在COVID-19危急疾病后的结果和管理
Leigh Cagino1, Katharine Seagly2, Emily Noyes2
1Division of Pulmonary and Critical Care, Department of Internal Medicine, University of Michigan, Ann Arbor, MI.
Chest
|December 17, 2023
概括
由于COVID-19的严重疾病导致长期的身体,认知和心理社会问题. 建议采用生物心理社会生态模型来对这些幸存者进行全面的护理.
科学领域:
- 关键护理医学 关键护理医学
- 传染性疾病 传染性疾病
- 公共卫生 公共卫生
背景情况:
- 自2019年以来,COVID-19在全球造成了数百万人的死亡.
- 与COVID-19相关的严重疾病持续存在,让幸存者有后果.
- 幸存者面临SARS-CoV-2和危急疾病 (重症监护综合征) 的长期影响.
研究的目的:
- 探索COVID-19危急疾病的复杂性和异质性.
- 提出一种评估和治疗危急COVID-19幸存者的模型.
- 在幸存者护理中整合身体,认知,心理,社会和环境因素.
主要方法:
- 关于COVID-19危急疾病结果的现有文献的审查.
- 生物心理社会生态模型框架的应用.
- 分析物理,认知,心理和社会环境领域之间的相互作用.
主要成果:
- 长期的疾病包括身体 (例如,ICU获得的弱点,呼吸系统症状),认知和心理社会影响 (例如,PTSD,焦虑,抑郁症).
- 风险因素是多因素的,包括先前存在的条件,疾病过程,住院治疗,心理相关疾病和社会环境因素.
- 恢复轨迹是不确定的,需要全面,跨学科和个性化的护理.
结论:
- 尽管疫苗和治疗方法导致死亡率下降,但COVID-19重症病幸存者的数量仍然很高.
- 建议采用生物心理社会生态方法来指导这些幸存者的护理.
- 该模型有助于全面理解和管理COVID-19后的严重疾病后果.
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