Asthma and Allergy Wellness Center, St Charles, Ill.
University of Rochester Division of Allergy, Immunology and Rheumatology, Rochester, NY.
J Allergy Clin Immunol Pract. 2020 Jun;8(6):1781-1790.e3. doi: 10.1016/j.jaip.2020.04.001. Epub 2020 Apr 4.
The global spread of coronavirus disease 2019 (COVID-19) has caused sudden and dramatic societal changes. The allergy/immunology community has quickly responded by mobilizing practice adjustments and embracing new paradigms of care to protect patients and staff from severe acute respiratory syndrome coronavirus 2 exposure. Social distancing is key to slowing contagion but adds to complexity of care and increases isolation and anxiety. Uncertainty exists across a new COVID-19 reality, and clinician well-being may be an underappreciated priority. Wellness incorporates mental, physical, and spiritual health to protect against burnout, which impairs both coping and caregiving abilities. Understanding the stressors that COVID-19 is placing on clinicians can assist in recognizing what is needed to return to a point of wellness. Clinicians can leverage easily accessible tools, including the Strength-Focused and Meaning-Oriented Approach to Resilience and Transformation approach, wellness apps, mindfulness, and gratitude. Realizing early warning signs of anxiety, depression, substance abuse, and posttraumatic stress disorder is important to access safe and confidential resources. Implementing wellness strategies can improve flexibility, resilience, and outlook. Historical parallels demonstrate that perseverance is as inevitable as pandemics and that we need not navigate this unprecedented time alone.
2019 年冠状病毒病(COVID-19)在全球范围内的传播导致了社会的突然和巨大变化。过敏/免疫学领域迅速做出反应,调整实践并采用新的护理模式,以保护患者和工作人员免受严重急性呼吸系统综合征冠状病毒 2 的暴露。保持社交距离是减缓传染病传播的关键,但增加了护理的复杂性,并增加了隔离和焦虑。在 COVID-19 的新现实中存在不确定性,临床医生的健康可能是一个未被充分重视的优先事项。健康包括心理健康、身体健康和精神健康,以防止倦怠,倦怠会损害应对能力和护理能力。了解 COVID-19 给临床医生带来的压力因素有助于认识到恢复健康所需的条件。临床医生可以利用容易获得的工具,包括以力量为重点和以意义为导向的韧性和转化方法、健康应用程序、正念和感恩。早期发现焦虑、抑郁、药物滥用和创伤后应激障碍的预警信号很重要,以便获得安全和保密的资源。实施健康策略可以提高灵活性、韧性和前景。历史上的相似之处表明,毅力是不可避免的,就像大流行病一样,我们不需要独自应对这个前所未有的时期。