We provide care in new ways:
The tele-exercise protocol is designed specifically for discharged COVID-19 patients to alleviate symptoms of dyspnea, improve functional capacity, relieve mental health problems, and improve health-related quality of life. It is an innovative approach to delivering supervised and interactive group exercise to the patients to avoid contact exposure and reduce cross-infection risk. It can also reduce the healthcare burden and costs from both healthcare providers and patients. Previous studies have shown that this approach is as effective as conventional face-to-face interventions. Furthermore, it can also enhance the reach and engagement of the rehabilitation process.
The tele-exercise protocol consists of the following components over 12 weeks:
- A total of 36 core exercise sessions (40-60 minutes per session and three sessions per week), which are streamed via digital devices and allow live interaction between instructors and patients in real-time online. Each session includes aerobic training, resistance training, and inspiratory muscle training (IMT), with exercise intensity and duration progressively increasing over the 12 weeks;
- Additional IMT sessions (5-8 minutes per session), which are performed by patients at home without supervision to a suggested frequency of twice per day;
- A total of 12 educational sessions (30 minutes per session and one session per week), which are delivered online to improve motivation, self-regulation, and habit-formation relating to exercise. Contents of the educational sessions are developed mainly based on social psychological theories of intentional behavior and motivation and effective behavioral change techniques.
Chinese herbal medicine
Chinese herbal medicine targeting gut microbiome to promote immune homeostasis, boosting immune function, and aiding recovery from COVID-19.
- Chinese herbal medicines targeting gut microbiome dysbiosis have also been reported to improve immune function, facilitating patients’ recovery. We choose Modified BaiHe Gu Jin Tang based on the syndrome differentiation which shows that the pulmonary fibrosis of post-COVID 19 appears as Qi-Ying Deficiency of the Lung. Besides, a previous study has shown that many herbs using this formula and Salviae Miltiorrhizae Radix ET Rhizoma has anti-fibrosis effects.
- The Chinese herbal formula of Modified BaiHe Gu Jin Tang (including Rehmanniae Radix 10g, Rehmanniae Redix Praeparata 10g, Ophiopogonis Radix 10g, Lilii Bulbus 15g, Paeoniae Radix Alba 10g, Angelicae Sinensis Radix 10g, Fritillariae Thunbergii Bulbus 5g, Glycyrrhizae Radix Et Rhizoma 10g, Platycodonis Radix 15g, Salviae Miltiorrhizae Radix ET Rhizoma 15g) will be prescribed in granules.
- A dose of 10g a day (5g, b.i.d) will be ingested. Patients will dissolve a sachet of granules (5.0g) in 200ml of hot water, twice a day after breakfast and dinner, seven days a week for three months.