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大流行中的康复反应。

Rehabilitation Response in Pandemics.

机构信息

From the Department of Rehabilitation Medicine and Australian Rehabilitation Research Centre, Royal Melbourne Hospital; and Department of Medicine (Royal Melbourne Hospital), The University of Melbourne, Parkville, Victoria, Australia.

出版信息

Am J Phys Med Rehabil. 2020 Aug;99(8):663-668. doi: 10.1097/PHM.0000000000001477.

Abstract

The World Health Organization declared a pandemic due to the serious health risk posed by coronavirus disease (COVID-19). The number of infected cases is on the rise globally with escalating human, economic, and societal costs. Survivors of COVID-19 may experience a range of clinical, functional, and psychological impairments, resulting in disabilities. Many are amenable to rehabilitation intervention. The current focus of COVID-19 management is on public health measures and acute management. As patients transfer to subacute care or discharged to the community, rehabilitation services need to have a number of organizational and operational models in place to provide safe and effective care for patients and health professionals.There is need for global action by professional organizations in developing a structured rehabilitation approach for international response to disasters, including pandemics. This report proposes development of a "Rehabilitation Response Plan" to enable the International Society of Physical and Rehabilitation Medicine, to provide crucial leadership and governance role in liaison and coordination with the World Health Organization (and other stakeholders), to provide rehabilitation input during current and future pandemics. The key considerations include following categories: governance, coordination, communication, evaluation, and care continuum. These will strengthen rehabilitation, assist in the effective delivery of services, and provide advocacy and an international coordinated perspective.

摘要

世界卫生组织宣布冠状病毒病 (COVID-19) 构成严重健康风险,引发大流行。全球感染病例数量不断增加,造成人类、经济和社会成本不断上升。COVID-19 的幸存者可能会出现一系列临床、功能和心理障碍,导致残疾。许多人可以通过康复干预来改善。目前,COVID-19 管理的重点是公共卫生措施和急性管理。随着患者转入亚急性护理或出院到社区,康复服务需要建立多种组织和运营模式,为患者和卫生专业人员提供安全有效的护理。专业组织需要采取全球行动,为包括大流行在内的灾害制定结构化的康复应对方法。本报告提议制定“康复应对计划”,使国际物理医学与康复医学学会能够在世卫组织(和其他利益攸关方)联络和协调方面发挥重要领导和治理作用,在当前和未来的大流行期间提供康复投入。主要考虑因素包括以下类别:治理、协调、沟通、评估和护理连续性。这些将加强康复服务,协助有效提供服务,并提供宣传和国际协调视角。

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