Funkcionēšanas ierobežojumi no audiologopēda perspektīvas pacientiem pēc pārslimotas Covid-19 infekcijas
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Date
2022
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Rīgas Stradiņa universitāte
Rīga Stradiņš University
Rīga Stradiņš University
Abstract
Nosaukums: Funkcionēšanas ierobežojumi no audiologopēda perspektīvas pacientiem pēc pārslimotas Covid-19 infekcijas. Mērķis: Noskaidrot biežākos funkcionālos ierobežojumus audiologopēdu kompetences ietvaros pacientiem pēc pārslimotas Covid-19 infekcijas. Pētnieciskais jautājums: Kādi ir biežākie funkcionālie ierobežojumi no audiologopēda perspektīvas pacientiem pēc pārslimotas Covid-19 infekcijas? Metodes: Tika veikta pētījuma dalībnieku novērtēšana ar audiologopēdu praksē izmantotajiem novērtēšanas materiāliem. Pētījumā tika izmantoti pacienta dati no medicīnas kartes un pacientu sniegtās anamnēzes, tika veikta pacientu izvērtēšana, novērtējot balss funkciju, elpošanas funkciju, dizartrijas pazīmju esamību, disfāgijas pazīmes, afāzijas pazīmes, kā arī kognitīvās funkcijas. Pacientu novērtēšana norisinājās laika posmā no 2022. gada 15. marta līdz 2022. gada 23. aprīlim Rīgas Austrumu klīniskajā universitātes slimnīcā Gaiļezers un KRC Jaunķemeri, kur tiek sniegti valsts apmaksāti rehabilitācijas pakalpojumi pacientiem pēc pārslimotas Covid-19 infekcijas. Rezultāti: Pētījumā piedalījās 31 dalībnieks ar pārslimotu Covid-19 infekciju no Rīgas Austrumu klīniskās universitātes slimnīcas (13%) un no KRC Jaunķemeri (87%). Novērtējot balss funkcijas, 74% pētījuma dalībnieku (n=23) bija disfonijas pazīmes. Novērtējot elpošanas funkciju, 26% (n=8) bija novērojami elpošanas traucējumi. Novērtējot kognitīvās funkcijas, 35% (n=11) pētījuma dalībnieku bija traucētas kognitīvās spējas. Novērtējot afāzijas elementus, 10% pētījuma dalībnieku (n=3) tika novēroti afāzijas elementi. Novērtējot dizartrijas un disfāgijas pazīmju esamību, nevienam no pētījuma dalībniekiem neuzrādījās šādas pazīmes (n=31; 0%). Pie smagas slimības gaitas 93% gadījumos pacientiem uzrādās divi traucējumi, 75% gadījumos uzrādās viens traucējums un 22% gadījumos neuzrādās neviens traucējums. Pie vidējas slimības gaitas 78% gadījumos neuzrādās neviens traucējums, 15% uzrādās viens traucējums un 7% gadījumu uzrādās divi traucējumi. Secinājumi: Divu stacionāru ietvaros 77% pacientu tika konstatēts kāds no komunikācijas, runas/valodas, fonācijas vai kognitīvo funkciju traucējumiem. Biežākie funkcionālie ierobežojumi no audiologopēdu kompetences ir 74% gadījumos balss traucējumi, 35% gadījumos kognitīvo funkciju traucējumi, 26% gadījumos elpošanas traucējumi un 10% gadījumos valodas traucējumi. Pastāv ticama (p<0,05) sakarība starp slimības gaitu un funkcionālo traucējumu skaitu, kas ļauj secināt, ka pasliktinoties slimības gaitai pieaug funkcionālo traucējumu skaits pēc slimības pārslimošanas.
Title: Functional disabilities from the perspective of a speech and language therapist for patients after the Covid-19 infection. Aim: To find out the most common functional limitations within the competence of a speech therapist in patients after Covid-19 infection. Research problem: What are the most common functional limitations from the perspective of a speech therapist in patients after Covid-19 infection? Methods: An evaluation was carried out for the participants of the research using the evaluation tools of a speech therapist. The study used patient data from the medical record and the patient’s medical history, evaluating voice function, respiratory function, signs of dysarthria, signs of dysphagia, signs of aphasia and cognitive function. Patients evaluation took place from March 15, 2022 to April 23, 2022 in two medical institutions – Riga East clinical university hospital “Gaiļezers” and KRC “Jaunķemeri”, where state paid rehabilitation for patients after Covid-19 infection is provided. Results: The study involved 31 participants with a history of the Covid-19 infection from two medical institutions in Latvia – Riga East clinical university hospital “Gaiļezers” (13%) and KRC “Jaunķemeri” (87%). While assessing voice function, 74% study participants (n = 23) showed signs of dysphonia. Respiratory distress was observed in 26% (n = 8). When assessing cognitive function, 35% (n = 11) of the participants had cognitive impairment. When assessing for aphasia, 10% (n = 3) of participants had elements of aphasia. When assessing the presence of signs of dysphagia and dysarthria, none of the participants (n = 31) showed any signs. Statistically significant differences (p = 0,001) were obtained between the number of functional disorders depending on the course of the disease. In severe cases of the disease, 93% of patients have two disorders, 75% have one disorder and 22% have no disorders. In mild cases of the disease, 78% have no disorders, 15% have one disorder and 7% have two disorders. Conclusions: Within two health institutions, 77% of patients had communication, speech/language, phonation, or cognitive impairment. The most common functional limitations within a speech therapists’ competence are 74% of voice disorders, 35% of cognitive impairment, 26% of respiratory disorders and 10% of language disorders. The more severe the disease, the more patients develop functional disorders after contacting the Covid- 19 disease.
Title: Functional disabilities from the perspective of a speech and language therapist for patients after the Covid-19 infection. Aim: To find out the most common functional limitations within the competence of a speech therapist in patients after Covid-19 infection. Research problem: What are the most common functional limitations from the perspective of a speech therapist in patients after Covid-19 infection? Methods: An evaluation was carried out for the participants of the research using the evaluation tools of a speech therapist. The study used patient data from the medical record and the patient’s medical history, evaluating voice function, respiratory function, signs of dysarthria, signs of dysphagia, signs of aphasia and cognitive function. Patients evaluation took place from March 15, 2022 to April 23, 2022 in two medical institutions – Riga East clinical university hospital “Gaiļezers” and KRC “Jaunķemeri”, where state paid rehabilitation for patients after Covid-19 infection is provided. Results: The study involved 31 participants with a history of the Covid-19 infection from two medical institutions in Latvia – Riga East clinical university hospital “Gaiļezers” (13%) and KRC “Jaunķemeri” (87%). While assessing voice function, 74% study participants (n = 23) showed signs of dysphonia. Respiratory distress was observed in 26% (n = 8). When assessing cognitive function, 35% (n = 11) of the participants had cognitive impairment. When assessing for aphasia, 10% (n = 3) of participants had elements of aphasia. When assessing the presence of signs of dysphagia and dysarthria, none of the participants (n = 31) showed any signs. Statistically significant differences (p = 0,001) were obtained between the number of functional disorders depending on the course of the disease. In severe cases of the disease, 93% of patients have two disorders, 75% have one disorder and 22% have no disorders. In mild cases of the disease, 78% have no disorders, 15% have one disorder and 7% have two disorders. Conclusions: Within two health institutions, 77% of patients had communication, speech/language, phonation, or cognitive impairment. The most common functional limitations within a speech therapists’ competence are 74% of voice disorders, 35% of cognitive impairment, 26% of respiratory disorders and 10% of language disorders. The more severe the disease, the more patients develop functional disorders after contacting the Covid- 19 disease.
Description
Audiologopēdija
Audiologopaedics
Veselības aprūpe
Health Care
Audiologopaedics
Veselības aprūpe
Health Care
Keywords
Covid-19 infekcijas slimība; Covid-19 pandēmija; Funkcionālie ierobežojumi; Runas-valodas terapija pacientiem pēc Covid-19., Covid-19 infectious disease; The Covid-19 pandemic; Functional limitations; Speech – language therapy for patients after Covid-19.