Effect of Nursing Rehabilitative Program Interventions on Health Outcomes of Post COVID-19 Patients

Document Type : Original Article

Authors

1 Assistant Professor of Medical Surgical Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.

2 MD, Professor of Pulmonology, Chest Department, Assiut University Hospitals, Assiut, Egypt.

3 MD. Lecturer of Pulmonology, Aswan Faculty of Medicine, Aswan, Egypt.

4 MD, Lecturer of Public health and Community Medicine, Assuit University Hospital, Egypt.

5 MD, Consultant of clinical pathology, Ministry of Health and population, Assiut 71511, Egypt.

6 Fellow of medical surgical, PhD- RN, Nursing Development Trainer, Center of Technical Training and Nursing Development, Assuit University Hospital, Assuit, Egypt.

Abstract

Background: Previous research findings suggested that there would be an increasing number
of post-acute COVID-19 cases necessitating a reasonable rehabilitation strategy. This imposes the
crucial need for implementing a nursing rehabilitation program by a multidisciplinary expert team;
utilizing a range of tailored interventions. Aim of the study: to investigate the effect of the developed
nursing rehabilitative program interventions on the health outcomes of post COVID-19 patients.
Materials and Method: A quasi experimental research design; comprised one hundred of post
COVID-19 patients who were attending at the Post COVID-19 Outpatient Clinic. Two tools were
utilized for data collection; Tool I: “Post COVID-19 Patients Assessment Structured Interview
Questionnaire”, and Tool II: “Post COVID-19 Patient’s Knowledge Structured Interview Schedule”.
Additionally, respiratory rehabilitation interventions were performed via diaphragmatic training;
stretching exercises and home exercises. Results: The majority of subjects (90%) had poor overall
knowledge score prior to program implementation; that improved in (52%) to good after one month of
program intervention, to turn after three months to fair in (82%), (p1<0.001, p2<0.001, p3=0.007;
respectively). Furthermore, the subjects’ overall health status indicators mean percent score was
(7.35±2.0) prior nursing program implementation, then improved one and three months thereafter
(P<0.001). A considerable improvement was observed in the overall (EQ-VAS), as well as in the
overall six minutes’ walk distance mean percent scores after implementing the three months nursing
rehabilitation program. Conclusion: Post COVID-19 participants who received the nursing
rehabilitative program interventions exhibited improved health outcomes at the end of the program.
Recommendations: Extend the global scientific
knowledge concerning post COVID-19 nursing
rehabilitation. Further research should be conduct
to examine this rehabilitation program effect on
quality of life on larger post COVID-19 sample.

Keywords