دانلود مقاله مدیریت فیزیوتراپی برای COVID 19 در شرایط حاد بیمارستان
چکیده
کلید واژه ها
مقدمه
روش ها
پیشنهادات
داده های تکمیلی
منابع
Abstract
Key words
Introduction
Methods
Recommendations
Acknowledgements
Supplementary Data
References
چکیده
این سند به‌روزرسانی توصیه‌های مدیریت فیزیوتراپی برای بزرگسالان مبتلا به بیماری کروناویروس 2019 (COVID-19) در شرایط بیمارستان حاد را ارائه می‌کند. این شامل: برنامه ریزی و آماده سازی نیروی کار فیزیوتراپی. ابزار غربالگری برای تعیین نیاز به فیزیوتراپی؛ و توصیه هایی برای استفاده از درمان های فیزیوتراپی و تجهیزات حفاظت فردی. توصیه ها و توصیه های جدید در مورد: مدیریت حجم کار ارائه شده است. سلامت کارکنان، از جمله واکسیناسیون؛ ارائه آموزش بالینی؛ تجهیزات حفاظت فردی؛ مداخلات، از جمله مستعد بیداری، بسیج و توانبخشی در بیماران مبتلا به هیپوکسمی. علاوه بر این، توصیه‌هایی برای بهبودی پس از COVID-19 اضافه شده است، از جمله نقش‌هایی که فیزیوتراپی می‌تواند در مدیریت سندرم پس از COVID-19 ارائه دهد. دستورالعمل های به روز شده برای استفاده توسط فیزیوتراپیست ها و سایر ذینفعان مربوطه در نظر گرفته شده است که از بیماران بزرگسال مبتلا به COVID-19 تأیید شده یا مشکوک در محیط مراقبت حاد و فراتر از آن مراقبت می کنند.
توجه! این متن ترجمه ماشینی بوده و توسط مترجمین ای ترجمه، ترجمه نشده است.
Abstract
This document provides an update to the recommendations for physiotherapy management for adults with coronavirus disease 2019 (COVID-19) in the acute hospital setting. It includes: physiotherapy workforce planning and preparation; a screening tool for determining requirement for physiotherapy; and recommendations for the use of physiotherapy treatments and personal protective equipment. New advice and recommendations are provided on: workload management; staff health, including vaccination; providing clinical education; personal protective equipment; interventions, including awake proning, mobilisation and rehabilitation in patients with hypoxaemia. Additionally, recommendations for recovery after COVID-19 have been added, including roles that physiotherapy can offer in the management of post-COVID syndrome. The updated guidelines are intended for use by physiotherapists and other relevant stakeholders caring for adult patients with confirmed or suspected COVID-19 in the acute care setting and beyond.
Introduction
Recommendations for physiotherapy management for coronavirus disease 2019 (COVID-19) in the acute hospital setting1 were produced in March 2020 in response to the emerging pandemic and urgent need for guidance for physiotherapists world-wide. Since then, COVID-19 cases have exceeded 258 million and deaths have exceeded 5.1 million.2 The experience of healthcare providers and policy-makers in dealing with the pandemic and research specific to the COVID-19 population has evolved rapidly. The aim of this second document is to inform physiotherapists and key stakeholders of relevant changes in the management of COVID-19 and to update recommendations for physiotherapy practice and service delivery.
Recovery after COVID-19
Recommendations for recovery after COVID-19 is a new category within the physiotherapy recommendations and reflects the increasing awareness and evaluation of the long-term impairments that result from COVID-19 (Box 6). Many patients who are discharged from hospital after COVID-19 will have ongoing symptoms and functional impairment.58 To address post-COVID conditions, it is important that patients are assessed for ongoing or new symptoms prior to hospital discharge, to identify potential therapies or health services that can be organised. Whether hospitalised or not, people who have had COVID-19 should also be evaluated at an appropriate period after initial infection to monitor and address symptoms of post-COVID conditions. Table 2 provides examples of the impact that post-COVID conditions may have on function and participation. Muscle weakness, fatigue, impaired concentration and dyspnoea are commonly reported symptoms.58 People may experience post-COVID conditions, regardless of whether they have been hospitalised or received home-based care.151 Reduced functional capacity is common in COVID-19 ICU survivors152 and inpatient rehabilitation may be required for some people.