Issue №5-20, 2021

Original article

https://doi.org/10.38025/2078-1962-2021-20-5-4-11

Experience of Outpatient Rehabilitation of Patients after Pneumonia Associated with the New Coronavirus Infection COVID-19

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1 ORCIDIrina A. Nesina, 2 ORCIDElena A. Golovko, 3 ORCIDAlexander V. Shakula, 2 ORCIDNatalia N. Figurenko, 1 ORCIDIrina G. Zhilina, 2 ORCIDTatiana N. Khomchenko, 1 ORCIDElena L. Smirnova, 1 ORCIDValeria S. Chursina, 2 ORCIDAnna V. Koroleva

1 Novosibirsk State Medical University, Novosibirsk, Russian Federation
2 State Novosibirsk Regional Clinical Hospital of War Veterans, Novosibirsk, Russian Federation
3 National Medical Research Center of Rehabilitation and Balneology, Moscow, Russian Federation


ABSTRACT

The revealed functional disorders in patients who have suffered pneumonia associated with the new coronavirus infection COVID-19 require long-term rehabilitation, in particular in outpatient environment.

AIM. To evaluate the effectiveness of outpatient rehabilitation of patients who have suffered pneumonia associated with the new coronavirus infection COVID-19.

MATERIAL AND METHODS. The study included 72 patients after mild to moderate pneumonia associated with the new coronavirus infection COVID-19. The main group included 37 patients who underwent comprehensive rehabilitation, including physical therapy, massage, magnetic therapy, speleotherapy, cognitive behavioral therapy, and drug therapy. The comparison group (35 patients) received physical therapy, magnetic therapy and drug therapy. The effectiveness of therapy was assessed on the basis of standardized questionnaires and scales: Asthenia scale (MFI-20), Anxiety and Depression scale (HADS), mMRC and Borg dyspnea scales, clinical and laboratory examination data. The quality of life of patients in the dynamics of rehabilitation was assessed by the quality of life questionnaire (EQ-5D).

RESULTS AND DISCUSSION. In the main group of patients, the effectiveness of rehabilitation was higher relative to the decrease in the severity of dyspnea, asthenia, normalization of lymphocyte levels. In this group, the quality of life improved more significantly on the scales of anxiety/depression and psychoemotional status.

CONCLUSION. The rehabilitation program, which additionally included chest massage, speleotherapy, transcranial electrical stimulation (TES), showed an advantage in improving clinical and laboratory parameters and quality of life in patients who have suffered pneumonia associated with the new coronavirus infection COVID-19.


KEYWORDS: pneumonia associated with the new coronavirus infection COVID-19, medical rehabilitation

Acknowledgments: The study had no sponsorship

Conflict of interest:: The authors declare no apparent or potential conflicts of interest related to the publication of this article.

For citation: Nesina I.A., Golovko E.A., Shakula A.V., Figurenko N.N., Zhilina I.G., Khomchenko T.N., Smirnova E.L., Chursina V.S., Koroleva A.V. Experience of Outpatient Rehabilitation of Patients after Pneumonia Associated with the New Coronavirus Infection COVID-19. Bulletin of Rehabilitation Medicine. 2021; 20 (5): 4-11. https://doi.org/10.38025/2078-1962-2021-20-5-4-11

For correspondence: Irina A. Nesina, e-mail: nesinairina@ngs.ru



References:

  1. WHO. Novel Coronavirus (2019-nCoV) Situation Report–22. Available at: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/situation-reports (accessed 25.04.2021)
  2. Profilaktika, diagnostika i lechenie novoj koronavirusnoj infekcii (COVID-19) Vremennye metodicheskie rekomendacii [Prevention, Diagnosis and Treatment of Coronavirus Infection (COVID-19) Interim Guidelines]. Available at: https://www.nmrc.ru/all/b5/mr-covid-10-versiya.pdf (accessed 10.05.2021) (In Russ.).
  3. Drapkina O.M., Drozdova L.Yu., Boytsov S.A., Bulgakova E.S., Ivanova E.S., Kunyaeva T.A., Lavrenova E.A., Samorodskaya I.V., Chesnikova A.I., Shepel R.N. Okazanie ambulatorno-poliklinicheskoj medicinskoj pomoshchi pacientam s hronicheskimi zabolevaniyami, podlezhashchimi dispansernomu nablyudeniyu, v usloviyah pandemii COVID-19: vremennye metodicheskie rekomendacii [Provision of outpatient medical care to patients with chronic diseases subject to dispensary observation in the context of the COVID-19 pandemic: temporary guidelines]. Тhe Russian Journal оf Preventive Medicine. 2020; V.23(3): 2004-2041. https://doi.org/10.17116/profmed2020230324 (In Russ.).
  4. Profilaktika oslozhnenij, dispansernoe nablyudenie i vedenie na ambulatornom etape lic, perenesshih novuyu koronavirusnuyu infekciyu (COVID-19) [Prevention of complications, dispensary observation and outpatient management of persons who have had a new coronavirus infection (COVID-19)]. Temporary guidelines. Available at: https://xn--80aesfpebagmfblc0a.xn--p1ai/ai/doc/548/attach/vmr_dn_perebolevshih_COVID-19_2020-08-14_1... (accessed 10.05.2021) (In Russ.).
  5. Ivanova G.E., Shmonin A.A., Maltseva M.N., Mishina I.E., Melnikova E.V., Bodrova R.A., Tsykunov M.B., Bakhtina I.S., Kalinina S.A., Balandina I.N., Soloveva L.N., Ivanova N.E., Suvorov A.Iu., Didur M.D. Reabilitacionnaya pomoshch’ v period epidemii novoj koronavirusnoj infekcii COVID-19 na pervom, vtorom i tret’em etapah medicinskoj reabilitacii [Rehabilitation Care During the New COVID-19 Coronavirus Infection Epidemic At First, Second and Third Medical Rehabilitation Phases]. Physical and Rehabilitation Medicine, Medical Rehabilitation. 2020; 2(2): 98-117. https://doi.org/10.36425/rehab34148 (In Russ.).
  6. Malyavin A.G., Adasheva T.V., Babak S.L., Governorova E.E., Uvarova O.V. Medicinskaya reabilitaciya bol’nyh, perenyosshih COVID-19 infekciyu: proekt metodicheskih rekomendacij [Medical rehabilitation of patients with coronavirus disease (COVID-19) infection: draft guidelines]. М. 2020. Available at: https://www.rnmot.ru/ru/library/clinical (accessed 10.05.2021) (In Russ.).
  7. Prikaz Ministerstva zdravoohraneniya RF ot 31 iyulya 2020 g. № 788n “Ob utverzhdenii Poryadka organizacii medicinskoj reabilitacii vzroslyh” [Order of the Ministry of Health of the Russian Federation of July 31, 2020 No. 788n “On approval of the Procedure for organizing medical rehabilitation of adults”]. Available at: https://www.garant.ru/products/ipo/prime/doc/74581688 (accessed 20.05.2021) (In Russ.).
  8. Ponomarenko G.N. Fizicheskaya i reabilitacionnaya medicina: nacional’noe rukovodstvo [Physical and Rehabilitation Medicine: National Guidelines]. GEOTAR-Media. 2020: 688 р. (In Russ.).
  9. Medicinskaya reabilitaciya pri novoj koronavirusnoj infekcii (COVID-19) Vremennye metodicheskie rekomendacii [Medical rehabilitation for new coronavirus infection (COVID-19) Temporary guidelines]. Available at: https://edu.rosminzdrav.ru/fileadmin/user_upload/specialists/COVID-19/dop-materials/VMR_medreabilita... (accessed 10.05.2021) (In Russ.).
  10. Razumov A.N., Ponomarenko G.N., Badtieva V.A. Medicinskaya reabilitaciya pacientov s pnevmoniyami, associirovannymi s novoj koronavirusnoj infekciej COVID-19 [Medical rehabilitation of patients with pneumonia associated with a new coronavirus infection COVID-19]. Russian Journal of Physiotherapy, Balneology and Rehabilitation. 2020; 97(3): 5-13. https://doi.org/10.17116/kurort2020970315 (In Russ.)
  11. Reabilitaciya bol’nyh pnevmoniej, associirovannoj s novoj koronavirusnoj infekciej COVID-19. Klinicheskie rekomendacii [Rehabilitation of patients with pneumonia associated with the new coronavirus infection COVID-19. Clinical guidelines]. Available at: http://rusnka.ru/proekt-klinicheskih-rekomendatsij-po-reabilitatsii-bolnyh-pnevmoniej-assotsiirovann... (accessed 10.05.2021) (In Russ.).
  12. Gutenbrunner C., Bender T., Cantista P. et al. A proposal for a world-wide definition of health resort medicine, balneology, medical hy-drology and climatology. International Journal of Biometeorology . 2010; 54(5): 495-507. https://doi.org/10.1007/s00484-010-0321-5
  13. Sheehy L.M. Considerations for Postacute Rehabilitation for Survivors of COVID-19. JMIR Public Health Surveillance . 2020; 6(2): 2020. https://doi.org/10.2196/19462
  14. StepanovI.L., Moiseycheva O.V. Strukturno-dinamicheskie osobennosti tekushchego endogennogo depressivnogo epizoda na fone psihofarmakoterapii bol’nyh s somaticheskimi zabolevaniyami v stadii remissii [Structural and Dynamic Features of an Endogenous Depressive Episode Against the Background of Psychiatric Medical Treatment of Patients with Inactive Somatic Diseases]. Doctor.Ru . 2018; 1(145): 40-43 (In Russ.).
  15. Roshanaei-Moghaddam B., Katon W. Premature Mortality from General Medical Illness Among Persons with Bipolar Disorder: a review. Psychiatric Services. 2009; 60(2): 147-56.



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