长期COVID - 我们可以否认诊断而不否认一个人的现实吗?
John Little1, Matthew Higgins1, Radhika Palepu1
1Te Whatu Ora Health New Zealand, Wellington, New Zealand.
概括
长期COVID与其他残疾状况有着共同的历史模式,其特点是各种症状和不明原因. 认识到这些相似之处对于及时的患者护理和干预至关重要.
科学领域:
- 医学人文学科 医学人文学科
- 流行病学 流行病学
- 临床医学 临床医学
背景情况:
- 长期COVID带来了一个复杂的临床挑战,带有各种症状.
- 长期COVID的潜在病理生理学仍然不完全理解.
- 历史分析揭示了对残疾健康现象的反应中反复出现的模式.
研究的目的:
- 将长期COVID重新定义,而不是作为一种新型疾病,而是作为一个反复出现的历史模式的表现.
- 分析长期COVID和过去的残疾状况之间的共同点.
主要方法:
- 医学文献和患者账户的比较历史分析.
- 综述流行病学数据和与长期COVID和类似历史疾病相关的临床案例研究.
主要成果:
- 在历史上残疾现象中观察到一个多态症状学,难以捉摸的病理生理学和社会防御性的三位一体.
- 这些元素在当前对长期COVID的理解和管理中也很明显.
结论:
- 通过历史镜头观察长期COVID,突出了其非小说性质作为一种致残现象.
- 症状的历史三位一体,不清楚的原因,以及对接受的抵抗,可能会阻碍迅速的医疗干预和有效的长期COVID患者护理.
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