Satisfacción y utilidad del tratamiento rehabilitador a través de material educativo en pacientes con COVID-19 / Satisfaction and utility of rehabilitative treatment through educational material in patients with COVID-19

Objetivo: En Madrid, durante la pandemia por COVID-19, debido a la saturación hospitalaria se precisó la medicalización de hoteles para traslado de pacientes infectados por SARS-CoV-2 con evolución favorable. Su situación clínica tipo era de fatiga y desacondicionamiento físico, precisando y beneficiándose de un abordaje rehabilitador. El Servicio de Rehabilitación desarrolló material educativo en formato de papel sobre ejercicio terapéutico adaptado a las diferentes situaciones funcionales detectadas. El objetivo es describir el perfil de pacientes ingresados en un hotel medicalizado y analizar el grado de satisfacción y adherencia al ejercicio pautado durante el ingreso y en domicilio y los factores relacionados. Material y método: Estudio descriptivo de pacientes ingresados en el Hotel Colón durante dos meses de 2020, con análisis de variables socio demográficas, y de cuestionarios con respecto al grado de adherencia y satisfacción del tratamiento rehabilitador durante ingreso y al alta. Resultado: Participaron 100 pacientes con una edad media de 52 años±14.5, donde el 61% (n=61) fueron mujeres. El 99% (n=99) refirió comprender los ejercicios, los realizaron durante el ingreso el 90% (n=90), mientras un 58% (n=58) los continuó al alta. El 92% (n=92) se mostró «muy satisfecho» con el material educativo, considerándolo fácil de realizar en el 100% (n=100) de los casos. Conclusión: Los pacientes se mostraron satisfechos con el material educativo, fueron ejercicios comprensibles y tuvieron adherencia durante el ingreso y en domicilio. El material educativo en formato papel podría considerarse una herramienta útil para el manejo de pacientes con infección por SARS-CoV-2.(AU)

Objective: In Madrid, during the pandemic, due to hospital saturation, medicalisation of hotels was required for the transfer of patients infected by SARS-CoV-2 with favourable evolution. Their typical clinical situation was one of fatigue and physical deconditioning, requiring and benefiting from a rehabilitative approach. The Rehabilitation Department developed educational material in paper format on therapeutic exercise adapted to the different functional situations detected. To describe the profile of patients admitted to a medicalised hotel and to analyse the degree of satisfaction, utility and adherence to the exercise prescribed during hospitalisation and at home and the related factors. Material and method: We conducted a descriptive study of patients admitted to the Hotel Colon during April and May 2020. We analysed the socio-demographic and clinical variables, as well as the responses to the adherence and satisfaction questionnaires about rehabilitation management during admission and at discharge. Results: 100 patients participated in the study with a mean age of 52±14.5 years, where 61% (n=61) were women. 99% (n=99) reported they understood the material with a 90% (n=90) adherence to exercise during admission and 58% (n=58) at discharge. 92% (n=92) were “very satisfied” with the educational material and considered it easy to perform in 100% (n=100) of cases. Conclusion: The use of paper-based educational material of therapeutic exercise appears to be an effective resource in the management of patients with SARS-CoV-2 infection during admission, thus minimising the exposure of healthcare staff.(AU)

[Satisfaction and utility of rehabilitative treatment through educational material in patients with COVID-19]. / Satisfacción y utilidad del tratamiento rehabilitador a través de material educativo en pacientes con COVID-19.

OBJECTIVE: In Madrid, during the pandemic, due to hospital saturation, medicalisation of hotels was required for the transfer of patients infected by SARS-CoV-2 with favourable evolution. Their typical clinical situation was one of fatigue and physical deconditioning, requiring and benefiting from a rehabilitative approach. The Rehabilitation Department developed educational material in paper format on therapeutic exercise adapted to the different functional situations detected. To describe the profile of patients admitted to a medicalised hotel and to analyse the degree of satisfaction, utility and adherence to the exercise prescribed during hospitalisation and at home and the related factors. MATERIAL AND METHOD: We conducted a descriptive study of patients admitted to the Hotel Colon during April and May 2020. We analysed the socio-demographic and clinical variables, as well as the responses to the adherence and satisfaction questionnaires about rehabilitation management during admission and at discharge. RESULTS: 100 patients participated in the study with a mean age of 52±14.5 years, where 61% (n=61) were women. 99% (n=99) reported they understood the material with a 90% (n=90) adherence to exercise during admission and 58% (n=58) at discharge. 92% (n=92) were "very satisfied" with the educational material and considered it easy to perform in 100% (n=100) of cases. CONCLUSION: The use of paper-based educational material of therapeutic exercise appears to be an effective resource in the management of patients with SARS-CoV-2 infection during admission, thus minimising the exposure of healthcare staff.

Hospitalización a domicilio y en hotel medicalizado durante la primera ola de la pandemia por COVID-19: caso clínico / Hospitalization at home and in medicalized hotels during the first wave of the COVID-19 pandemic: a case report

La pandemia de COVID-19 ha generado que el sistema sanitario realice ajustes y cambios para hacer frente a la emergencia sanitaria y tenga en cuenta otras modalidades asistenciales como la hospitalización a domicilio (HaD). Durante la primera ola de la pandemia de 2020 el equipo HaD, multidisciplinario y transversal, del Hospital Clínic de Barcelona atendió pacientes COVID-19 y no COVID-19 en domicilio y también se encargó de la gestión de un hotel medicalizado.Se presenta el caso de un paciente ingresado en HaD con diagnósticos de prostatitis aguda y COVID-19 durante la primera ola de la pandemia que fue atendido en ambos entornos.Este caso clínico ejemplifica la importancia de la continuidad asistencial. El equipo de HaD, experto y entrenado en la realización de visitas domiciliarias, se ha adaptado a la nueva situación de pandemia, prestando atención y cuidados de calidad.(AU)

The COVID-19 pandemic has led the health system to make adjustments and changes in order to face the healthcare emergency, and to consider other healthcare modalities such as hospitalization at home (HaH). During the first wave of the pandemic in 2020, the HAH multidisciplinary and cross-sectional team of the Hospital Clínic of Barcelona managed at home COVID-19 patients as well as non-COVID-19 patients, and was also in charge of managing a medicalized hotel.We present the case of a patient admitted to HaH with diagnoses of acute prostatitis and COVID-19 during the first wave of the pandemics, who was managed in both settings.This case report is an example of the importance of continuity of care. The HaH team, experienced and trained on conducting home visits, has adapted to the new pandemic situation, providing quality care for patients.(AU)