From the University of Toronto, Sunnybrook Health Sciences Centre, Toronto, Ontario, Canada.
Am J Phys Med Rehabil. 2020 Jun;99(6):470-474. doi: 10.1097/PHM.0000000000001443.
The current COVID-19 pandemic will place enormous pressure on healthcare systems around the world. Large numbers of people are predicted to become critically ill with acute respiratory distress syndrome and will require management in intensive care units. High levels of physical, cognitive, and psychosocial impairments can be anticipated. Rehabilitation providers will serve as an important link in the continuum of care, helping move patients on from acute sites to eventual discharge to the community. Likely impairment patterns, considerations for healthcare practitioner resilience, and organization of services to meet demand are discussed. Innovative approaches to care, such as virtual rehabilitation, are likely to become common in this environment.
当前的 COVID-19 大流行将给全球各地的医疗保健系统带来巨大压力。预计大量患者会出现急性呼吸窘迫综合征,需要在重症监护病房进行治疗。患者可能会出现严重的身体、认知和心理社会功能障碍。康复提供者将作为连续护理中的重要一环,帮助患者从急性治疗场所转移到最终出院到社区。文中讨论了可能出现的功能障碍模式、医疗从业者韧性的考虑因素以及为满足需求而组织服务的问题。在这种环境下,虚拟康复等创新的护理方法可能会变得很常见。