Nursing rehabilitation care for patients with postCOVID syndrome: mobility limitations

Authors:

Bakhtina Irina Sergeevna, PhD in Medical sciences, Director of the Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation;tel.: +79219074717; e-mail: ibakhtina@yandex.ru; https://orcid.org/0000-0002-4046-0605.

Kalinina Svetlana Alekseevna, PhD in Medical sciences, lecturer, Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +79668597425; e-mail: kalinina@spbcpo.ru; https://orcid.org/0000-0003-1033-5210.

Garderobova Larisa Vladimirovna, PhD in Medical sciences, Deputy director for scientific and methodological work of the Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +7911821857; e-mail: lvg@spbcpo.ru; https://orcid.org/0000-0001-5191-8741.

Smirnova Svetlana Sergeevna, lecturer, Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +79052661547; e-mail: svet.smirnova.s@mail.ru.

Kolobanova Natalia Gennadievna, lecturer, Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +79213983323; e-mail: kolobanova79@gmail.com.

Balandina Irina Nikolaevna, Head of practical training, lecturer, Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +79213134504; e-mail: irinabalandi@yandex.ru; https://orcid.org/0000-0002-9654-6387.

Gainutdinova Olga Valerievna, Head of the Department of the organization of the educational process, Federal State-Financed Educational Institution of Continuing Professional Education “The Saint-Petersburg Center of Postgraduate Medical Education under the FMBA of Russia”, 41 Lunacharskogo Ave., 194291 St. Petersburg, Russian Federation; tel.: +79119232004; e-mail: gainutdinova@spbcpo.ru.

In the heading: Original researches

Year: 2023 Volume: 5 Journal number: 2 

Pages: 30-37

Article type: scientific and practical

UDC: 616.988

DOI: 10.26211/2658-4522-2023-5-2-30-37

Annotation:

Introduction. The relevance of this study is determined by the high prevalence and social significance of the negative consequences of COVID-19, including the formation of mobility restrictions.

Aim. To analyze the prevalence of mobility limitations — the results of self-assessment in people who have undergone a new coronavirus infection COVID-19 and to determine the target areas of nursing rehabilitation care in accordance with the domains of the International Classification of Functioning, Disability and Health (ICF).

Materials and methods. The patient’s self-assessment was carried out by filling out a specially designed questionnaire including of mobility restrictions according to the nursing domains of ICF. The study of 496 units involved 83.9% of women, 16.1% of men; of these 68.2% were treated on an outpatient basis, 10% — in a hospital; 21.8% were asymptomatic. In the post-COVID period, respondents complained of disorders of the nervous system (87.2%), cardiovascular system (68.5%), respiratory system (55%), urogenital system (45.3%), gastrointestinal tract (57.9%), mental and behavioral disorders (85.6%). The frequency of occurrence and the average severity of various mobility restrictions were calculated. From among the respondents, a focus group of patients who had COVID-19 and expressed a desire to take a course of exercise therapy in a hybrid format was created: classes 1-sth and 10 were offline, the rest — online, using telerehabilitation technologies.

Results. Regardless of gender, mobility limitations in the spine were noted by 45.5% of the respondents, mobility limitations in the joints — 41.7%; difficulties in changing the position of the body in the initial position lying or sitting had 38.4%, more often women; restrictions on bending — 38%, more often men; restrictions on lifting and moving objects — 34.5%, more often women. Half of the respondents found it difficult to walk long distances (53%), while walking several tens of meters did not cause any difficulties for 82%. For the majority, the conditions for movement do not matter, in less than a third of cases the ability to walk on uneven surfaces is limited (27.7%), about one fifth of patients have difficulty moving along the street (22.8%) or in unfamiliar premises (19.6 %); the majority have limited ability to run (63.7%) and jump (57.5%).

Discussion. Mobility limitations were found in the majority of respondents who underwent COVID-19. Mobility limitations included: limitations of the ability to walk, run, jump, limitations of mobility in the spine, joints, difficulties in changing the position of the body, bending, moving objects.

Conclusion. Most patients with COVID-19 infection experience moderate to mild mobility limitations, requiring the nurse to dynamically monitor the risk of falls, create a safe environment, and ensure a measured increase in physical activity. It is necessary to include this topic in the program of additional professional education of nursing staff in the specialties “Nursing” and “Rehabilitation nursing”.

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List of cited literature:

1. Novyy analiticheskiy obzor: simptomy «zatyazhnogo COVID-19» proyavlyayutsya u kazhdogo desyatogo patsiyenta, i litsa, prinimayushchiye resheniya, dolzhny obespechit’ dlya takikh lyudey nadlezhashchuyu podderzhku [New policy brief calls on decision-makers to support patients as 1 in 10 report symptoms of “long COVID”]. Bryussel’: Yevropeyskaya observatoriya po sistemam i politike zdravookhraneniya; 2021 [Brussel: European observatory of healthcare systems and politics, 2021]. Available at: https:// www. euro.who.int/ru/about-us/partners/observatory-old/news/news/2021/02/newpolicy-brief-calls-on-decision-makersto-support-patients-as-1-in-10-reportsymptoms-of-long-covid. (accessed 16.03.2023). (In Russian).

2. Yevropeyskiy regional’nyy tekhnicheskiy brifing VOZ. Reabilitatsiya posle COVID-19: chto nam izvestno, i kakimi resursami my raspolagayem [WHO European Regional Technical Briefing. Rehabilitation after COVID-19: what we know and what resources we have.]. Virtual’noye soveshchaniye, organizovannoye Yevropeyskim regional’nym byuro VOZ. Kopengagen: Yevropeyskoye regional’noye byuro VOZ; 2022. [Virtual meeting organized by the WHO Regional Office for Europe. Copenhagen: 2022]. Available at: https://apps.who.int/ iris/bitstream/handle/10665/351043/WHO-EURO-2022-3995-43754-62897-rus.pdf?sequence=1&isAllowed=y. (accessed 16.03.2023). (In Russian).

3. Munblit D, Bobkova P, Spiridonova E et al. Faktory riska otdalennykh posledstviy COVID-19 u gospitalizirovannykh vzroslykh v Moskve s ispol’zovaniyem Global’nogo protokola nablyudeniya ISARIC: kogortnoye issledovaniye StopCOVID [Risk factors for long-term consequences of COVID-19 in hospitalized adults in Moscow using the ISARIC Global Surveillance Protocol: a StopCOVID cohort study]. Preprint Medrxyv. Available at: https://www.medrxiv. org/content/10.1101/2021.02.17.21251895v1.full. (accessed 18.03.2023). (In Russian).

4. Rossiyskoye kardiologicheskoye obshchestvo (RKO) Khronicheskaya serdechnaya nedostatochnost’. Klinicheskiye rekomendatsii [Russian Society of Cardiology (RSC): Chronic heart failure. Clinical recommendations]. Rossiyskiy kardiologicheskiy zhurnal [Russian Journal of Cardiology]. 2020;25(11):4083. DOI: 10.15829/1560-4071-2020-4083. (In Russian).

5. Patent na izobreteniye [Patent for invention] RU 2 370 254. Polyakov IV, Petrov YA, Kalinina SA. Sposob reabilitatsii bol’nykh s patologiyey serdechno-sosudistoy sistemy i ogranicheniyami dvigatel’noy funktsii [Method of rehabilitation of patients with pathology of the cardiovascular system and limitations of motor function]. Available at: https://patenton. ru/patent/RU2370254C1. (accessed 22.03.2023). (In Russian).

6. Meditsinskaya reabilitatsiya pri novoy koronavirusnoy infektsii (COVID-19): vremennyye metodicheskiye rekomendatsii MZ RF [Medical rehabilitation for new coronavirus infection (COVID-19): temporary guidelines of the Ministry of Health of the Russian Federation]. Available at: https://static-0.minzdrav.gov.ru/system/attachments/attaches/000/051/187/original/31072020_ Reab_COVID-19_v1.pdf. (accessed 19.03.2023). (In Russian).

7. Ivanova GE, Balandina IN, Bakhtina IS, Belkin AA et al. Medicinskaya reabilitaciya pri novoj koronavirusnoj infekcii (COVID-19) [Medical Rehabilitation at a New Coronavirus Infection (COVID-19)]. Fizicheskaya i reabilitacionnaya medicina, medicinskaya reabilitaciya [Physical and rehabilitation medicine, medical rehabilitation]. 2020;2(2):140-89. DOI: 10.36425/rehab34231. (In Russian).

8. Rekomendatsii po vedeniyu bol’nykh s koronavirusnoy infektsiyey COVID-19 v ostroy faze i pri postkovidnom sindrome v ambulatornykh usloviyakh. Pod red. prof. Vorob’yeva P.A. [Recommendations for the management of patients with COVID-19 coronavirus infection in the acute phase and with postcovid syndrome in outpatient settings. Edited by Prof. Vorobyova P.A]. Problemy standartizatsii v zdravookhranenii [Standrtization problems in healthcare]. 2021; 7-8:3-96. DOI: 10.26347/1607-2502202107-08003-096. (In Russian).

9. Prikaz Minzdravu Rossii ot 31 iyulya 2020 g. N 788n “Ob utverzhdenii Poryadka organizatsii meditsinskoy reabilitatsii vzroslykh” [Order of the Ministry of Health of the Russian Federation N 788n of July 31, 2020 “On Approval of the Procedure for organizing medical rehabilitation of adults”]. Available at: https://www.garant.ru/products/ipo/prime/doc/74581688/. (accessed 13.03.2023). (In Russian).

10. Prikaz Minzdrava Rossii ot 23 oktyabrya 2019 g. N 878n «Ob utverzhdenii Poryadka organizatsii meditsinskoy reabilitatsii detey» [Order of the Ministry of Health of the Russian Federation N 878n of October 23, 2019 “On approval of the Procedure for organizing medical rehabilitation of children”]. Available at: https://www.garant.ru/products/ipo/prime/doc/73225898/. (accessed 13.03.2023). (In Russian).

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