sparkes