Publication: Development of a Model One Stop Approach to Post-COVID-19 and other Rehabilitation Conditions
Date
2024
Journal Title
Journal ISSN
Volume Title
Publisher
Kathmandu University
Abstract
ABSTRACT
Background
Post-COVID-19 cases can cause severe disabling symptoms and functional disabilities.
WHO recognizes the severity of the condition and publishes a standardised Case
Report Form to inform clinical management and public health response.
Objective
To determine the post-COVID-19 case load. A multidisciplinary team including a
diverse team were composed and priority intervention areas were identified through
a transdisciplinary approach eventually developing a Model One Stop Approach to
post-COVID-19 and other Rehabilitation Conditions.
Method
The COVID-19 cases recorded at Dhulikhel Hospital were monitored through phone
calls to post-COVID-19 complications. Patients were then invited for additional
clinical assessments. A diverse team conducted these assessments to identify the
needs for expanding a post-COVID-19 clinic and devised rehabilitation services based
on predefined criteria.
Result
A total of 550 respondents were included in the study. The proportion of males
(51.7%) was slightly higher than females (48.3%) with the majority of them being
Brahmin/Chettri. The primary comorbidities identified were diabetes (10.55%) and
hypertension (11.4%). Of the participants, about 50.73% experienced persistent
symptoms. About 17.8% reported lasting muscle-related problems, 12.1% had
persistent joint pain, and 33% faced temporary cardiac issues. Less than 10%
experienced enduring health problems related to vision, hearing, and sleep patterns.
Conclusion
After COVID-19, patients experienced cardiac and muscle-related issues, increasing
morbidity, financial burdens, and pressure on healthcare systems. With the need of
sustainable rehabilitation training package, Dhulikhel Hospital serves as a model for
a One-Stop Approach to post-COVID-19 and other rehabilitation conditions.
KEY WORDS
Model, Persistent, Post-COVID-19, Rehabilitation, Symptoms
Description
Adhikari P,1 Tamrakar D,1 Thakur C,1 Shakya R,2 Vaidya N,3 Acharya R,4 Shrestha J,4 Byanju Shrestha I1
1Research and Development Division
2Department of Physiotherapy
3Department of Internal Medicine
4Department of Nursing
5Department of Nursing
Dhulikhel Hospital, Kathmandu University Hospital
Dhulikhel, Kavre, Nepal
Keywords
Model, Persistent, Post-COVID-19, Rehabilitation, Symptoms