Peranan Rumah Sakit untuk Tatalaksana Rehabilitasi Long-COVID pada Penyintas COVID-19 : Kajian Sistematik
The Role of Hospital for Long-Covid Rehabilitation Management on COVID-19 Survivor : A Systematic Review
Abstract
Setelah fase akut, penyintas COVID-19 masih merasakan gejala baru atau persisten selama 1–6 bulan dari infeksi, kadang disertai komplikasi berbagai organ yang disebut Long-COVID. WHO mengidentifikasinya sebagai prioritas karena mempertimbangkan komplikasi serta melemahnya fungsi berbagai organ, maka tatalaksana rehabilitasi berperan penting dalam pemulihan penyintas COVID-19. Kajian ini bertujuan menggambarkan tatalaksana rehabilitasi Long-COVID di RS berbagai negara agar menjadi pembelajaran RS di Indonesia. Pencarian literatur dilakukan secara sistematis menggunakan dengan kata kunci dari basis data Pubmed, Medscape, Springerlink, Proquest, Googlescholar, ScienceDirect untuk mengidentifikasi studi penatalaksanan rehabilitasi penyintas dengan Long-COVID. Kemudian penilaian kualitas studi dan ekstraksi data. Dari 6 studi membahas rehabilitasi penyintas COVID-19 oleh tim multidispiliner, satu studi membahas strategi peningkatan luaran Long-COVID dengan tele-rehabilitasi dini dan model tele-rehabilitasi rumah tanpa membahas tim rehabilitasinya. Variasi layanan rehabilitasi yaitu tele-rehabilitasi disertai kunjungan nakes kerumah, pelayanan rehabilitasi di rumah sakit, tele-rehabilitasi dengan tele-monitoring nakes dari RS, serta penilaian awal di RS kemudian rehabilitasi oleh terapis klinik di rumah. Disimpulkan bahwa penatalaksanan rehabilitasi Long-COVID telah dilakukan di China, Italia, Inggris, AS dan Austria dengan pendekatan rehabilitasi multidisipliner agar perawatan komprehensif untuk memperbaiki kualitas hidup penyintas COVID-19. Dengan ini diharapkan menjadi gambaran bagi RS di Indonesia membuat pelayanan rehabilitasi bagi para penyintas dengan Long-COVID.
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