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Title:Fizioterapevtska obravnava pri COVID-19 in dolgem COVID-19
Authors:ID Žlajpah, Katja (Author)
ID Amon, Mojca (Mentor) More about this mentor... New window
Files:.pdf 1792$$diplomskanalogakz-koncna_verzija.pdf (672,28 KB)
MD5: 976799C832D36EA52F700C28160D7953
 
Language:Slovenian
Work type:Bachelor thesis/paper
Typology:2.11 - Undergraduate Thesis
Organization:FIZIOTERAPEVTIKA - PHYSIOTHERAPEUTICA
Abstract:Večina bolnikov s covidom-19 ima blago obliko bolezni z ugodno prognozo in ne potrebuje hospitalizacije. Vendar pa lahko starejši bolniki in tisti s kroničnimi boleznimi razvijejo hudo bolezen in zaplete, kot so sindrom akutne dihalne stiske in odpoved dihanja, ki zahtevajo zdravljenje v enoti intenzivne terapije z invazivno podporo. Da bi ugotovili rehabilitacijske potrebe bolnika s covid-19 v bolnišnici ter rehabilitacijo, ki jo je treba vključiti ob odpustu bolnika z dolgim covidom-19 iz bolnišnice, smo opravili sistematični pregled literature in proučili 10 raziskav. Ugotovili smo, da mora biti fizioterapevtska obravnava usmerjena v zmanjšanje tveganja okužbe in zagotovitev najboljše oskrbe bolnika. Fizioterapevti imamo temeljno vlogo pri zagotavljanju ventilacijske podpore v fazi akutne bolezni in rehabilitacijske obravnave po njej za ohranjanje gibljivosti ter spodbujanje funkcionalnosti. S fizioterapevtsko obravnavo je potrebno začeti že v enoti intenzivne terapije takoj, ko je bolnik klinično stabilen. Z zgodnjo mobilizacijo ohranimo funkcionalnost bolnika in pospešimo okrevanje. Ker covid-19 pusti dolgotrajne posledice, imamo fizioterapevti pomembno vlogo pri snovanju programa pljučne rehabilitacije za bolnike z dolgim covidom-19. Tudi tu je za zmanjšanje posledic ključna zgodnja fizioterapevtska obravnava. Ta mora biti prilagojena posamezniku in nadzorovana ter ne sme poslabšati posameznikovih simptomov. Na podlagi proučenih študij ugotavljamo, da mora biti rehabilitacija dolgega covida-19 usmerjena v krepitev telesne zmogljivosti. Pomembna je tudi prehranska podpora.
Keywords:Fizioterapija, covid-19, dolgi covid-19, respiratorna rehabilitacija, dihalna odpoved
Year of publishing:2023
PID:20.500.12556/ReVIS-10009 New window
COBISS.SI-ID:169968643 New window
Publication date in ReVIS:10.10.2023
Views:889
Downloads:34
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Secondary language

Language:English
Title:Physiotherapy treatment of COVID-19 and long COVID-19
Abstract:Most patients with covid-19 have a mild form of the disease with a favourable prognosis and do not require hospitalisation. However, elderly patients and those with chronic diseases may develop severe disease and complications such as acute respiratory distress syndrome and respiratory failure, requiring treatment in an intensive care unit with invasive support. In order to identify the rehabilitation needs of the covid-19 patients in hospital and the rehabilitation that should be included when a patient with a long covid-19 is discharged from hospital, we performed a systematic literature review and examined 10 studies. We concluded that physiotherapy treatment should be aimed at reducing the risk of infection and providing the best care for the patient. Physiotherapists play a fundamental role in providing ventilatory support during the acute phase of the disease and rehabilitation treatment afterwards to maintain mobility and promote functionality. Physiotherapy treatment should start in the intensive care unit as soon as the patient is clinically stable. Early mobilisation preserves the patient's functionality and speeds recovery. As covid-19 leaves long-term sequelae, physiotherapists have an important role to play in designing a pulmonary rehabilitation programme for patients with long covid-19. Again, early physiotherapy treatment is crucial to minimise sequelae. It should be personalised and supervised and should not exacerbate the individual's symptoms. Based on the studies reviewed, we conclude that rehabilitation of long covid-19 should aim to enhance physical performance. Nutritional support is also important.
Keywords:Physical therapy, covid-19, long covid-19, respiratory rehabilitation, respiratory failure


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