When preserving life becomes imperative, quality of life is eclipsed! COVID-19 outbreak impacting patients with pelvic floor disorders undergoing pelvic floor rehabilitation

Brusciano, Luigi; Gualtieri, Giorgia; Gambardella, Claudio; Tolone, Salvatore; Lucido, Francesco Saverio; Genio, Gianmattia del; Pellino, Gianluca; Docimo, Ludovico

doi:10.1002/bjs.11675

Cited by 9 publications

(9 citation statements)

References 4 publications

(5 reference statements)

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“… To provide continuity of care using digital physiotherapy modalities whenever possible. Remote monitoring should be considered, especially for women who were already undergoing physiotherapy treatment of urogynecology and proctological symptoms [ 10 , 11 ]. To discuss with patients the feasibility of performing physiotherapeutic care using digital physiotherapy.…”

Section: Resultsmentioning

confidence: 99%

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

et al. 2020

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Introduction and aim Physiotherapy in urogynecology faces challenges to safely continuing its work, considering the adoption of social distancing measures during the COVID-19 pandemic. Some guidelines have already been published for urogynecology; however, no specific documents have been produced on physiotherapy in urogynecology. This article aimed to offer guidance regarding physiotherapy in urogynecology during the COVID-19 pandemic. Methods A group of experts in physiotherapy in women's health performed a literature search in the Pubmed, PEDro, Web of Science and Embase databases and proposed a clinical guideline for physiotherapy management of urogynecological disorders during the COVID-19 pandemic. This document was reviewed by other physiotherapists and a multidisciplinary panel, which analyzed the suggested topics and reached consensus. The recommendations were grouped according to their similarities and allocated into categories. Results Four categories of recommendations (ethics and regulation issues, assessment of pelvic floor muscle function and dysfunction, health education and return to in-person care) were proposed. Telephysiotherapy and situations that need inperson care were also discussed. Regionalization is another topic that was considered. Conclusion This study provides some guidance for continuity of the physiotherapist's work in urogynecology during the COVID-19 pandemic, considering the World Health Organization recommendations and the epidemiological public health situation of each region. Telephysiotherapy can also be used to provide continuity of the care in this area during the COVID-19 pandemic, opening new perspectives for physiotherapy in urogynecology.

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Section: Resultsmentioning

confidence: 99%

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

et al. 2020

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“…Moreover, it is of paramount importance to promote strategies aiming at improving mental well-being of patients with chronic diseases. Such strategies would include measures to protect them against the COVID-19, educate them on the importance of communicating with their healthcare providers and adhering to treatments, in addition to developing strategies for telemedicine and remote consultation if the lockdown persists 60 . Speci c recommendations have already been developed in Lebanon for the geriatric population 46 and cancer patients [61][62][63] , even if their implementation could face obstacles due to the reluctance of patients to change 64 .…”

Section: Discussionmentioning

confidence: 99%

The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Mental Well-Being: A Cross-Sectional Study

Sacre¹,

Hajj

Badro

et al. 2020

Preprint

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Objective: To examine the outcomes of COVID-19 and a collapsing economy on mental well-being (MWB) of the general Lebanese population.Design/methods: This cross-sectional study enrolled 502 adults in May 2020.Results: MWB had a mean of 14.80. Female gender, university education, fear of COVID-19, fear of poverty, verbal violence at home, and chronic disease were associated with lower MWB. Better family satisfaction and financial situation were correlated with better MWB. Among workers/looking for a job: physical exercise was associated with better MWB, while previous waterpipe smoking, being self-employed before the crisis, working from home, closure of the institution, and worrying about long-term effects of the crisis on employment status were associated lower MWB. The fear of COVID-19 was not associated with MWB.Practical Implications: The Lebanese government should implement a reliable crisis management strategy that outlines stabilization and recovery measures to help people navigate through this period with minimal impact on mental, physical, and overall quality of life.

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“…5 Throughout history, epidemics and pandemics have had manifold and profound long-lasting impacts on mental health and quality of life (QOL). 6 Thus, COVID-19 is expected to affect the quality of life (QOL), de ned by the World Health Organization (WHO) as "an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns". 7 However, data on the impact of COVID-19 on the QOL remain scarce, and only a few reports evaluated it among special populations, such as patients with pelvic oor disorders, 6 Parkinson's disease, 8 in ammatory bowel disease, 9 or among general practitioners working with suspected or con rmed cases on the frontline of COVID-19.…”

Section: Introductionmentioning

confidence: 99%

The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Quality of Life: A Cross-Sectional Study

Sacre¹,

Hajj²,

Badro³

et al. 2020

Preprint

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BackgroundThis study aimed at examining the combined outcomes of the COVID-19 pandemic and a collapsing economy on the quality of life (QOL) of the general Lebanese population.MethodsA cross-sectional study was conducted from 10-18 May 2020, via an online-based questionnaire using the snowball sampling technique. It enrolled 502 adult participants.ResultsThe QOL had a mean of 14.80[14.37;15.24]. A lower QOL was associated with female gender (beta=-1.533[-2.324;-0.743]), university education (beta=-2.119[-3.353;-0.885]), fear of COVID-19 (beta=-0.131[-0.199;-0.063]), fear of poverty (beta=-0.232[-0.402;-0.063]), verbal violence at home (beta=-3.464[-5.137;-1.790]), and chronic disease (beta=-1.307[-2.283;-0.330]). Better family satisfaction (beta=0.380[0.235;0.525]) and better financial situation (beta=0.029[0.003;0.055]) were significantly correlated with better QOL. In the subsample of workers/looking for a job, additional factors affected QOL: physical exercise (beta=1.318[0.370;2.265]) was associated with better QOL, while previous waterpipe smoking, being self-employed before the crisis (beta=-1.22[-2.208;-0.231]), working from home since the economic crisis (-1.853[-3.692;-0.013]), closure of the institution (beta=-1.201[-2.607;0.204]), and worrying about long-term effects of the crisis on one's employment status (beta=-0.433[-0.650;-0.216]) were associated lower QOL; the fear of COVID-19 was not significantly associated with QOL (p>0.05).ConclusionThis study showed that during the pandemic, economic and other factors, directly or indirectly related to COVID-19, significantly affected quality of life. The fear of COVID-19 and fear of poverty mainly impacted the QOL of the general population; however, the fear of COVID-19 lost its significance among workers, who reported that factors negatively affecting their QOL are directly related to their employment and the already collapsing economy in Lebanon.

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When preserving life becomes imperative, quality of life is eclipsed! COVID-19 outbreak impacting patients with pelvic floor disorders undergoing pelvic floor rehabilitation

Cited by 9 publications

References 4 publications

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Mental Well-Being: A Cross-Sectional Study

The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Quality of Life: A Cross-Sectional Study

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When preserving life becomes imperative, quality of life is eclipsed! COVID-19 outbreak impacting patients with pelvic floor disorders undergoing pelvic floor rehabilitation

Cited by 9 publications

References 4 publications

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

A guide to physiotherapy in urogynecology for patient care during the COVID-19 pandemic

­­The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on&nbsp;Mental Well-Being: A Cross-Sectional Study

­­The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Quality of Life: A Cross-Sectional Study

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The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Mental Well-Being: A Cross-Sectional Study

The Combined Outcomes of the COVID-19 Pandemic and a Collapsing Economy on Quality of Life: A Cross-Sectional Study