[Lifestyle factors and medical activity of patients with COVID-19 treated on an outpatient basis using telemedicine technologies].

Autor: Tyazhelnikov AA; Consultative and Diagnostic Polyclinic No. 121 of the Department of Healthcare of the City of Moscow, Moscow, 117042, Russia.; Pirogov Russian National Research Medical University, Moscow, 117997, Russia., Kostenko EV; Pirogov Russian National Research Medical University, Moscow, 117997, Russia, ekostenko58@mail.ru.; Moscow Scientific and Practical Center for Medical Rehabilitation, Rehabilitation and Sports Medicine of the Department of Healthcare of the City of Moscow, Moscow, 105120, Russia., Pogonin AV; Pirogov Russian National Research Medical University, Moscow, 117997, Russia.; City Clinical Hospital named after S. I. Spasokukotsky Department of Health of the city of Moscow, Moscow, 127206, Russia., Kamynina NN; Research Institute for Healthcare Organization and Medical Management of Moscow Healthcare Department, 115088, Russia.
Jazyk: ruština
Zdroj: Problemy sotsial'noi gigieny, zdravookhraneniia i istorii meditsiny [Probl Sotsialnoi Gig Zdravookhranenniiai Istor Med] 2021 Aug; Vol. 29 (Special Issue), pp. 1298-1303.
DOI: 10.32687/0869-866X-2021-29-s2-1298-1303
Abstrakt: The aim of the study was to study the factorial conditionality of the state of health and the features of medical activity (MA) of patients with COVID-19 who were treated on an outpatient basis using telemedicine technologies.
Material and Methods: The study of lifestyle factors (LS) and MA was conducted by an anonymous survey of 7,743 patients with COVID-19. The patients' health was assessed based on the study of the course of the underlying disease and the presence of concomitant diseases, which were detected in 24.3% of COVID-19 patients according to the data of copying information from medical records.
Results: It was revealed that the prevalence of tobacco smoking was 33.25 cases per 100 respondents, 45.4% of respondents were overweight, 75.6% of patients had a low level of physical activity, 68.2% and 53.8% of patients had low medical literacy and MA, respectively. It is established that the greatest impact on the health status of the patients interviewed was provided by the bio-social activity (Smoking) (h = 0.702; m = 0.0063; p = 0.0022), physical activity (h = 0.624; m = 0.0026; p < 0.001, health behavior (h = 0.527; m = 0.0030; p < 0.001) and health literacy (h = 0.532; m = 0.0028; p < 0.001).
Conclusion: The studied risk factors affecting the health status of COVID-19 patients, most of which are manageable, should be taken into account when forming therapeutic and preventive measures.
Databáze: MEDLINE