Efecto programa de telerehabilitación sobre la salud mental y el estrés en pacientes sobrevivientes covid-19. Un estudio piloto
##plugins.themes.bootstrap3.article.main##
Resumo
Introducción: La salud mental ha mostrado un gran aumento e impacto sobre salud pública, principalmente asociado al contexto de la pandemia, y con un mayor énfasis en los sobrevivientes post COVID-19. las tecnologías pueden ser utilizadas como soluciones actualizadas a los problemas de salud. Objetivo: Evaluar el efecto de un programa telerehabilitación sobre la salud mental en sobrevivientes al COVID-19. Metodología: Estudio experimental con aleatorización de grupos, que consta de 40 sujetos; los cuales tuvieron un entrenamiento durante 6 semanas, 3 veces por semana durante 40 minutos, a través de sistemas virtuales de comunicación. Para la valoración de la salud mental se ocupó la Escala de Estrés Percibido (Perceived Stress PSS-14) y el Cuestionario de Salud General de Goldberg-12, en salud general, ansiedad/depresión y funcionamiento social. Para evaluar su efecto se comparó al grupo control y experimental post-intervención usando la prueba T-Student. Resultados: La salud mental global mostró disminución de la expresión sintomática con un p<0,05; DS=1,162. De igual forma en la ansiedad y depresión, con un p<0,05; DS=1,246. En el estrés también se evidenció una disminución en los síntomas p<0,05; DS=1,186. Conclusión: Se evidencia que la telerehabilitación es una estrategia que tiene efectos positivos sobre la disminución de los síntomas de la salud mental en la población sobreviviente al COVID-19.
Downloads
Referências
Antonello, V. S., Panzenhagen, A. C., Balanzá-Martínez, V., & Shansis, F. M. (2020). Virtual meetings and social isolation in COVID-19 times: transposable barriers. Trends in Psychiatry and Psychotherapy, 42(3), 221–222. https://doi.org/10.1590/2237-6089-2020-0065
Brito C., H., & Vicente P., B. (2018). Realidad virtual y sus aplicaciones en trastornos mentales: una revisión. Revista Chilena de Neuro-Psiquiatría, 56(2), 127–135. https://doi.org/10.4067/s0717-92272018000200127
Calderón C., Gómez N., López F., Otárola N., Briceño M. Estructura factorial de la escala de estrés percibido (PSS) en una muestra de trabajadores chilenos. (2017). Salud y Sociedad. 8, 218-226. https://bit.ly/3dZdU1V
Carek, P. J., Laibstain, S. E., & Carek, S. M. (2011). Exercise for the treatment of depression and anxiety. International Journal of Psychiatry in Medicine, 41(1), 15–28. https://doi.org/10.2190/PM.41.1.c
Cottrell, M. A., Galea, O. A., O’Leary, S. P., Hill, A. J., & Russell, T. G. (2017). Realtime telerehabilitation for the treatment of musculoskeletal conditions is effective and comparable to standard practice: a systematic review and meta-analysis. Clinical Rehabilitation, 31(5), 625–638. https://doi.org/10.1177/0269215516645148
Delbressine, J. M., Machado, F. V. C., Goërtz, Y. M. J., van Herck, M., Meys, R., HoubenWilke, S., Burtin, C., Franssen, F. M. E., Spies, Y., Vijlbrief, H., van ’t Hul, A. J., Janssen, D. J. A., Spruit, M. A., & Vaes, A. W. (2021). The Impact of Post-COVID-19 Syndrome on Self-Reported Physical Activity. International Journal of Environmental Research and Public Health. 18(11), 6017. https://doi.org/10.3390/IJERPH18116017
Ettman, C. K., Abdalla, S. M., Cohen, G. H., Sampson, L., Vivier, P. M., & Galea, S. (2020). Prevalence of Depression Symptoms in US Adults Before and During the COVID-19 Pandemic. JAMA Network Open, 3(9), e2019686–e2019686. https://doi.org/10.1001/JAMANETWORKOPEN.2020.19686
Filgueira, T. O., Castoldi, A., Santos, L. E. R., de Amorim, G. J., de Sousa Fernandes, M. S., Anastácio, W. de L. do N., Campos, E. Z., Santos, T. M., & Souto, F. O. (2021). The Relevance of a Physical Active Lifestyle and Physical Fitness on Immune Defense: Mitigating Disease Burden, With Focus on COVID-19 Consequences. Frontiers in Immunology, 12, 150. https://doi.org/10.3389/fimmu.2021.587146
Garmendia, M. L. (2007). Análisis factorial: una aplicación en el cuestionario de salud general de Goldberg, versión de 12 preguntas. Revista Chilena de Salud Pública, 11(2), 57–65. https://revistasaludpublica.uchile.cl/index.php/RCSP/article/view/3095/2963
Gobierno de Chile. (2021.). Cifras Oficiales COVID-19. Recuperado 3 diciembre 2021 de https://bit.ly/3mgc5Ch
González-Blanco, L., Dal Santo, F., García-Álvarez, L., de la Fuente-Tomás, L., Moya Lacasa, C., Paniagua, G., Sáiz, P. A.,García-Portilla, M. P., & Bobes, J. (2020). COVID-19 lockdown in people with severe mental disorders in Spain: Do they have a specific psychological reaction compared with other mental disorders and healthy controls? Schizophrenia Research, 223, 192–198. https://doi.org/10.1016/J.SCHRES.2020.07.018
Hao, F., Tan, W., Jiang, L., Zhang, L., Zhao, X., Zou, Y., Hu, Y., Luo, X., Jiang, X., McIntyre, R. S., Tran, B., Sun, J., Zhang, Z., Ho, R., Ho, C., & Tam, W. (2020). Do psychiatric patients experience more psychiatric symptoms during COVID-19 pandemic and lockdown? A case-control study with service and research implications for immunopsychiatry. Brain, Behavior, and Immunity, 87, 100–106. https://doi.org/10.1016/J.BBI.2020.04.069
Herbert, C., Meixner, F., Wiebking, C., & Gilg, V. (2020). Regular Physical Activity, ShortTerm Exercise, Mental Health, and Well-Being Among University Students: The Results of an Online and a Laboratory Study. Frontiers in Psychology, 11, 509. https://doi.org/10.3389/FPSYG.2020.00509
Huang, Y., & Zhao, N. (2020). Generalized anxiety disorder, depressive symptoms and sleep quality during COVID-19 outbreak in China: a web-based cross-sectional survey. Psychiatry Research, 288. https://doi.org/10.1016/J.PSYCHRES.2020.112954
Hrzic Miranda K., Jiménez Ubiergo R., Neculhueque Zapata X., Salgado-Maldonado G., (2020). Orientaciones técnicas para la rehabilitación en tiempos de pandemia COVID-19 prevención síndrome post COVID. Ministerio de Salud, Gobierno de Chile.
Kmietowicz, Z. (2020). Rules on isolation rooms for suspected covid-19 cases in GP surgeries to be relaxed. BMJ, 368, m707. https://doi.org/10.1136/BMJ.M707
Kwong, A. S. F., Pearson, R. M., Adams, M. J., Northstone, K., Tilling, K., Smith, D., FawnsRitchie, C., Bould, H., Warne, N., Zammit, S., Gunnell, D. J., Moran, P. A., Micali, N., Reichenberg, A., Hickman, M., Rai, D., Haworth, S., Campbell, A., Altschul, D.,… Timpson, N. J. (2021). Mental health before and during the COVID-19 pandemic in two longitudinal UK population cohorts. The British Journal of Psychiatry, 218(6), 334–343. https://doi.org/10.1192/BJP.2020.242
Lee, M. S., Kim, S. R., Min, G. H., & Cho, B. J. (2016). Effects of sittercise on elderly subjects’ depression and sleep quality. Journal of Physical Therapy Science, 28(4), 1120–1123. https://doi.org/10.1589/JPTS.28.1120
Liu, N., Zhang, F., Wei, C., Jia, Y., Shang, Z., Sun, L., Wu, L., Sun, Z., Zhou, Y., Wang, Y., & Liu, W. (2020). Prevalence and predictors of PTSS during COVID-19 outbreak in China hardest-hit areas: Gender differences matter. Psychiatry Research, 287, 112921. https://doi.org/10.1016/J.PSYCHRES.2020.112921
Ma, L., Mazidi, M., Li, K., Li, Y., Chen, S., Kirwan, R., Zhou, H., Yan, N., Rahman, A., Wang, W., & Wang, Y. (2021). Prevalence of mental health problems among children and adolescents during the COVID-19 pandemic: A systematic review and meta-analysis. Journal of Affective Disorders, 293, 78–89. https://doi.org/10.1016/J.JAD.2021.06.021
Mazza, M. G., de Lorenzo, R., Conte, C., Poletti, S., Vai, B., Bollettini, I., Melloni, E. M. T., Furlan, R., Ciceri, F., Rovere-Querini, P., & Benedetti, F. (2020). Anxiety and depression in COVID-19 survivors: Role of inflammatory and clinical predictors. Brain, Behavior, and Immunity, 89, 594–600. https://doi.org/10.1016/J.BBI.2020.07.037
O’Keeffe, G. S., Clarke-Pearson, K., Mulligan, D. A., Altmann, T. R., Brown, A., Christakis, D. A., Falik, H. L., Hill, D. L., Hogan, M. J., Levine, A. E., & Nelson, K. G. (2011).
The Impact of Social Media on Children, Adolescents, and Families. Pediatrics, 127(4), 800–804. https://doi.org/10.1542/PEDS.2011-0054
Pietrabissa, G., & Simpson, S. G. (2020a). Psychological Consequences of Social Isolation During COVID-19 Outbreak. Frontiers in Psychology, 11, 2201. https://doi.org/10.3389/FPSYG.2020.02201
Pietrabissa, G., & Simpson, S. G. (2020b). Psychological Consequences of Social Isolation During COVID-19 Outbreak. Frontiers in Psychology, 11, 2201. https://doi.org/10.3389/FPSYG.2020.02201
Ranasinghe, C., Ozemek, C., & Arena, R. (2020). Exercise and well-being during COVID 19 – time to boost your immunity. Https://doi.org/10.1080/14787210.2020.1794818 https://doi.org/10.1080/14787210.2020.1794818
Suso-Martí, L., la Touche, R., Herranz-Gómez, A., Angulo-Díaz-Parreño, S., ParisAlemany, A., & Cuenca-Martínez, F. (2021). Effectiveness of Telerehabilitation in Physical Therapist Practice: An Umbrella and Mapping Review With Meta MetaAnalysis. Physical Therapy, 101(5), 1–9. https://doi.org/10.1093/PTJ/PZAB075
Taquet, M., Geddes, J. R., Husain, M., Luciano, S., & Harrison, P. J. (2021). 6-month neurological and psychiatric outcomes in 236 379 survivors of COVID-19: a retrospective cohort study using electronic health records. The Lancet Psychiatry, 8(5),416–427. https://doi.org/10.1016/S2215-0366(21)00084-5
Wang, C., Horby, P. W., Hayden, F. G., & Gao, G. F. (2020). A novel coronavirus outbreak of global health concern. The Lancet, 395 (10223), 470–473. https://doi.org/10.1016/S0140-6736(20)30185-9
World Health Organization (2021). WHO Coronavirus (covid-19) Dashboard. El 3 de diciembre 2021, desde https://covid19.who.int/
Zhang, Y., Zhang, H., Ma, X., & Di, Q. (2020). Mental Health Problems during the COVID-19 Pandemics and the Mitigation Effects of Exercise: A Longitudinal Study of College Students in China. International Journal of Environmental Research and Public Health. 17(10), 3722. https://doi.org/10.3390/IJERPH17103722