Sue and Bill Gross School of Nursing, University of California Irvine, Irvine, California, USA.
School of Nursing and Health Studies, University of Miami, Coral Gables, Florida, USA.
J Adv Nurs. 2022 Nov;78(11):3618-3628. doi: 10.1111/jan.15426. Epub 2022 Aug 29.
This paper proposes a novel, trauma-informed, conceptual model of care for Post-Acute Sequelae of COVID-19 illness (PASC).
This paper describes essential elements, linkages and dimensions of the model that affect PASC patient experiences and the potential impact of trauma-informed care on outcomes.
PASC is a consequence of the global pandemic, and a new disease of which little is known. Our model was derived from the limited available studies, expert clinical experience specific to PASC survivors and publicly available social media narratives authored by PASC survivors.
The model provides a critical and novel framework for the understanding and care of persons affected by PASC. This model is aimed at the provision of nursing care, with the intention of reducing the traumatic impacts of the uncertain course of this disease, a lack of defined treatment options and difficulties in seeking care. The use of a trauma-informed care approach to PASC patients can enhance nurses' ability to remediate and ameliorate both the traumatic burden of and the symptoms and experience of the illness.
Applying a trauma-informed perspective to care of PASC patients can help to reduce the overall burden of this complex condition. Owing to the fundamentally holistic perspective of the nursing profession, nurses are best positioned to implement care that addresses multiple facets of the PASC experience.
The proposed model specifically addresses the myriad ways in which PASC may affect physical as well as mental and psychosocial dimensions of health. The model particularly seeks to suggest means of supporting patients who have already experienced a life-threatening illness and are now coping with its long-term impact. Since the scope of this impact is not yet defined, trauma-informed care for PASC patients is likely to reduce the overall health and systems burdens of this complex condition.
本文提出了一种新颖的、以创伤为中心的、针对 COVID-19 疾病后急性后遗症（PASC）的护理概念模型。
本文描述了模型的基本要素、联系和维度，这些要素和维度影响 PASC 患者的体验，以及创伤知情护理对结局的潜在影响。
PASC 是全球大流行的后果，是一种鲜为人知的新疾病。我们的模型源自有限的可用研究、针对 PASC 幸存者的特定临床专业经验以及 PASC 幸存者撰写的公开社交媒体叙述。
该模型为理解和护理受 PASC 影响的人群提供了一个关键而新颖的框架。该模型旨在提供护理，旨在减轻这种疾病不确定病程、缺乏明确治疗选择和寻求护理困难带来的创伤性影响。对 PASC 患者采用以创伤为中心的护理方法可以增强护士缓解和改善疾病的创伤负担以及症状和体验的能力。
将以创伤为中心的视角应用于 PASC 患者的护理可以帮助减轻这种复杂疾病的整体负担。由于护理专业的基本整体视角，护士最适合实施能够解决 PASC 体验多个方面的护理。
拟议的模型特别针对 PASC 可能影响身体健康以及心理和社会心理健康的诸多方式。该模型特别旨在为已经经历过危及生命的疾病且现在正在应对其长期影响的患者提供支持。由于这种影响的范围尚未确定，因此对 PASC 患者进行以创伤为中心的护理可能会减轻这种复杂疾病的整体健康和系统负担。
