Rehabilitation needs of the first cohort of post-acute COVID-19 patients in Hubei, China

Rehabilitation needs of the first cohort of post-acute COVID-19 patients in Hubei, China
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DOI:
10.23736/s1973-9087.20.06298-x
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发表时间:
2020-06-01
影响因子:
4.5
通讯作者:
Xia, Wenguang
Xia, Wenguang
中科院分区:
医学2区
文献类型:
--
作者:
Li, Zhengliang;Zheng, Chanjuan;Xia, Wenguang

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背景:冠状病毒病-2019 (COVID-19)是一种急性呼吸道传染病。尽管被临床治愈,一些患者仍然发现很难恢复正常的生活和工作,因为他们有不同程度的功能障碍,作为疾病后遗症的一部分。通过本研究,我们旨在更多地了解COVID-19患者的功能障碍和康复需求。方法:采用自行设计的调查问卷,采用方便抽样的方法抽取湖北省中西医结合医院新冠肺炎住院患者的基本信息、功能障碍及康复需求。研究时间为2020年2月29日至2020年3月2日。结果:最终纳入280例患者,以51岁以上患者为主(64.2%)。躯体功能障碍主要为睡眠障碍(63.6%)、活动耐力下降(61.4%)和呼吸功能障碍(57.9%),逻辑功能障碍主要为焦虑(62.1%)和恐惧(50.0%)。患者要求的康复主要包括运动指导、饮食指导、中医治疗、物理治疗和中医保健操。结论:新冠肺炎患者的康复需求较高,需要尽快建立全面、个性化的康复方案。
BACKGROUND: Corona Virus Disease-2019 (COVID-19) is an acute respiratory infectious disease. Despite being clinically cured, some patients still find it difficult to return to their normal life and work due to the varying degree of dysfunctions that they have, as part of the disease's aftereffect. Through this study, we aim to learn more about the dysfunctions and rehabilitation needs of COVID-19 patients.METHODS: In this survey, the basic information, dysfunctions, and rehabilitation needs of the hospitalized COVID-19 patients, who were selected by convenience sampling in Hubei Provincial Hospital of Integrated Traditional Chinese and Western Medicine, were obtained using a self-designed questionnaire. The research was conducted from February 29, 2020 to March 2.2020.RESULTS: A total of 280 patients were finally included, who were mainly over 51 years of age (64.2%). The main physical dysfunctions that the patients had were sleep disorders (63.6%), decreased activity endurance (61.4%), and respiratory dysfunction (57.9%), while the main logical dysfunctions included anxiety (62.1%) and fear (50.0%). Rehabilitation that mainly requested by the patients included exercise guidance, dietary instruction, traditional Chinese medicine therapy, physical therapy, and Chinese traditional health exercises.CONCLUSIONS: The demand for rehabilitation is high among COVID-19 patients, which requires the quick establishment of a comprehensive and individualized rehabilitation program, to be fulfilled.