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Maoz Z, Huet I, Sudres JL, Bouchard JP. Clinical condition, Resuscitation and Medical-Psychological Care of Severe COVID-19 patients (part 2). ANNALES MEDICO-PSYCHOLOGIQUES 2022; 180:276-281. [PMID: 35039685 PMCID: PMC8755421 DOI: 10.1016/j.amp.2022.01.002] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Respiratory rehabilitation is the penultimate step in the medical management of patients with severe COPD-19. It is an essential step before patients’ returning home, and is usually carried out in specialised Follow-up and Rehabilitation Clinics. When discharged from hospital, patients with post-severe COVID-19 usually progress in their medical condition. However, they may remain frail and have a constant fear of possible deterioration leading to (re)hospitalisation and a return to baseline. Psychological support in this phase can reduce patients’ anxiety and increase their motivation to carry out daily rehabilitation activities. This support provides a stable and consistent basis for patients to focus on their progress, leaving the difficulties behind. Being aware of the improvements in their physical condition allows them to maintain their motivation to continue to be physically active. Psychological support during respiratory rehabilitation aims at preparing patients to return to the normal life they had before the disease. It is usually based on brief psychotherapies that focus on strengthening the patient's abilities through behavioural changes and through reducing risk behaviours. Only after this phase is it sometimes possible to deal with complex issues and to cope with personality mechanisms and maladaptive behaviour patterns.
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Affiliation(s)
- Zeev Maoz
- Clinique Cardio Vasculaire et Pulmonaire de Saint-Orens, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France
- Centre d'Etude et de Recherche en Psychopathologie et Psychologie de la Santé (CERPPS, EA 7411), Université Toulouse 2 Jean Jaurès, Maison de la recherche, 5, allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Isabelle Huet
- Clinique Cardio Vasculaire et Pulmonaire de Saint-Orens, 12, avenue de Revel, 31650 Saint-Orens-de-Gameville, France
| | - Jean-Luc Sudres
- Centre d'Etude et de Recherche en Psychopathologie et Psychologie de la Santé (CERPPS, EA 7411), Université Toulouse 2 Jean Jaurès, Maison de la recherche, 5, allées Antonio-Machado, 31058 Toulouse cedex 9, France
| | - Jean-Pierre Bouchard
- Institut Psycho-Judiciaire et de Psychopathologie (IPJP), Institute of Forensic Psychology and Psychopathology, centre hospitalier de Cadillac, 89, rue Cazeaux-Cazalet, 33410 Cadillac, France
- Unité pour Malades Difficiles (UMD), pôle de psychiatrie médico-légale (PPML), centre hospitalier de Cadillac, 10, avenue Joseph-Caussil, 33410 Cadillac, France
- Statistics and Population Studies Department, Faculty of Natural Sciences, University of the Western Cape, Robert-Sobukwe road, Bellville, 7535 Cape-Town, South Africa
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