Innovative methods of rehabilitation at the outpatient and homestages in patients after pneumonia COVID-19

Abstract

Introduction. One of the important issues in the context of COVID-19 infection is the development of innovative forms of work with patients after pneumonia at the outpatient and home stages of medical rehabilitation.Objective: to develop a remote form of work organization and to study the effectiveness of hypobaric altitude chamber adaptation and cytoflavin at the outpatient and home stages of medical rehabilitation in patients after pneumonia COVID-19.Materials and methods. The study included 315 people after suffering from COVID-19 pneumonia. The first group consisted of 160 people who underwent a course of hypobaric altitude chamber adaptation, the average age of 53.5 (45,61) years. The second group (50 people) underwent a course of taking cytoflavin tablets; 63.9 (60.5; 67.6) years. The third group (105 patients) underwent a course of hypobaric chamber adaptation and cytoflavin administration; 55.1 (45.7; 60.9) years. We analyzed the scales that characterize the quality of life and psychological state of patients before and after the rehabilitation course, and 3 months after the end of the course.Results and discussion. The use of one-and two-component courses contributed to the improvement of the indicators of the traumatic event impact assessment scale, the Schulte Table scale, and the self-assessment of the EQ-5 quality of life scale. The results obtained were statistically significantly different after the course of rehabilitation from the initial values and retained their difference after three months of observation.Conclusions. An innovative remote form of work at the outpatient and home stages of medical rehabilitation has been developed and implemented – the YouTube project “Let’s help each other recover from pneumonia” (PDDVSMU). The stable prolonged effectiveness of a one- and two-component course of hypobaric altitude chamber adaptation in patients after COVID-19 pneumonia at the outpatient and home stages of medical rehabilitation is shown. The addition of cytoflavin enhanced the rehabilitation effect of hypobaric adaptation. The data obtained should be taken into account when developing comprehensive programs for medical rehabilitation of patients after COVID-19 pneumonia.