■2019年冠状病毒病(COVID-19)导致严重的呼吸功能障碍和重症监护后综合征(PICS),这可能会严重影响出院后重返工作岗位。本报告描述了在第一波COVID-19大流行期间(2020年2月至6月),我们机构首例严重COVID-19患者在康复管理后重返工作岗位。
一名48岁女护士因COVID-19入院,并接受了机械通气(MV)。进行呼吸和反重力训练作为物理疗法;然而,患者出现PICS,肌肉无力,谵妄,和心理问题。MV退出后,肌肉加强活动,日常生活活动(ADL)培训,家庭探访,并开始了职业和言语治疗。在入学后的第60天,患者能够独立进行ADL并出院;然而,她在劳累时继续呼吸急促。放电后,症状的后续评估,呼吸功能,和运动能力继续。在第130天,她回到了护士的工作岗位。
■该患者住院期间注意到的PICS有所改善,但在出院时,患者难以完成护士工作量所涉及的实际任务。症状的后续评估,呼吸功能,出院后的运动能力有助于确定患者是否可以重返工作岗位。
UNASSIGNED: Coronavirus disease 2019 (COVID-19) causes severe respiratory dysfunction and post-intensive care syndrome (PICS), which can significantly affect the return to work after discharge from the hospital. This report describes the first
case of a patient with severe COVID-19 at our institution during the first wave of the COVID-19 pandemic (February to June 2020) who returned to work following rehabilitation management.
UNASSIGNED: A 48-year-old female nurse was admitted with COVID-19 and underwent mechanical ventilation (MV). Respiratory and anti-gravity training was conducted as physical therapy; however, the patient developed PICS, muscle weakness, delirium, and psychological problems. After the withdrawal of MV, muscle strengthening activities, activities of daily living (ADL) training, family visits, and occupational and speech therapy were started. On day 60 post-admission, the patient was able to perform ADL independently and was discharged; however, she continued to experience shortness of breath during exertion. Post-discharge, follow-up assessments for symptoms, respiratory function, and exercise capacity were continued. On day 130, she returned to work as a nurse.
UNASSIGNED: The PICS noted during hospitalization in this patient improved, but at discharge, the patient had difficulty completing the practical tasks involved in a nurse\'s workload. Follow-up assessments of symptoms, respiratory function, and exercise capacity after discharge helped to determine whether the patient could return to work.