Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19

Aim of the study was to evaluate the effectiveness of early rehabilitation methods for medical workers with severe or moderate lung damage caused by a new coronavirus infection, who are in intensive care units, to improve lung ventilation, gas exchange and bronchial clearance, correct muscle weaknes...

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Main Authors: L. A. Shpagina, V. A. Drobyshev, S. A. Karmanovskaya, E. M. Loktin, I. S. Shpagin, O. S. Kotova, L. A. Panacheva, T. V. Musienko, E. A. Zaikina
Format: Article
Language:Russian
Published: Russian Academy of Sciences, Siberian Branch Publishing House 2024-01-01
Series:Сибирский научный медицинский журнал
Subjects:
Online Access:https://sibmed.elpub.ru/jour/article/view/1322
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author L. A. Shpagina
V. A. Drobyshev
S. A. Karmanovskaya
E. M. Loktin
I. S. Shpagin
O. S. Kotova
L. A. Panacheva
T. V. Musienko
E. A. Zaikina
author_facet L. A. Shpagina
V. A. Drobyshev
S. A. Karmanovskaya
E. M. Loktin
I. S. Shpagin
O. S. Kotova
L. A. Panacheva
T. V. Musienko
E. A. Zaikina
author_sort L. A. Shpagina
collection DOAJ
description Aim of the study was to evaluate the effectiveness of early rehabilitation methods for medical workers with severe or moderate lung damage caused by a new coronavirus infection, who are in intensive care units, to improve lung ventilation, gas exchange and bronchial clearance, correct muscle weakness, increase overall physical endurance, mobility, psycho-emotional stability.Material and methods. We examined 53 COVID-19 women with moderate lung injury at stage I of rehabilitation, divided into two groups: main (n = 31, medical personnel) and control (n = 22, working outside of contact with pulmotropic risk factors, including no risk of SARS-CoV-2 infection). Early rehabilitation was carried out in the intensive care unit and in the infectious diseases hospital of City Clinical Hospital No. 2, for patients with COVID-19 rehabilitation plan was drawn up in accordance with temporary guidelines for the medical rehabilitation of a new coronavirus infection.Results and discussion. It was established, that rehabilitation in the conditions of the intensive care unit and the specialized department can significantly reduce the severity of dyspnea, anxiety and depression, positively affects the increase in exercise tolerance, and helps to reduce the activity of systemic inflammation. In patients who have industrial contact with patients with COVID-19, the effectiveness of rehabilitation measures is lower than in the comparison group.Conclusions. To increase the effectiveness of stage I of the rehabilitation of medical workers with COVID-19 and lung damage, it is necessary to conduct more intensive and longer rehabilitation than indicated in the current guidelines.
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spelling doaj.art-4052d5fcb47c47deb7942578306e4bac2024-03-07T18:50:01ZrusRussian Academy of Sciences, Siberian Branch Publishing HouseСибирский научный медицинский журнал2410-25122410-25202024-01-0143616416910.18699/SSMJ20230620572Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19L. A. Shpagina0V. A. Drobyshev1S. A. Karmanovskaya2E. M. Loktin3I. S. Shpagin4O. S. Kotova5L. A. Panacheva6T. V. Musienko7E. A. Zaikina8Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Novosibirsk State Medical University of Minzdrav of Russia; City Clinical Hospital № 2Aim of the study was to evaluate the effectiveness of early rehabilitation methods for medical workers with severe or moderate lung damage caused by a new coronavirus infection, who are in intensive care units, to improve lung ventilation, gas exchange and bronchial clearance, correct muscle weakness, increase overall physical endurance, mobility, psycho-emotional stability.Material and methods. We examined 53 COVID-19 women with moderate lung injury at stage I of rehabilitation, divided into two groups: main (n = 31, medical personnel) and control (n = 22, working outside of contact with pulmotropic risk factors, including no risk of SARS-CoV-2 infection). Early rehabilitation was carried out in the intensive care unit and in the infectious diseases hospital of City Clinical Hospital No. 2, for patients with COVID-19 rehabilitation plan was drawn up in accordance with temporary guidelines for the medical rehabilitation of a new coronavirus infection.Results and discussion. It was established, that rehabilitation in the conditions of the intensive care unit and the specialized department can significantly reduce the severity of dyspnea, anxiety and depression, positively affects the increase in exercise tolerance, and helps to reduce the activity of systemic inflammation. In patients who have industrial contact with patients with COVID-19, the effectiveness of rehabilitation measures is lower than in the comparison group.Conclusions. To increase the effectiveness of stage I of the rehabilitation of medical workers with COVID-19 and lung damage, it is necessary to conduct more intensive and longer rehabilitation than indicated in the current guidelines.https://sibmed.elpub.ru/jour/article/view/1322covid-19rehabilitationlung damageexercise tolerancedyspneaquality of lifemedical workers
spellingShingle L. A. Shpagina
V. A. Drobyshev
S. A. Karmanovskaya
E. M. Loktin
I. S. Shpagin
O. S. Kotova
L. A. Panacheva
T. V. Musienko
E. A. Zaikina
Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
Сибирский научный медицинский журнал
covid-19
rehabilitation
lung damage
exercise tolerance
dyspnea
quality of life
medical workers
title Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
title_full Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
title_fullStr Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
title_full_unstemmed Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
title_short Efficacy of stage I rehabilitation of medical workers with moderate course of interstitial lung damage associated with COVID-19
title_sort efficacy of stage i rehabilitation of medical workers with moderate course of interstitial lung damage associated with covid 19
topic covid-19
rehabilitation
lung damage
exercise tolerance
dyspnea
quality of life
medical workers
url https://sibmed.elpub.ru/jour/article/view/1322
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