Mobile Phone App-Based or Face-to-Face Pulmonary Rehabilitation in COVID-19 Survivors

• Published in: Iranian journal of nursing and midwifery research 2023-11, Vol.28 (6), p.699-706
• Main Authors: Atashi, Vajihe, Hashemi, Marzieh, Haghighat, Shila, Sadegh, Raheleh, Sami, Ramin, Bahadori, Mobina
• Format: Article
• Language: English
• Subjects: activities of daily living; Anxiety; Care and treatment; Cellular telephones; COVID-19; depression; Depression, Mental; Mental depression; Original; Patient compliance; Quality of life; rehabilitation; smartphone; Survivor
• ISSN: 1735-9066; 2228-5504
• DOI: 10.4103/ijnmr.ijnmr_337_22

Pulmonary Rehabilitation (PR) is recommended as a standard, effective, and important treatment for COVID-19 survivors who remain symptomatic after the acute phase. Therefore, we aimed to compare the effect of mobile phone-based PR application with face-to-face PR on the quality of life, anxiety, depression, and daily life activities of COVID-19 survivors. A quasi-experimental was conducted on 65 COVID-19 survivors during 2022. Convenient sampling was done based on the inclusion criteria. The intervention group ( = 31) received PR through a mobile phone application, and the control group ( = 34) received face-to-face PR. Data were collected before and after the intervention in both groups using a demographic information questionnaire, SF-12, the hospital anxiety and depression scale, and Barthel scale. For all tests, a maximum error of 5% was considered. The two studied groups had no statistically significant difference with respect to all the investigated variables at baseline ( > 0.05). After the intervention, the mean anxiety and depression score of the patients in the control group was significantly lower than the intervention group ( = -3.46, = 63, = 0.01). After our intervention, there was no statistically significant difference in the mean quality of life and daily life activity scores between the two groups ( = -0.68, = 63, > 0.05). The application of PR does not show a statistically significant difference in terms of improving the quality of life and daily activities compared with the face-to-face method; we suggest that the PR application be used as a cost-effective method when face-to-face PR is not possible.