توان‌بخشی از راه دور در پاسخ به بحران همه‌گیری کووید-19: مروری نظام‌مند از شواهد موجود

نوع مقاله : Review Article

نویسندگان

1 دانشجوی کارشناسی ارشد فناوری اطلاعات سلامت، گروه فناوری اطلاعات سلامت و دانشجوی کمیته‌ی تحقیقات پزشکی، دانشکده‌ی علوم پیراپزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

2 دانشجوی کارشناسی ارشد فناوری اطلاعات سلامت، گروه فناوری اطلاعات سلامت، دانشکده‌ی علوم پیراپزشکی، دانشگاه علوم پزشکی مشهد، مشهد، ایران

3 دانشیار، گروه فناوری اطلاعات سلامت، دانشکده‌ی علوم پیراپزشکی مشهد، دانشگاه علوم پزشکی مشهد، مشهد، ایران

چکیده

مقاله مروری




مقدمه: هدف از این مرور نظام‌مند، ارزیابی و شناسایی جدیدترین شواهد در مورد امکان‌سنجی و دسترسی به خدمات توان‌بخشی از راه دور در پیشگیری، تشخیص، درمان و کنترل بیماران مبتلا به کووید-19 بود.
روش‌ها: مطالعات از پایگاه‌ داده‌های علمی معتبر Embase، Web of Science، Scopus، PubMed در 25 نوامبر 2021 بازیابی شدند. همچنین یک جستجو در ادبیات خاکستری با استفاده از موتور جستجوی Google انجام شد تا جدیدترین شواهد ممکن را شناسایی کنیم. مطالعات و پروتکل‌های کارآزمایی‌ کنترل‌ شده‌ی تصادفی که از رویکرد توان‌بخشی از راه دور به ‌عنوان مداخله‌ای در بهبود وضعیت بیماران مبتلا به کووید-19 استفاده کردند به ‌عنوان معیار ورود در نظر گرفته شدند. به‌ منظور ارزیابی کیفیت مطالعات ورودی، از چک‌لیست ارزیابی کیفیت مؤسسه‌ی Joanna Briggs مخصوص مطالعات کارآزمایی‌ کنترل‌ شده تصادفی استفاده شد. برای استخراج داده‌ها از چک‌لیستی یکسان استفاده گردید.
یافته‌ها: در مجموع 7 مقاله دارای معیارهای ورود، وارد مطالعه شدند. سوگیری قابل ‌توجهی در مطالعات وجود نداشت و تمامی مطالعات کیفیت ورود به مطالعه ما را داشتند. در سه مطالعه (3/7، 43 درصد)، توان‌بخشی از راه دور برای حمایت از بیماران مبتلا به کووید-19 استفاده شد که هر سه مطالعه بهبود معنی‌داری در استقامت، وضعیت عملکردی و فیزیکی بیماران به کمک توان‌بخشی از راه دور را گزارش کردند. با این‌حال در یک مطالعه، بهبود معنی‌داری در پارامترهای عملکرد ریوی بیماران یافت نشد؛ و در مقابل مطالعه‌ای دیگر بهبود قابل ‌توجهی در تنگی نفس و ظرفیت هوازی بیماران در گروه مداخله نسبت به کنترل را ارائه کردند.
نتیجه‌گیری: نتایج حاصل از مرور نظام‌مند نشان داد که تعداد کمی از مطالعات در مقیاس کوچک در مورد توان‌بخشی از راه دور برای بیماران مبتلا به کووید-19 انجام‌ شده است. با این ‌حال به نظر می‌رسد توان‌بخشی از راه دور، پتانسیل زیادی در بهبود وضعیت عملکردی، تنفسی، فیزیکی و در نهایت بهبود کیفیت زندگی بیماران مبتلا به کووید-19 دارد.

کلیدواژه‌ها

عنوان مقاله [English]

Telerehabilitation in Response to Critical Coronavirus: A Systematic Review Based on Current Evidence

نویسندگان [English]

  • Seyyedeh Fatemeh Mousavi Baigi 1
  • Marziyeh Raei Mehneh 2
  • Masoumeh Sarbaz 3
  • Reyhane Norouzi Aval 2
  • Khalil Kimiafar 3
1 MSc Student, Health Information Technology, Department of Health Information Technology AND Student Research Committee, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
2 MSc Student, Health Information Technology, Department of Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
3 Associate Professor, Department of Health Information Technology, School of Paramedical Sciences, Mashhad University of Medical Sciences, Mashhad, Iran
چکیده [English]

Background: The aim of this systematic review was to evaluate and identify the latest evidence on the feasibility and accessibility of telerehabilitation services in the prevention, diagnosis, treatment and control of patients with COVID-19.
Methods: The studies were retrieved from the authoritative scientific databases Embase, Web of Science, Scopus, PubMed on November 25, 2021. Then, the gray literature was scrutinized using the Google search engine to identify the latest possible evidence. Randomized controlled trial studies and protocols that used the telerehabilitation approach as an intervention to improve the condition of distant COVID-19 patients were part of the inclusion criteria. In order to assess the quality of the studies entering this study, the Joanna Briggs Institute Critical Appraisal Checklist for Randomized Controlled Trials was used. The same checklist was used for data extraction.
Findings: A total of 7 eligible articles were obtained in this review. The quality assessment results showed that there was no significant bias in the studies and all studies were eligible to be included in our study. In two studies (3.7, 43%), telerehabilitation was used to support COVID-19 patient, both of which reported significant improvement in endurance, functional and physical condition of patients with telerehabilitation. However, no significant improvement was found in patients' pulmonary function parameters. In contrast, another study showed a significant improvement in shortness of breath and aerobic capacity of patients in the intervention group compared to the control.
Conclusion: The results of the systematic review showed that a small number of small-scale studies on telerehabilitation have been performed for patients with COVID-19. However, it seems telerehabilitation has great potential to improve the functional, respiratory, physical condition and ultimately improve the quality of life of patients with COVID-19.

کلیدواژه‌ها [English]

  • Respiratory function
  • Telerehabilitation
  • Systematic review
  • COVID-19
  • Quality of life

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مجله دانشکده پزشکی اصفهان
دوره 40، شماره 678
هفته 2 شهریورماه
مرداد و شهریور 1401
صفحه 498-508

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سابقه مقاله

  • تاریخ دریافت: 07 شهریور 1401
  • تاریخ پذیرش: 07 شهریور 1401

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