ABSTRACT
Background and objective: Patients with heart failure are a high-risk group who may have a higher mortality rate if infected during the COVID-19 pandemic. The problem of a patient's non-adherence to cardiac rehabilitation programs is still a challenge, resulting in disappointing long-term benefits of cardiac rehabilitation. Telehealth, including telerehabilitation, has grown in popularity to improve access to quality healthcare. It is more valuable and safer compared to usual rehabilitation care, especially during the current COVID-19 pandemic, to cut down unnecessary hospital visits and reduce the risk of cluster infections. This study aims to identify the efficacy of relevant randomized control trials (RCTs) using telerehabilitation in managing heart failure. The model, delivery care, safety, and efficacy were assessed. Material and Methods: This study was conducted according to the Preferred Reporting Items for Systematic Reviews and Meta-analysis for Scoping Reviews (PRISMA-ScR). The authors included relevant records published in the last ten years from three databases: PubMed/MEDLINE, ProQuest, and EBSCO. Each included study was further assessed using Cochrane's Risk of Bias (Rob 2) tool. Results: The telerehabilitation models consisted of cellphones, instant messaging, or online videoconferencing software. Some also included tool sets to monitor patients' vital signs regularly or during exercise. Most patients adhered to and completed all provided programs. Cardiac telerehabilitation successfully improved patients' physical fitness, quality of life, and mental health. No major adverse outcomes or significant complications were associated with the program. Conclusion: Cardiac telerehabilitation has the potential to deliver rehabilitation for heart failure patients, evidenced by its feasibility, efficacy, and safety. As a future perspective, this delivery care type can be applied throughout transmissible disease outbreaks or even globally.
Subject(s)
COVID-19 , Cardiac Rehabilitation , Heart Failure , Telerehabilitation , Humans , Telerehabilitation/methods , Cardiac Rehabilitation/methods , Quality of Life , Disease Outbreaks , Randomized Controlled Trials as TopicABSTRACT
The COVID-19 outbreak is a world health problem that affects millions of people. The pandemic is also causing burdens and challenges to health-care providers. Therefore, this study aimed to examine and help understand health-care providers' problems when caring for COVID-19 patients. An integrative review following Whittemore and Kanfl's approach was used along with a systematic search for emerging online databases and grey literature conducted from January to August 2021. The quality of papers was analyzed and a report was presented following PRISMA guidelines. A total of 18 articles that were predominantly descriptive with five themes, including mental health problems in the early stage of COVID-19 outbreak, working stress, physical and psychological impacts of disease, and the lack of support were analyzed. The results showed the pandemic's significant psychological impact on health-care providers directly caring for COVID-19 patients. Emotional, facilities and family support are needed to maintain the health-care providers' well-being.
ABSTRACT
Since the COVID-19 pandemic was announced by the world health organization (WHO) on January 30 2020 until July 2021 the world's pandemic conditions have not subsided but have continued to increase and even tripled. This spike is thought to be due to transmission from the Delta variant where the number of patients who died from COVID-19 totaled 90552 people with a daily death toll of 1893. (Ministry of Health Republic of Indonesia). With the high number of COVID-19 cases of course the workload of nurses has increased and many have even fallen ill and died. This study aims to explore or review literature related to the experience of nurses in handling COVID-19 patients at the forefront. Article searches were carried out in digital online databases Pubmed EBSCO Google Scholar and Science Direct with the keywords Stress life or experience life nurse COVID-19 in emergency room. Then the articles are selected according to the inclusion criteria namely: The articles used are articles with the year of publication from January 2020 to July 2021 The language used in the article is English. The article used is an article with full text in pdf format the theme of the article is the life experience of frontline nurses/IGD nurses in dealing with COVID-19 patients. Finally 10 articles were analyzed in this literature review. Keywords: COVID-19, life experience, Nurse, emergency room