Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group

SARS-CoV-2 infection and its resulting sequelae have increased the prevalence of people with respiratory symptoms, with impacts on functional capacity, quality of life, anxiety, depression, and mental health. To mitigate this problem, one challenge has been the design and implementation of intervent...

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Main Authors: Neuza Reis, Maria José Costa Dias, Luís Sousa, Filipa Canedo, Miguel Toscano Rico, Maria Adriana Henriques, Cristina Lavareda Baixinho
Format: Article
Language:English
Published: MDPI AG 2023-09-01
Series:Healthcare
Subjects:
Online Access:https://www.mdpi.com/2227-9032/11/18/2561
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author Neuza Reis
Maria José Costa Dias
Luís Sousa
Filipa Canedo
Miguel Toscano Rico
Maria Adriana Henriques
Cristina Lavareda Baixinho
author_facet Neuza Reis
Maria José Costa Dias
Luís Sousa
Filipa Canedo
Miguel Toscano Rico
Maria Adriana Henriques
Cristina Lavareda Baixinho
author_sort Neuza Reis
collection DOAJ
description SARS-CoV-2 infection and its resulting sequelae have increased the prevalence of people with respiratory symptoms, with impacts on functional capacity, quality of life, anxiety, depression, and mental health. To mitigate this problem, one challenge has been the design and implementation of interventions that simultaneously allow for education, rehabilitation, and monitoring of people with long COVID, at a time when health services were on the verge of rupture due to the volume of people with active COVID and in need of intensive care. Telerehabilitation emerged as a mode for providing rehabilitative care that brought professionals closer to patients and enabled continuity of care. The present study aimed to evaluate the results of a telerehabilitation intervention for people with injuries associated with SARS-CoV-2 infection in hospital-community transitions, considering their degree of dependence in performing activities of daily living, respiratory symptoms, fatigue, gait capacity, muscle strength, and experience with anxiety and depression. A pre-post study with a non-equivalent control group was carried out with a total of 49 participants (intervention group n = 24; control group n = 25). The post-intervention results showed an increase in saturation, a decrease in heart rate, an improvement in the impact of post-COVID functionality, a decrease in fatigue, a decrease in perceived effort, and a decrease in depressive and anxiety symptoms. The telerehabilitation intervention, which combined educational strategies with respiratory and motor rehabilitation, helped improve global functionality and self-care, with clinical and functional impacts.
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spelling doaj.art-5c2b96cbbd26439b8809a01d63a1ddf52023-11-19T10:56:39ZengMDPI AGHealthcare2227-90322023-09-011118256110.3390/healthcare11182561Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control GroupNeuza Reis0Maria José Costa Dias1Luís Sousa2Filipa Canedo3Miguel Toscano Rico4Maria Adriana Henriques5Cristina Lavareda Baixinho6Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, PortugalCentro Hospitalar Universitário Lisboa Central, 169-045 Lisboa, PortugalHigher School of Atlantic Health, 2730-036 Barcarena, PortugalNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Universidade NOVA de Lisboa, 169-056 Lisbon, PortugalNOVA Medical School|Faculdade de Ciências Médicas (NMS|FCM), Universidade NOVA de Lisboa, 169-056 Lisbon, PortugalLisbon Nursing School, Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, PortugalNursing Research, Innovation and Development Centre of Lisbon (CIDNUR), 1900-160 Lisbon, PortugalSARS-CoV-2 infection and its resulting sequelae have increased the prevalence of people with respiratory symptoms, with impacts on functional capacity, quality of life, anxiety, depression, and mental health. To mitigate this problem, one challenge has been the design and implementation of interventions that simultaneously allow for education, rehabilitation, and monitoring of people with long COVID, at a time when health services were on the verge of rupture due to the volume of people with active COVID and in need of intensive care. Telerehabilitation emerged as a mode for providing rehabilitative care that brought professionals closer to patients and enabled continuity of care. The present study aimed to evaluate the results of a telerehabilitation intervention for people with injuries associated with SARS-CoV-2 infection in hospital-community transitions, considering their degree of dependence in performing activities of daily living, respiratory symptoms, fatigue, gait capacity, muscle strength, and experience with anxiety and depression. A pre-post study with a non-equivalent control group was carried out with a total of 49 participants (intervention group n = 24; control group n = 25). The post-intervention results showed an increase in saturation, a decrease in heart rate, an improvement in the impact of post-COVID functionality, a decrease in fatigue, a decrease in perceived effort, and a decrease in depressive and anxiety symptoms. The telerehabilitation intervention, which combined educational strategies with respiratory and motor rehabilitation, helped improve global functionality and self-care, with clinical and functional impacts.https://www.mdpi.com/2227-9032/11/18/2561long COVIDtelerehabilitationdyspneafatiguedepressiontransitional care
spellingShingle Neuza Reis
Maria José Costa Dias
Luís Sousa
Filipa Canedo
Miguel Toscano Rico
Maria Adriana Henriques
Cristina Lavareda Baixinho
Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
Healthcare
long COVID
telerehabilitation
dyspnea
fatigue
depression
transitional care
title Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
title_full Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
title_fullStr Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
title_full_unstemmed Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
title_short Telerehabilitation Intervention in Transitional Care for People with COVID-19: Pre-Post Study with a Non-Equivalent Control Group
title_sort telerehabilitation intervention in transitional care for people with covid 19 pre post study with a non equivalent control group
topic long COVID
telerehabilitation
dyspnea
fatigue
depression
transitional care
url https://www.mdpi.com/2227-9032/11/18/2561
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