Department of Respiratory Medicine, The Alfred Hospital, Prahran, Victoria, Australia.
Department of Allergy, Immunology and Respiratory Medicine, Central Clinical School, The Alfred Hospital, Monash University, Melbourne, Victoria, Australia.
Respirology. 2022 Jun;27(6):411-426. doi: 10.1111/resp.14208. Epub 2022 Jan 19.
The severe acute respiratory syndrome coronavirus (SARS-CoV-2) disease or COVID-19 pandemic is associated with more than 230 million cases and has challenged healthcare systems globally. Many healthcare workers (HCWs) have acquired the infection, often through their workplace, with a significant number dying. The epidemiology of COVID-19 infection in HCWs continues to be explored, with manifold exposure risks identified, leading to COVID-19 being recognised as an occupational disease for HCWs. The physical illness due to COVID-19 in HCWs is similar to the general population, with some HCWs experiencing a long-term illness, which may impact their ability to return to work. HCWs have also been affected by the immense workplace and psychosocial disruption caused by the pandemic. The impacts on the psychological well-being of HCWs globally have been profound, with high prevalence estimates for mental health symptoms, including emotional exhaustion. Globally, governments, healthcare organisations and employers have key responsibilities, including: to be better prepared for crises with comprehensive disaster response management plans, and to protect and preserve the health workforce from the physical and psychological impacts of the pandemic. While prioritising HCWs in vaccine rollouts globally has been critical, managing exposures and outbreaks occurring in healthcare settings remains challenging and continues to lead to substantial disruption to the health workforce. Safeguarding healthcare workforces during crises is critical as we move forward on the new path of 'COVID normal'.
严重急性呼吸综合征冠状病毒(SARS-CoV-2)疾病或 COVID-19 大流行与超过 2.3 亿例病例有关,并对全球的医疗保健系统构成挑战。许多医护人员(HCWs)感染了这种病毒,通常是在工作场所感染的,其中许多人死亡。COVID-19 感染在 HCWs 中的流行病学仍在探索中,已确定了多种暴露风险,导致 COVID-19 被确认为 HCWs 的职业病。由于 COVID-19,HCWs 所患的躯体疾病与一般人群相似,一些 HCWs 患有长期疾病,这可能会影响他们重返工作岗位的能力。HCWs 还受到大流行造成的巨大工作场所和社会心理干扰的影响。COVID-19 对全球 HCWs 心理健康的影响是深远的,心理健康症状的流行率估计很高,包括情绪疲惫。在全球范围内,政府、医疗保健组织和雇主承担着关键责任,包括:制定全面的灾害应对管理计划,为应对危机做好更好的准备,并保护和维护卫生工作者的健康,使其免受大流行对身体和心理的影响。虽然在全球范围内优先为 HCWs 接种疫苗至关重要,但管理医疗保健环境中发生的暴露和疫情仍然具有挑战性,并继续对卫生工作者造成严重干扰。在危机期间保护医疗保健工作者至关重要,因为我们将在“COVID 新常态”的新道路上前进。