Alexandra Barley Elizabeth, Coghlan Beverly
Professor of Mental Health Sciences and Nursing, School of Health Sciences, University of Surrey.
Registered Nurse, Specialist Trauma Therapist/Acceptance and Commitment Therapist, Actworks Limited.
Br J Nurs. 2020 Nov 26;29(21):1272-1276. doi: 10.12968/bjon.2020.29.21.1272.
COVID-19 is a new disease. Most research into the disease has focused on prevention of viral spread and treatment, but little is known about how patients recover. Nurses, whether in hospital, the community or in primary care, have a key role in supporting recovery from COVID-19. In this article, direct evidence from studies of COVID-19, and indirect evidence from studies of infections caused by other coronaviruses (eg SARS, MERS) and of the ICU experience are explored to identify the potential course of recovery and areas where nurses can help. Most people will have an uncomplicated recovery. However, it appears that a more complicated recovery is likely to be associated with severe disease. A minority, possibly those needing hospitalisation, and/or with pre-existing physical or psychological comorbidities, may experience long-term physical effects, fatigue and mental health difficulties. The support that nurses, as part of a multidisciplinary team, can provide to facilitate recovery is discussed.
新冠病毒病是一种新型疾病。对该疾病的大多数研究都集中在预防病毒传播和治疗方面,但对于患者如何康复却知之甚少。护士,无论是在医院、社区还是初级保健机构,在支持新冠病毒病康复方面都起着关键作用。在本文中,我们探讨了新冠病毒病研究的直接证据,以及其他冠状病毒(如非典、中东呼吸综合征)引起的感染研究和重症监护室经验的间接证据,以确定潜在的康复过程以及护士可以提供帮助的领域。大多数人将顺利康复。然而,似乎更复杂的康复可能与严重疾病有关。少数人,可能是那些需要住院治疗和/或有既往身体或心理合并症的人,可能会经历长期身体影响、疲劳和心理健康问题。本文还讨论了护士作为多学科团队的一员可以提供的促进康复的支持。