Health Protection Research Unit, The Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK.
Great Ormond Street Hospital for Children, London, London, UK.
BMJ Mil Health. 2021 Apr;167(2):107-109. doi: 10.1136/bmjmilitary-2020-001624. Epub 2020 Oct 29.
The COVID-19 pandemic has extracted an enormous physical health toll on many millions worldwide, and the wider societal impact from economic turmoil, unemployment, social isolation and so forth continue to be measured. A less explored aspect has been the psychological impact on treating healthcare staff, with emerging evidence of 'moral injury' and mental illness for some. This review explores the evidence base for implementing a tiered model of care to minimise this and foster 'post-traumatic growth', and describes the authors' implementation of this in the London Nightingale hospital, with lessons for the armed forces.
新冠疫情大流行给全世界数百万人带来了巨大的身体健康损失,而经济动荡、失业、社会隔离等造成的更广泛的社会影响仍在评估中。一个探讨较少的方面是其对医护人员的心理影响,一些医护人员出现了“道德创伤”和精神疾病的迹象。本文回顾了实施分层护理模式的证据基础,以尽量减少这种情况并促进“创伤后成长”,并描述了作者在伦敦南丁格尔医院实施这一模式的情况,为军队提供了经验教训。