medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2023-21-44-47medalphabet-3310Research ArticleСтатьиВлияние реабилитационных мероприятий на пациентов, перенесших COVID-19, в постострый периодImpact of rehabilitation measures on patients, who have undergone COVID-19, in post-acute periodhttps://orcid.org/0000-0002-3009-3020ПизовН. А.PizovN. A.

Пизов Николай Александрович, зав. отделением медицинской реабилитации пациентов с нарушениями функции центральной нервной системы, врач по медицинской реабилитации

г. Ярославль

Pizov Nikolai A., head of Dept of Medical Rehabilitation of Patients with Disorders of the Central Nervous System, medical rehabilitation doctor

Yaroslavl

https://orcid.org/0000-0002-7465-0677ПизоваН. В.PizovaN. V.

Пизова Наталия Вячеславовна, д. м. н., профессор кафедры нервных болезней с медицинской генетикой и нейрохирургией

г. Ярославль

Pizova Natalia V., DM Sci (habil.), professor at Dept of Nervous Diseases with Medical Genetics and Neurosurgery

Yaroslavl

pizova@yandex.ruГБУЗ ЯО «Клиническая больница № 2РоссияClinical Hospital No. 2Russian FederationФГБОУ ВО «Ярославский государственный медицинский университет» Минздрава РоссииРоссияYaroslavl State Medical UniversityRussian Federation202306112023021Неврология и психиатрия (3)4447Copyright © Пизов Н.А., Пизова Н.В., 20232023Пизов Н.А., Пизова Н.В.Pizov N.A., Pizova N.V.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/3310

Инфекция COVID-19 ассоциирована с множеством различных осложнений. Последствия инфекции COVID-19 влияют на качество жизни и вызывают эмоциональный стресс. Реабилитационные мероприятия для различных групп пациентов, перенесших COVID-19, имеют огромное значение с учетом нескольких аспектов. Каждый пациент должен быть полностью обследован реабилитационной командой. Совместно с пациентом командой должны быть разработаны цели реабилитации с учетом пожеланий пациента. Прямое воздействие COVID-19, его последствия и сопутствующие заболевания определяют план медицинской реабилитации. Необходимо оценить состояние физических, когнитивных, эмоциональных нарушений.Цель исследования. Определить динамику тревожно-депрессивных и когнитивных нарушений у пациентов, перенесших COVID-19, при использовании индивидуальных программ реабилитации.Методы исследования. Для оценки тревожно-депрессивных расстройств использовали Госпитальную шкалу тревоги и депрессии (Hospital Anxiety and Depression Scale, HADS), а для выявления когнитивных нарушений – краткую шкалу оценки психического статуса (Mini-Mental State Examination, MMSE). Для оценки состояния пациента, определения тактики ведения и маршрутизации применялась специальная шкала – шкала реабилитационной маршрутизации.Выводы. Индивидуально подобранная постострая мультидисциплинарная реабилитация связана с клиническими и функциональными улучшениями у пациентов, перенесших различной степени тяжести COVID-19.

COVID-19 infection is associated with many different complications. The consequences of COVID-19 infection affect the quality of life and cause emotional distress. Rehabilitation activities for various groups of patients who have undergone COVID-19 are of great importance from several aspects. Each patient must be fully evaluated by the rehabilitation team. Together with the patient, the team should develop rehabilitation goals, taking into account the wishes of the patient. The direct impact of COVID-19, its consequences and comorbidities determine the medical rehabilitation plan. It is necessary to assess the state of physical, cognitive, emotional disorders.The purpose of the study. To determine the dynamics of anxiety-depressive and cognitive disorders in patients who have undergone COVID-19, using individual rehabilitation programs.Research methods. The Hospital Anxiety and Depression Scale (HADS) was used to assess anxiety-depressive disorders, and the Mini-Mental State Examination (MMSE) was used to identify cognitive impairment. A special rehabilitation scale for patient routing was used to assess the patient's condition, determine management and routing tactics.Conclusions. Individually tailored post-acute multidisciplinary rehabilitation is associated with clinical and functional improvements in patients who have experienced varying degrees of severity of COVID-19.

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The authors declare that there are no conflicts of interest present.