Impactos da pandemia da COVID-19 em idosos e estratégias de reabilitação adotadas

Autores

DOI:

https://doi.org/10.33448/rsd-v10i17.24267

Palavras-chave:

COVID-19; Idosos; Atividades da vida diária; Reabilitação funcional.

Resumo

Introdução: O mundo atualmente enfrenta uma pandemia que modificou os hábitos de vida da população em geral e gerou consequências na economia e na saúde pública, tendo em vista a potencial disseminação do patógeno, o SARS-CoV-2, que causa a doença COVID-19. As pessoas maiores de 60 anos foram apontadas como um dos grupos mais vulneráveis a desenvolverem a forma grave da doença. O objetivo deste estudo foi verificar na literatura os impactos da pandemia da COVID-19 em idosos e as estratégias de reabilitação que vêm sendo adotadas neste período. Metodologia: Tratou-se de uma revisão integrativa que utilizou artigos indexados nas bases de dados Medline, PubMed e Scielo publicados entre os anos 2020 e 2021 nos idiomas inglês, português e espanhol. Resultados: A pandemia da COVID-19 e o isolamento social trouxeram alguns transtornos para a saúde do idoso. Os artigos analisados nesta revisão elencaram alguns destes transtornos, entre eles função motora prejudicada, comprometimento na realização das atividades de vida diária, fraqueza adquirida na UTI e piora da fragilidade. Considerações Finais: A saúde do idoso no cenário atual demanda uma atenção mais específica que busque enfatizar não só a recuperação, como também a prevenção desses agravos à saúde. Além disso, as estratégias para alcançar esses objetivos devem ser melhor estudadas, a fim de encontrar métodos para o fornecimento de assistência de qualidade a essa população durante e no pós-pandemia.

Referências

Arazi, H., & Eghbali, E. (2018). Osteosarcopenia and Physical Activity. Annals of sports medicine and research, 5 (1130), 3-6. https://www.jscimedcentral.com/SportsMedicine/sportsmedicine-5-1130.pdf.

Belli, S., Balbi, B., Prince, I., Cattaneo, D., Masocco, F., Zaccaria, S., Bertalli, L., Cattini, F., Lomazzo, A., Dal Negro, F., Giardini, M., Franssen, F., Janssen, D., & Spruit, M. A. (2020). Low physical functioning and impaired performance of activities of daily life in COVID-19 patients who survived hospitalisation. The European respiratory journal, 56(4), 2002096. https://doi.org/10.1183/13993003.02096-2020

Bull, F. C., Al-Ansari, S. S., Biddle, S., Borodulin, K., Buman, M. P., Cardon, G., Carty, C., Chaput, J. P., Chastin, S., Chou, R., Dempsey, P. C., DiPietro, L., Ekelund, U., Firth, J., Friedenreich, C. M., Garcia, L., Gichu, M., Jago, R., Katzmarzyk, P. T., Lambert, E., & Willumsen, J. F. (2020). World Health Organization 2020 guidelines on physical activity and sedentary behaviour. British journal of sports medicine, 54(24), 1451–1462. https://doi.org/10.1136/bjsports-2020-102955

CDC COVID-19. (2020). Contagens provisórias. Atualizações semanais por meio de características demográficas e geográficas selecionadas. Centro Nacional de Estatísticas de Saúde. https://www.cdc.gov/nchs/nvss/vsrr/covid_weekly/index.htm.

Cunningham, C., & O' Sullivan, R. (2020). Why physical activity matters for older adults in a time of pandemic. European review of aging and physical activity: official journal of the European Group for Research into Elderly and Physical Activity, 17, 16. https://doi.org/10.1186/s11556-020-00249-3

Curci, C., Pisano, F., Bonacci, E., Camozzi, D. M., Ceravolo, C., Bergonzi, R., De Franceschi, S., Moro, P., Guarnieri, R., Ferrillo, M., Negrini, F., & de Sire, A. (2020). Early rehabilitation in post-acute COVID-19 patients: data from an Italian COVID-19 Rehabilitation Unit and proposal of a treatment protocol. European journal of physical and rehabilitation medicine, 56(5), 633–641. https://doi.org/10.23736/S1973-9087.20.06339-X

Fan, E., Cheek, F., Chlan, L., Gosselink, R., Hart, N., Herridge, M. S., Hopkins, R. O., Hough, C. L., Kress, J. P., Latronico, N., Moss, M., Needham, D. M., Rich, M. M., Stevens, R. D., Wilson, K. C., Winkelman, C., Zochodne, D. W., & Ali, N. A., ATS. (2014) Committee on ICU-acquired Weakness in Adults, & American Thoracic Society. An official American Thoracic Society Clinical Practice guideline: the diagnosis of intensive care unit-acquired weakness in adults. American journal of respiratory and critical care medicine, 190(12), 1437–1446. https://doi.org/10.1164/rccm.201411-2011ST

Fernandez-Alonso, L., Muñoz-García, D., & La Touche, R. (2016). The level of physical activity affects the health of older adults despite being active. Journal of exercise rehabilitation, 12(3), 194–201. https://doi.org/10.12965/jer.1632566.283

Gwak, D. W., & Hwang, J. M. (2021). Step-by-step inpatient rehabilitation for critical illness after coronavirus disease 2019: A CARE-compliant case report. Medicine, 100(23), e26317. https://doi.org/10.1097/MD.0000000000026317

Hall, G., Laddu, D. R., Phillips, S. A., Lavie, C. J., & Arena, R. (2021). A tale of two pandemics: How will COVID-19 and global trends in physical inactivity and sedentary behavior affect one another? Progress in cardiovascular diseases, 64, 108–110. https://doi.org/10.1016/j.pcad.2020.04.005

Herridge, M. S., Chu, L. M., Matte, A., Tomlinson, G., Chan, L., Thomas, C., Friedrich, J. O., Mehta, S., Lamontagne, F., Levasseur, M., Ferguson, N. D., Adhikari, N. K., Rudkowski, J. C., Meggison, H., Skrobik, Y., Flannery, J., Bayley, M., Batt, J., Santos, C. D., & Abbey, S. E. (2016). Canadian Critical Care Trials Group. The RECOVER Program: Disability Risk Groups and 1-Year Outcome after 7 or More Days of Mechanical Ventilation. American journal of respiratory and critical care medicine, 194(7), 831–844. https://doi.org/10.1164/rccm.201512-2343OC

Jain, E., Harmon, E. Y., & Sonagere, M. B. (2021). Functional outcomes and post-discharge care sought by patients with COVID-19 compared to matched controls after completing inpatient acute rehabilitation. PM & R: the journal of injury, function, and rehabilitation, 13(6), 618–625. https://doi.org/10.1002/pmrj.12607

Johnson, J. K., Lapin, B., Green, K., & Stilphen, M. (2021). Frequency of Physical Therapist Intervention Is Associated With Mobility Status and Disposition at Hospital Discharge for Patients With COVID-19. Physical therapy, 101(1), pzaa181. https://doi.org/10.1093/ptj/pzaa181

Kato, M., Ono, S., Seko, H., Tsukamoto, T., Kurita, Y., Kubo, A., Omote, T., & Omote, S. (2021). Trajectories of frailty, physical function, and physical activity levels in elderly patients with heart failure: impacts of interruption and resumption of outpatient cardiac rehabilitation due to COVID-19. International journal of rehabilitation research. Internationale Zeitschrift fur Rehabilitationsforschung. Revue internationale de recherches de readaptation, 44(3), 200–204. https://doi.org/10.1097/MRR.0000000000000473

Martins Van Jaarsveld G. (2020). The Effects of COVID-19 Among the Elderly Population: A Case for Closing the Digital Divide. Frontiers in psychiatry, 11, 577427. https://doi.org/10.3389/fpsyt.2020.577427

Mello, M.T., Boscolo, R.A., Esteves, A.M, & Tufik, S. (2005). O exercício físico e os aspectos psicobiológicos. Revista brasileira de medicina do esporte, 11(3), 203-207. https://doi.org/10.1590/S1517-86922005000300010

Moro, T., & Paoli, A. (2020). When COVID-19 affects muscle: effects of quarantine in older adults. European journal of translational myology, 30(2), 9069. https://doi.org/10.4081/ejtm.2019.9069

Ohtake, P. J., Lee, A. C., Scott, J. C., Hinman, R. S., Ali, N. A., Hinkson, C. R., Needham, D. M., Shutter, L., Smith-Gabai, H., Spires, M. C., Thiele, A., Wiencek, C., & Smith, J. M. (2018). Physical Impairments Associated With Post-Intensive Care Syndrome: Systematic Review Based on the World Health Organization's International Classification of Functioning, Disability and Health Framework. Physical therapy, 98(8), 631–645. https://doi.org/10.1093/ptj/pzy059

Parry, S. M., & Puthucheary, Z. A. (2015). The impact of extended bed rest on the musculoskeletal system in the critical care environment. Extreme physiology & medicine, 4, 16. https://doi.org/10.1186/s13728-015-0036-7

Peiris, C. L., Shields, N., Brusco, N. K., Watts, J. J., & Taylor, N. F. (2018). Additional Physical Therapy Services Reduce Length of Stay and Improve Health Outcomes in People With Acute and Subacute Conditions: An Updated Systematic Review and Meta-Analysis. Archives of physical medicine and rehabilitation, 99(11), 2299–2312. https://doi.org/10.1016/j.apmr.2018.03.005

Roman, A. R. Friedlander, M. R. (1998) Revisão integrativa de pesquisa aplicada à enfermagem. Cogitare Enfermagem, 3 (2), 109-112. http://dx.doi.org/10.5380/ce.v3i2.44358

Santini, Z. I., Jose, P. E., York Cornwell, E., Koyanagi, A., Nielsen, L., Hinrichsen, C., Meilstrup, C., Madsen, K. R., & Koushede, V. (2020). Social disconnectedness, perceived isolation, and symptoms of depression and anxiety among older Americans (NSHAP): a longitudinal mediation analysis. The Lancet. Public health, 5(1), e62–e70. https://doi.org/10.1016/S2468-2667(19)30230-0

Sepúlveda-Loyola, W., Rodríguez-Sánchez, I., Pérez-Rodríguez, P., Ganz, F., Torralba, R., Oliveira, D. V., & Rodríguez-Mañas, L. (2020). Impact of Social Isolation Due to COVID-19 on Health in Older People: Mental and Physical Effects and Recommendations. The journal of nutrition, health & aging, 24(9), 938–947. https://doi.org/10.1007/s12603-020-1469-2

Shahid, Z., Kalayanamitra, R., McClafferty, B., Kepko, D., Ramgobin, D., Patel, R., Aggarwal, C. S., Vunnam, R., Sahu, N., Bhatt, D., Jones, K., Golamari, R., & Jain, R. (2020). COVID-19 and Older Adults: What We Know. Journal of the American Geriatrics Society, 68(5), 926–929. https://doi.org/10.1111/jgs.16472

Shinohara, T., Saida, K., Tanaka, S., & Murayama, A. (2021). Actual Frailty Conditions and Lifestyle Changes in Community-Dwelling Older Adults Affected by Coronavirus Disease 2019 Countermeasures in Japan: A Cross-Sectional Study. SAGE open nursing, 7, 23779608211025117. https://doi.org/10.1177/23779608211025117

Silva, L. R. B., Seguro, C. S., Oliveira, C. G. A, Santos, P. O. S., Oliveira, J. C. M., Souza Filho, L. F. M., de Paula Júnior, C. A., Gentil, P., Rebelo, A. C. S. (2020). Physical Inactivity Is Associated With Increased Levels of Anxiety, Depression, and Stress in Brazilians During the COVID-19 Pandemic: A Cross-Sectional Study. Frontiers in psychiatry, 11, 1257. https://doi.org/10.3389/fpsyt.2020.565291

Steardo, L., Steardo, L., Jr, Zorec, R., & Verkhratsky, A. (2020). Neuroinfection may contribute to pathophysiology and clinical manifestations of COVID-19. Acta physiologica (Oxford, England), 229(3), e13473. https://doi.org/10.1111/apha.13473

Tomioka, K., Kurumatani, N., Hosoi, H. (2017). Association between Social Participation and 3-Year Change in Instrumental Activities of Daily Living in Elderly Residents in the Community. Journal american geriatrics society, 65(1), 107-113. https://doi.org/10.1111/jgs.14447

Trevissón-Redondo, B., López-López, D., Pérez-Boal, E., Marqués-Sánchez, P., Liébana-Presa, C., Navarro-Flores, E., Jiménez-Fernández, R., Corral-Liria, I., Losa-Iglesias, M., & Becerro-de-Bengoa-Vallejo, R. (2021). Use of the Barthel Index to Assess Activities of Daily Living before and after SARS-COVID 19 Infection of Institutionalized Nursing Home Patients. International journal of environmental research and public health, 18(14), 7258. https://doi.org/10.3390/ijerph18147258

Van Gerwen, M., Alsen, M., Little, C., Barlow, J., Genden, E., Naymagon, L., & Tremblay, D. (2021). Risk factors and outcomes of COVID-19 in New York City; a retrospective cohort study. Journal of medical virology, 93(2), 907–915. https://doi.org/10.1002/jmv.26337

World Health Organization. (2021). Weekly Operational Update on COVID-19. https://www.who.int/publications/m/item/weekly-operational-update-on-covid-19---26-january-2021.

Zerah, L., Baudouin, É., Pépin, M., Mary, M., Krypciak, S., Bianco, C., Roux, S., Gross, A., Toméo, C., Lemarié, N., Dureau, A., Bastiani, S., Ketz, F., Boully, C., de Villelongue, C., Romdhani, M., Desoutter, M. A., Duron, E., David, J. P.,Thomas, C., & Boddaert, J. (2021). Clinical Characteristics and Outcomes of 821 Older Patients With SARS-Cov-2 Infection Admitted to Acute Care Geriatric Wards. The journals of gerontology. Series A, Biological sciences and medical sciences, 76(3), e4–e12. https://doi.org/10.1093/gerona/glaa210

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21/12/2021

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SOUSA, E. M. de .; SILVA, I. L. C. da .; SILVA, L. G. B. da .; SILVA NETO, J. E. da .; AMORIM, D. N. P. .; FARIAS, R. R. S. de .; CARRIAS, F. M. da S. .; MACEDO, L. L. B. de S. . Impactos da pandemia da COVID-19 em idosos e estratégias de reabilitação adotadas. Research, Society and Development, [S. l.], v. 10, n. 17, p. e89101724267, 2021. DOI: 10.33448/rsd-v10i17.24267. Disponível em: https://rsdjournal.org/index.php/rsd/article/view/24267. Acesso em: 22 nov. 2024.

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Ciências da Saúde