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新冠肺炎康复者的主流重新融入及其对非洲精神卫生保健的影响。

Mainstream reintegration of COVID-19 survivors and its implications for mental health care in Africa.

作者信息

Ameyaw Edward Kwabena, Hagan John Elvis, Ahinkorah Bright Opoku, Seidu Abdul-Aziz, Schack Thomas

机构信息

The Australian Centre for Public and Population Health Research, Faculty of Health, University of Technology Sydney, Sydney, Australia.

Department of Health, Physical Education and Recreation, University of Cape Coast, Cape Coast, Ghana.

出版信息

Pan Afr Med J. 2020 Aug 28;36:366. doi: 10.11604/pamj.2020.36.366.25115. eCollection 2020.

Abstract

The novel coronavirus pandemic has undoubtedly emerged as a serious public health threat in many societies across the world. Due to the sporadic and unpredictable nature of the pandemic, it is important to admit that the virus can cause psychological distress and emotional instability that might impact on people in diverse ways at the individual, community and national levels, with serious mental health implications (e.g. depression, mood disorders, obsessive-compulsive disorder, other anxiety disorders). Due to the weak healthcare challenges inherent in Africa, these mental health challenges require urgent redress to ensure mental health well-being for all, especially COVID-19-positive patients who have recovered (i.e. survivors). This essay outlines some of these challenges and offers strategies to address them. Broader mental health training for facility and community-based health workers are urgently required and should be coordinated within countries with specific guidelines for psychosocial support during outbreaks such as the current pandemic. A framework that promotes reintegration for COVID-19 survivors could also be designed based on context-specific needs through individualized protocols such as the "RAPID-Psychological First Aid [PFA]". This tool kit, if effectively employed, would help facilitate optimal well-being of the people devoid of any psychological challenges created by the pandemic.

摘要

新型冠状病毒疫情无疑已成为全球许多社会面临的严重公共卫生威胁。鉴于疫情具有散发性和不可预测性,必须承认该病毒会导致心理困扰和情绪不稳定,这可能在个人、社区和国家层面以多种方式影响人们,并对心理健康产生严重影响(如抑郁症、情绪障碍、强迫症、其他焦虑症)。由于非洲固有的医疗保健挑战薄弱,这些心理健康挑战需要紧急补救,以确保所有人的心理健康,尤其是已康复的新冠病毒阳性患者(即幸存者)。本文概述了其中一些挑战,并提供应对策略。迫切需要为机构和社区卫生工作者提供更广泛的心理健康培训,且应在各国范围内根据当前疫情等疫情期间心理社会支持的具体指南进行协调。还可以根据具体情况的需求,通过“快速心理急救[PFA]”等个性化方案设计一个促进新冠病毒幸存者重新融入社会的框架。如果有效使用这个工具包,将有助于促进人们的最佳健康状态,避免疫情造成的任何心理挑战。

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