학술논문
Impact of COVID-19 on Quality of Life After Hospital Discharge in Patients Treated With Noninvasive Ventilation/Continuous Positive Airway Pressure: An Observational, Prospective Multicenter Study.
Document Type
Article
Author
Source
Subject
*Viral pneumonia
*Patient aftercare
*Hospitals
*Research
*Intensive care units
*COVID-19
*Scientific observation
*Pain
*Continuous positive airway pressure
*Functional status
*Self-management (Psychology)
*Convalescence
*Disability evaluation
*Artificial respiration
*Severity of illness index
*Risk assessment
*Comparative studies
*T-test (Statistics)
*Cronbach's alpha
*Pearson correlation (Statistics)
*Quality of life
*Epidemics
*Hospital care
*Descriptive statistics
*Scale analysis (Psychology)
*Anxiety
*Insomnia
*Ventilator weaning
*Discharge planning
*Longitudinal method
*Comorbidity
*Early diagnosis
*Disease complications
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Language
ISSN
0730-4625
Abstract
Background: COVID-19 has caused a worldwide pandemic that has significantly affected people's health and daily lives. Patients hospitalized with COVID-19 have impaired physical and psychological conditions. Despite this, few studies have examined the physical and psychological health of COVID-19 patients after discharge from the hospital. Aims: To assess the impact of COVID-19 pneumonia on quality of life and residual disability, anxiety, and insomnia at 4 and 8 months after hospital discharge in patients treated with continuous positive airway pressure and noninvasive ventilation. Methods: This is a prospective, multicenter, longitudinal observational study. The STROBE checklist was observed. We administered the Post–COVID-19 Functional Status scale to identify and objectively quantify the degree of residual disability and the impact on the patient's functional status. Simultaneously, we used the EuroQOL-5D scale to measure the quality of life, the 7-item Generalized Anxiety Disorder Scale to monitor anxiety, and the Insomnia Severity Index to monitor insomnia. Results: The study enrolled 199 patients 4 months after discharge; 145 completed the 8-month follow-up. The quality of life, insomnia, pain, and movement ability seem to worsen over time in our cohort of patients. The quality of life deteriorated significantly between 4 and 8 months after discharge especially in terms of mobility (27.6% of the patients interviewed) and pain (31% of the patients interviewed). There was a significant correlation between COVID-19 symptoms and comorbidities present at admission and inadequate quality-of-life perception. Discussion: The recognition of early signs and symptoms in patients who have already experienced COVID-19 disease is essential for early detection and prevention of chronicity. Health care professionals need to pay more attention to the physical and psychological rehabilitation of COVID-19 patients after hospital discharge. To determine the long-term impacts of COVID-19, a long-term follow-up of COVID-19 patients after discharge is required. [ABSTRACT FROM AUTHOR]