McDonald Grace, Clark Louise L
Teaching Fellow, Department of Adult Nursing, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London.
Programme Leader-MSc Mental Health Nursing, Department of Mental Health Nursing, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London.
Br J Community Nurs. 2020 Nov 2;25(11):526-530. doi: 10.12968/bjcn.2020.25.11.526.
The pandemic caused by Covid-19 has long term ramifications for many, especially those patients who have experienced an intensive care unit (ICU) admission including ventilation and sedation. This paper will explore aspects of care delivery in the ICU regarding the current pandemic and the impact of such on the mental health of some of these patients. Post discharge, patients will be returning to a very different community incorporating social distancing, and in some cases, social isolation and/or shielding. Many may experience a multitude of physical and mental health complications which can ultimately impact upon each other, therefore a bio-psycho-pharmaco-social approach to discharge, case management, risk assessment and positive behavioural support planning is recommended.
由新冠病毒(Covid-19)引发的大流行对许多人产生了长期影响,尤其是那些曾入住重症监护病房(ICU)并接受通气和镇静治疗的患者。本文将探讨当前大流行背景下ICU的护理提供方面,以及这对其中一些患者心理健康的影响。出院后,患者将回到一个截然不同的社区,社区实行社交距离措施,在某些情况下,还存在社会隔离和/或防护措施。许多患者可能会经历多种身心健康并发症,而这些并发症最终可能会相互影响,因此建议采用生物-心理-药物-社会方法进行出院指导、病例管理、风险评估和积极的行为支持规划。