Functional Capacity and Self-Care in Post-COVID-19 Patients in a Recovery Program

Authors

DOI:

https://doi.org/10.5294/aqui.2024.24.3.3

Keywords:

Post-acute COVID-19 syndrome, self-care, activities of daily living, rehabilitation, health education, Nursing

Abstract

Introduction: COVID-19 manifests with acute symptoms. After coronavirus infection, they may persist or new ones may emerge, compromising functional capacity and self-care. This condition has been named “acute post-COVID-19 syndrome”. Objective: To evaluate functional capacity and self-care in post-COVID-19 patients. Materials and methods: This is a descriptive and exploratory study, which evaluated 53 medical records of patients receiving care in a Functional Recovery Program for acute post-COVID-19 syndrome, conducted at a public university, from August 2022 to August 2023. A descriptive and association analysis was performed using Pearson’s Chi-squared or Fisher’s exact nonparametric tests, with a significance level of 5 % (p < 0.05). Results: Most participants were female, aged over 50 and receiving home care during the infection. Associations were found between the length of hospitalization (p = 0.03), having a history of surgery (p = 0.01), and a medium self-care capacity (p = 0.04) with the functional capacity to perform instrumental activities of daily living (IADL). Conclusion: Post-COVID-19 syndrome is associated with medium self-care capacity and partial dependence in terms of IADLs. The finding contributes to the development of health education and care strategies aimed at providing recovery.

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References

Kanazawa N, Inoue N, Tani T, Naito K, Horiguchi H, Fushimi K. Implementation of rehabilitation and patient outcomes during the initial COVID-19 pandemic. Prog Rehabil Med. 2022;7:20220031. DOI: https://doi.org/10.2490/prm.20220031

Vanichkachorn G, Newcomb R, Cowl CT, Murad H, Breeher L, Miller S, Trenary M, Neveau D, Higgins. Post-COVID-19 Syndrome (Long Haul Syndrome): Description of a Multidisciplinary Clinic at Mayo Clinic and Characteristics of the Initial Patient Cohort. Mayo Clinic Proceedings, 2021;96(7):1782-91. DOI: https://doi.org/10.1016/j.mayocp.2021.04.024

Sakai T, Hoshino C, Hirao M, Yamaguchi R, Nakahara R, Okawa A. Rehabilitation for patients with COVID-19: A Japanese single-center experience. Prog Rehabil Med, 2021;6:20210013. DOI: https://doi.org/10.2490/prm.20210013

Diaz JV, Soriano JB. A Delphi consensus to advance on a clinical case definition for post covid-19 condition: A WHO protocol. Protoc Exch. 2021. DOI: https://doi.org/10.21203/rs.3.pex-1480/v1

Malik P, Patel K, Pinto C, Jaiswal Richa, Tirupathi R, Pillai S, Patel U. Post-acute COVID-19 syndrome (PCS) and health-related quality of life (HRQoL) — A systematic review and meta-analysis. J Med Virol. 2021;94:253-62. DOI: https://doi.org/10.1002/jmv.27309

Kerksieck P, Ballouz T, Haile SR, Schumacher C, Lacy J, Domenghino A et al. Post COVID-19 condition, work ability and occupational changes in a population-based cohort. Lancet Reg Heal - Eur 2023;31:100671. DOI: https://doi.org/10.1016/j.lanepe.2023.100671

Fernandes S, Silva A, Barbas L, Ferreira R, Fonseca C, Fernandes MA. Theoretical contributions from Orem to self-care in rehabilitation nursing. In: García-Alonso J, Fonseca C, eds., Gerontechnology. International Workshop on Gerontechnology. Communications in Computer and Information Science. Springer, 2020;1185:163-73. DOI: https://doi.org/10.1007/978-3-030-41494-8_16

Schulz KF, Altman DG, Moher D, CONSORT Group. CONSORT 2010 Statement: Updated guidelines for reporting parallel group randomised trials. DOI: https://doi.org/10.1016/j.ijsu.2010.09.006

Silva JV, Domingues EAR. Adaptação Cultural e Validação da Escala para Avaliar as Capacidades de Autocuidado. Arquivos de Ciências da Saúde. 2017;24(4):30. DOI: https://doi.org/10.17696/2318-3691.24.4.2017.686

Araújo F, Ribeiro JP, Oliveira A, Pinto C, Martins T. Validação da escala de Lawton e Brody numa amostra de idosos não institucionalizados; 2007. In: Leal I, Pais-Ribeiro J, Silva I, Marques S, eds. Actas do 7º congresso nacional de psicologia da saúde. Lisboa, PT: ISPA. p. 217-20.

Perlis RH, Santillana M, Ognyanova K, Safarpour A, Trujillo KL, Simonson MD, Green J, Quintana A, Druckman J, Baum MA, Lazer D. Prevalence and correlates of long COVID symptoms among US adults. JAMA Netw Open. 2022;5e2238804. DOI: https://doi.org/10.1001/jamanetworkopen.2022.38804

Tabacof LM, Tosto-Mancuso J, Wood J, Cortes M, Kontorovich A, McCarthy D, Rizk D, Rozanski G, Breyman E, Nasr L, Kellner C, Herrera J, Putrino D. Post-acute COVID-19 Syndrome Negatively Impacts Physical Function, Cognitive Function, Health-Related Quality of Life, and Participation. American Journal of Physical Medicine & Rehabilitation. 2022;101(1):48-52. DOI: https://doi.org/10.1097/PHM.0000000000001910

McArthur C, Faller-Saunders A, Luke AT, Chi-Ling JS, Berg K, Morris JN et al. Examining the Effect of the First Wave of the COVID-19 Pandemic on Home Care Recipients’ Instrumental Activities of Daily Living Capacity. Journal of the American Medical Directors Association. 2022;23(9):1609. DOI: https://doi.org/10.1016/j.jamda.2022.06.015

Du HW, Fang SF, Wu SR, Chen XL, Chen JN, Zhang YX et al. Six-month follow-up of functional status in discharged patients with coronavirus disease 2019. BMC Infectious Diseases. 2021;21(1):1-8. DOI: https://doi.org/10.1186/s12879-021-06970-3

Brasil. Ministério da Saúde. Pesquisa analisa aspectos da Covid-19 longa no Brasil [Internet]. Fundação Fiocruz; 2023. Disponível em: https://www.bio.fiocruz.br/index.php/br/noticias/3159-pesquisa-analisa-aspectos-da-COVID-19-longa-no-brasil

Organização Mundial de Saúde. OPAS apoia países em estudo da condição pós-COVID-19 e na elaboração de diretrizes para atenção aos pacientes — OPAS/OMS [Internet]. Organização Pan-Americana da Saúde; 2022 [citado em 4 set. 2023]. Disponível em: https://www.paho.org/pt/noticias/23-6-2022-opas-apoia-paises-em-estudo-da-condicao-pos-covid-19-e-na-elaboracao-diretrizes

Instituto Butantan. Conheça os sintomas mais comuns da ômicron e de outras variantes da COVID-19 [Internet]. Portal do Butantan; 2021 [citado em 4 set. 2023]. Disponível em: https://butantan.gov.br/noticias/conheca-os-sintomas-mais-comuns-da-omicron-e-de-outras-variantes-da-covid-19

Levorato CD, Mello LM, Silva AS, Nunes AA. Fatores associados à procura por serviços de saúde numa perspectiva relacional de gênero. Ciência & Saúde Coletiva. 2014;19(4):1263-74. DOI: https://doi.org/10.1590/1413-81232014194.01242013

Giovanella L, Bousquat A, Schenkman S, Almeida PF, Sardinha LMV, Vieira MLFP. Cobertura da Estratégia Saúde da Família no Brasil: o que nos mostram as Pesquisas Nacionais de Saúde 2013 e 2019. Ciência & Saúde Coletiva. 2021;26(supl. 1):2543-56. DOI: https://doi.org/10.1590/1413-81232021266.1.43952020

Instituto Brasileiro de Geografia e Estatísticas. Conheça o Brasil — População cor ou raça [Internet]. IBGE educa; 2022 [citado em 5 set. 2022]. Disponível em: https://educa.ibge.gov.br/jovens/conheca-o-brasil/populacao/18319-cor-ou-raca.html

Instituto Brasileiro de Geografia e Estatísticas. Censo 2010: número de católicos cai e aumenta o de evangélicos, espíritas e sem religião [Internet]. Agência IBGE; 2023 [citado em 5 set. 2022]. Disponível em: https://agenciadenoticias.ibge.gov.br/agencia-sala-de-imprensa/2013-agencia-de-notícias/releases/14244-asi-censo-2010-número-de-catolicos-cai-e-aumenta-o-de-evangelicos-espiritas-e-sem-religiao

Folgado ESPA. A efetividade dos cuidados de enfermagem de reabilitação na independência funcional da pessoa internada num hospital da região centro. Dissertação (Mestrado). Coimbra: Escola Superior de Enfermagem de Coimbra; 2019.

Tavares J, Grácio J, Nunes L. Hospitalized older adults: Functional trajectory in Portuguese hospital. Rev Enferm Referência. 2018; IV série (18):19-28. DOI: https://doi.org/10.12707/RIV18028

Castanheira MN, Nardone GS, Luciano RP, Leite MS. Impacto da suspensão das cirurgias eletivas em pacientes com escoliose idiopática do adolescente no período da pandemia de covid-19. Rev Bras Ortop (São Paulo) 2023;58(3): 397-403. DOI: https://doi.org/10.1055/s-0042-1756318

Guimarães FM, Lima RR, Souza AC, Livani B, Belangero WD. Avaliação da qualidade de vida em pacientes idosos um ano após o tratamento cirúrgico de fraturas transtrocanterianas do fêmur. Revista Brasileira de Ortopedia. 2011; 46:48-54. DOI: https://doi.org/10.1590/S0102-36162011000700012

Almeida DF. Qualidade de vida em indivíduos pós-covid-19. Dissertação (Bacharelado). João Pessoa: Centro Universitário de João Pessoa; 2021.

Vaes AW, Machado FVC, Meys R, Delbressine JM, Goertz YMJ, Herck MV et al. Care Dependency in Non-Hospitalized Patients with COVID-19. J Clin Med. 2020;9(9):2946. DOI: https://doi.org/10.3390/jcm9092946

Fugazzaro S, Contri A, Esseroukh O, Kaleci S, Croci S, Massari M, Facciolongo NC, Besutti G, Iori M, Salvarani C et al. Rehabilitation Interventions for Post-Acute COVID-19 Syndrome: A Systematic Review. International Journal of Environmental Research and Public Health. 2022;19(9):5185. DOI: https://doi.org/10.3390/ijerph19095185

Published

2024-08-08

How to Cite

Góis, A. R. da S., Rodrigues, T. S., & Teles, R. B. de A. (2024). Functional Capacity and Self-Care in Post-COVID-19 Patients in a Recovery Program. Aquichan, 24(3), e2433. https://doi.org/10.5294/aqui.2024.24.3.3

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