Satisfaction Analysis from patients post-COVID-19 with telemonitoring inspiratory muscle training

Authors

DOI:

https://doi.org/10.33448/rsd-v11i17.38912

Keywords:

Patients satisfaction; COVID-19; Respiratory Muscles; Telerehabilitation; Fatigue.

Abstract

Objective: COVID-19 is a respiratory infection that demands long-term use of invasive mechanical ventilation, resulting in a reduced capacity of the respiratory muscles. Studies have shown that telerehabilitation brings similar results to traditional pulmonary rehabilitation. Methodology: The aim of the study was to verify the satisfaction and compliance of Post-COVID-19 patients with telerehabilitation and to analyze whether telerehabilitation is effective in reducing dyspnea and improving quality of life. This is a prospective clinical trial study composed of 36 participants with respiratory infection confirmed by COVID-19 by PCR. Results: The protocols of maximum sustained inspiratory pressure assessment, strength index assessment, inspiratory muscle endurance capacity assessment, Likert Scale and telerehabilitation protocol were applied. Conclusion: It was found that at the beginning the participants did not believe that the treatment would work, bring results, improve fatigue symptoms, or help them perform the activities of basic living. After 30 days of treatment, the average satisfaction was 93.1% compared to 65.6% initially. It was possible to conclude that there was a significant increase in satisfaction, adherence, improvement in functional capacity, and reduction in dyspnea through telerehabilitation.

References

Alvarez-Herms, J., Julia-Sanchez, S., Corbi, F., Odriozola-Martinez, A., & Burtscher, M. (2018). Putative Role of Respiratory Muscle Training to Improve Endurance Performance in Hypoxia: A Review. Front Physiol, 9, 1970. doi: 10.3389/fphys.2018.01970

Antoniou, K. M., Vasarmidi, E., Russell, A. M., Andrejak, C., Crestani, B., Delcroix, M., . . . Spanevello, A. (2022). European Respiratory Society statement on long COVID follow-up. Eur Respir J, 60(2). doi: 10.1183/13993003.02174-2021

Areias, G. S., Santiago, L. R., Teixeira, D. S., & Reis, M. S. (2020). Concurrent Validity of the Static and Dynamic Measures of Inspiratory Muscle Strength: Comparison between Maximal Inspiratory Pressure and S-Index. Braz J Cardiovasc Surg, 35(4), 459-464. doi: 10.21470/1678-9741-2019-0269

Borg, G. A. (1982). Psychophysical bases of perceived exertion. Med Sci Sports Exerc, 14(5), 377-381.

Cahalin, L. P., & Arena, R. (2015). Novel methods of inspiratory muscle training via the Test of Incremental Respiratory Endurance (TIRE). Exerc Sport Sci Rev, 43(2), 84-92. doi: 10.1249/JES.0000000000000042

Carfi, A., Bernabei, R., Landi, F., & Gemelli Against, C.-P.-A. C. S. G. (2020). Persistent Symptoms in Patients After Acute COVID-19. JAMA, 324(6), 603-605. doi: 10.1001/jama.2020.12603

Charususin, N., Gosselink, R., Decramer, M., McConnell, A., Saey, D., Maltais, F., . . . Langer, D. (2013). Inspiratory muscle training protocol for patients with chronic obstructive pulmonary disease (IMTCO study): a multicentre randomised controlled trial. BMJ Open, 3(8). doi: 10.1136/bmjopen-2013-003101

Connolly, S. L., Miller, C. J., Gifford, A. L., & Charness, M. E. (2022). Perceptions and Use of Telehealth Among Mental Health, Primary, and Specialty Care Clinicians During the COVID-19 Pandemic. JAMA Netw Open, 5(6), e2216401. doi: 10.1001/jamanetworkopen.2022.16401

Drinkwater, B. L. (1965). A comparison of the direction-of-perception technique with the Likert method in the measurement of attitudes. J Soc Psychol, 67(2), 189-196. doi: 10.1080/00224545.1965.9922270

Elhadi, M., Msherghi, A., Elhadi, A., Ashini, A., Alsoufi, A., Bin Alshiteewi, F., . . . Tarek, A. (2021). Utilization of Telehealth Services in Libya in Response to the COVID-19 Pandemic: Cross-sectional Analysis. JMIR Med Inform, 9(2), e23335. doi: 10.2196/23335

Ferreira, J. C., Moreira, T. C. L., de Araujo, A. L., Imamura, M., Damiano, R. F., Garcia, M. L., . . . Group, H. C.-S. (2022). Clinical, sociodemographic and environmental factors impact post-COVID-19 syndrome. J Glob Health, 12, 05029. doi: 10.7189/jogh.12.05029

Hoffman, M. (2021). Inspiratory muscle training in interstitial lung disease: a systematic scoping review. J Bras Pneumol, 47(4), e20210089. doi: 10.36416/1806-3756/e20210089

Holland, A. E., Malaguti, C., Hoffman, M., Lahham, A., Burge, A. T., Dowman, L., . . . Cox, N. S. (2020). Home-based or remote exercise testing in chronic respiratory disease, during the COVID-19 pandemic and beyond: A rapid review. Chron Respir Dis, 17, 1479973120952418. doi: 10.1177/1479973120952418

Junior, M. S., Moreno, A. M., Dall’Ago, P., Soares, P.P.S. (2010). Treinamento muscular inspiratório para o desenvolvimento físico: Evidências e controvérsias Inspiratory muscle training for the physical development: evidences and controversies. Revista Brasileira de Fisiologia do Exercício, 9(2), 116-123.

Langer, D., Charususin, N., Jacome, C., Hoffman, M., McConnell, A., Decramer, M., & Gosselink, R. (2015). Efficacy of a Novel Method for Inspiratory Muscle Training in People With Chronic Obstructive Pulmonary Disease. Phys Ther, 95(9), 1264-1273. doi: 10.2522/ptj.20140245

Langer, D., Jacome, C., Charususin, N., Scheers, H., McConnell, A., Decramer, M., & Gosselink, R. (2013). Measurement validity of an electronic inspiratory loading device during a loaded breathing task in patients with COPD. Respir Med, 107(4), 633-635. doi: 10.1016/j.rmed.2013.01.020

Lopez-Leon, S., Wegman-Ostrosky, T., Perelman, C., Sepulveda, R., Rebolledo, P. A., Cuapio, A., & Villapol, S. (2021). More than 50 long-term effects of COVID-19: a systematic review and meta-analysis. Sci Rep, 11(1), 16144. doi: 10.1038/s41598-021-95565-8

Pereira A. S., S., D. M., Parreira, F. J., Shitsuka, R. (2018). Metologia da Pesquisa Cientifica Vol. 1. UAB/NTE/UFSM (Ed.) Metologia da Pesquisa Cientifica (pp. 119).

Plentz, R. D., Sbruzzi, G., Ribeiro, R. A., Ferreira, J. B., & Dal Lago, P. (2012). Inspiratory muscle training in patients with heart failure: meta-analysis of randomized trials. Arq Bras Cardiol, 99(2), 762-771. doi: 10.1590/s0066-782x2012001100011

Rajala, K., Lehto, J. T., Sutinen, E., Kautiainen, H., Myllarniemi, M., & Saarto, T. (2017). mMRC dyspnoea scale indicates impaired quality of life and increased pain in patients with idiopathic pulmonary fibrosis. ERJ Open Res, 3(4). doi: 10.1183/23120541.00084-2017

Safiabadi Tali, S. H., LeBlanc, J. J., Sadiq, Z., Oyewunmi, O. D., Camargo, C., Nikpour, B., . . . Jahanshahi-Anbuhi, S. (2021). Tools and Techniques for Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2)/COVID-19 Detection. Clin Microbiol Rev, 34(3). doi: 10.1128/CMR.00228-20

Santana, A. V., Fontana, A. D., & Pitta, F. (2021). Pulmonary rehabilitation after COVID-19. J Bras Pneumol, 47(1), e20210034. doi: 10.36416/1806-3756/e20210034

Severin, R., Arena, R., Lavie, C. J., Bond, S., & Phillips, S. A. (2020). Respiratory Muscle Performance Screening for Infectious Disease Management Following COVID-19: A Highly Pressurized Situation. Am J Med, 133(9), 1025-1032. doi: 10.1016/j.amjmed.2020.04.003

Silva, P. E., de Carvalho, K. L., Frazao, M., Maldaner, V., Daniel, C. R., & Gomes-Neto, M. (2018). Assessment of Maximum Dynamic Inspiratory Pressure. Respir Care, 63(10), 1231-1238. doi: 10.4187/respcare.06058

Subtil, M. M. L., Goes, D. C., Gomes, T. C., de Souza, M. L. (2011). O relacionamento interpessoal e a adesão na fisioterapia

The interpersonal relationships and physical therapy adherence. Fisioterapia em Movimento, 24(4), 9. doi: 10.1590/S0103-51502011000400020

Weber, C. K., Miglioranza, M. H., Moraes, M. A., Sant'anna, R. T., Rover, M. M., Kalil, R. A., & Leiria, T. L. (2014). The five-point Likert scale for dyspnea can properly assess the degree of pulmonary congestion and predict adverse events in heart failure outpatients. Clinics (Sao Paulo), 69(5), 341-346. doi: 10.6061/clinics/2014(05)08

Wu, X., Liu, X., Zhou, Y., Yu, H., Li, R., Zhan, Q., . . . Wang, Y. (2021). 3-month, 6-month, 9-month, and 12-month respiratory outcomes in patients following COVID-19-related hospitalisation: a prospective study. Lancet Respir Med, 9(7), 747-754. doi: 10.1016/S2213-2600(21)00174-0

Zampogna, E., Migliori, G. B., Centis, R., Cherubino, F., Facchetti, C., Feci, D., . . . Visca, D. (2021). Functional impairment during post-acute COVID-19 phase: Preliminary finding in 56 patients. Pulmonology, 27(5), 452-455. doi: 10.1016/j.pulmoe.2020.12.008

Published

27/12/2022

How to Cite

IAMONTI, V. C.; SIMÕES, C. da F.; OLIVEIRA, M. B. de; PRATES, A. C. de L. .; SANTOS, R. O.; CARVALHO, C. R. R. de; PORTO, E. F. . Satisfaction Analysis from patients post-COVID-19 with telemonitoring inspiratory muscle training. Research, Society and Development, [S. l.], v. 11, n. 17, p. e246111738912, 2022. DOI: 10.33448/rsd-v11i17.38912. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/38912. Acesso em: 26 dec. 2024.

Issue

Section

Health Sciences