Kristine Anne Scordo is Professor Emeritus, Wright State University, Dayton, Ohio, and Acute Care Nurse Practitioner, Infectious Diseases, TriHealth,10506A Montgomery Rd, Cincinnati, OH 45242 (
Misty M. Richmond is Assistant Professor, Wright State University, Dayton, Ohio.
AACN Adv Crit Care. 2021 Jun 15;32(2):188-194. doi: 10.4037/aacnacc2021492.
As COVID-19 continues to spread, with the United States surpassing 29 million cases, health care workers are beginning to see patients who have been infected with SARS-CoV-2 return seeking treatment for its longer-term physical and mental effects. The term long-haulers is used to identify patients who have not fully recovered from the illness after weeks or months. Although the acute symptoms of COVID-19 have been widely described, the longer-term effects are less well known because of the relatively short history of the pandemic. Symptoms may be due to persistent chronic inflammation (eg, fatigue), sequelae of organ damage (eg, pulmonary fibrosis, chronic kidney disease), and hospitalization and social isolation (eg, muscle wasting, malnutrition). Health care providers are instrumental in developing a comprehensive plan for identifying and managing post-COVID-19 complications. This article addresses the possible etiology of postviral syndromes and describes reported symptoms and suggested management of post-COVID syndrome.
随着 COVID-19 的持续传播，美国的确诊病例已超过 2900 万，医护人员开始接诊那些已感染 SARS-CoV-2 并寻求治疗其长期身心影响的患者。“long-haulers”这一术语用于识别那些在数周或数月后仍未从疾病中完全康复的患者。尽管 COVID-19 的急性症状已被广泛描述，但由于大流行的历史相对较短，其长期影响知之甚少。症状可能是由于持续的慢性炎症（例如疲劳）、器官损伤的后遗症（例如肺纤维化、慢性肾脏病）以及住院和社会隔离（例如肌肉萎缩、营养不良）引起的。医疗保健提供者在制定全面的方案以确定和管理 COVID-19 后并发症方面发挥了重要作用。本文探讨了病毒性综合征的可能病因，并描述了报告的 COVID-19 后综合征的症状和建议的管理方法。
