Abstract

Despite the use of digital communication technologies in neurocognitive rehabilitation has been widely used in face-to-face interventions, the difficulties of using ICT-based tools to provide rehabilitation services and the unfamiliarity of the neuropsychologists with internet interventions limited the use of these kinds of interventions in their clinical practices. The lockdown and mitigating measures associated with the COVID-19 pandemic, on the other hand, forced the use of at-distance and online interventions as a means to mitigate the impact of those measures on the mental health and rehabilitation processes of people with neurological disorders. Overall, little is known about the perspectives of patients with acquired neurological conditions about rehabilitation services delivered at distance. Therefore, the main goal of this study was to explore the perceptions that patients with neurological disorders have on at-distance online neurocognitive rehabilitation, namely during the COVID-19 pandemic. Sixteen patients with acquired neurological conditions attending an online neurocognitive rehabilitation program in a Portuguese rehabilitation center filled in an online questionnaire during the mandatory lockdown. The results of this study highlight the potential of delivering rehabilitation services at distance, presenting its advantages and limitations from patients’ perspectives, as well as suggestions for improving both neurorehabilitation processes and the online rehabilitation platform used.

摘要

尽管在神经认知康复中使用数字通信技术已广泛用于面对面干预，但使用基于 ICT 的工具提供康复服务的困难以及神经心理学家对互联网干预的不熟悉限制了这些类型的使用干预他们的临床实践。另一方面，与 COVID-19 大流行相关的封锁和缓解措施迫使使用远程和在线干预措施来减轻这些措施对神经系统疾病患者的心理健康和康复过程的影响. 总体而言，对于获得性神经系统疾病患者对远程康复服务的看法知之甚少。所以，本研究的主要目的是探讨神经系统疾病患者对远程在线神经认知康复的看法，即在 COVID-19 大流行期间。在葡萄牙一家康复中心参加在线神经认知康复计划的 16 名获得性神经系统疾病患者在强制封锁期间填写了在线问卷。本研究的结果突出了远程提供康复服务的潜力，从患者的角度展示了其优势和局限性，以及改进神经康复过程和所使用的在线康复平台的建议。在葡萄牙一家康复中心参加在线神经认知康复计划的 16 名获得性神经系统疾病患者在强制封锁期间填写了在线问卷。本研究的结果突出了远程提供康复服务的潜力，从患者的角度展示了其优势和局限性，以及改进神经康复过程和所使用的在线康复平台的建议。在葡萄牙一家康复中心参加在线神经认知康复计划的 16 名获得性神经系统疾病患者在强制封锁期间填写了在线问卷。本研究的结果突出了远程提供康复服务的潜力，从患者的角度展示了其优势和局限性，以及改进神经康复过程和所使用的在线康复平台的建议。