Rossi Ferrario Silvia, Panzeri Anna, Cerutti Paola, Sacco Daniela
Psychology and Neuropsychology Unit, Institute of Veruno, Istituti Clinici Scientifici Maugeri IRCCS, Veruno, Italy.
Department of General Psychology, University of Padova, Padova, Italy.
Neuropsychiatr Dis Treat. 2021 Feb 11;17:413-422. doi: 10.2147/NDT.S283558. eCollection 2021.
COVID-19 patients faced first-hand the life-threatening consequences of the disease, oftentimes involving prolonged hospitalization in isolation from family and friends. This study aimed at describing the psychological intervention to address the psychological difficulties and issues encountered by the hospitalized post-acute COVID-19 patients in a rehabilitation setting.
Patients' demographics, medical diagnosis, and neuro-psychological information were collected from March 2 to May 12, 2020. The main psychological issues and intervention strategies were collected.
A total of 181 patients were hospitalized during this period. Among them, the 47.5% underwent psychological assessment (N=86; age: 74.58±13.39; 54.7% females). The most common psychological issues were acute stress disorders (18.6%), anxious and demoralization symptoms (26.7%), depression (10.5%%), and troublesome grief (8.1%). Once recovered from COVID-19, many patients were discharged home (38.4%), some received further rehabilitation in non-COVID-19 wards (41.9%), mostly due to pre-existent diseases (72.2%) rather than to COVID-19 complications (27.8%).
A great number of the hospitalized post-acute COVID-19 patients showed psychological issues requiring psychological intervention, the most common were anxiety, demoralization, acute stress, depression, and grief. The proposed psychological treatment for hospitalized COVID-19 patients was conducted in a Cognitive Behavioral framework. In particular, during the COVID-19 pandemic, psychological intervention is an important part of rehabilitation in the post-acute phase of the illness to reduce distress symptoms and improve psychological health.
新冠病毒病（COVID-19）患者亲身面临该疾病危及生命的后果，通常需要长时间住院，与家人和朋友隔离。本研究旨在描述一种心理干预措施，以解决康复环境中急性感染后COVID-19住院患者所遇到的心理困难和问题。
收集2020年3月2日至5月12日期间患者的人口统计学资料、医学诊断和神经心理学信息。收集主要心理问题及干预策略。
在此期间共有181名患者住院。其中，47.5%的患者接受了心理评估（N = 86；年龄：74.58±13.39；女性占54.7%）。最常见的心理问题是急性应激障碍（18.6%）、焦虑和士气低落症状（26.7%）、抑郁（10.5%）和麻烦悲伤（8.1%）。从COVID-19康复后，许多患者出院回家（38.4%），一些患者在非COVID-19病房接受进一步康复治疗（41.9%），主要是由于既往疾病（72.2%）而非COVID-19并发症（27.8%）。
大量急性感染后COVID-19住院患者存在需要心理干预的心理问题，最常见的是焦虑、士气低落、急性应激、抑郁和悲伤。针对住院COVID-19患者提出的心理治疗是在认知行为框架内进行的。特别是在COVID-19大流行期间，心理干预是疾病急性期后康复的重要组成部分，以减轻痛苦症状并改善心理健康。
