COVID-19: a heavy toll on health-care workers.
COVID-19: a heavy toll on health-care workers.
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DOI：
10.1016/s2213-2600(21)00068-0
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发表时间：
2021-03
期刊：
影响因子：
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通讯作者：
Herridge M
中科院分区：
文献类型：
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作者：
Mehta S;Machado F;Kwizera A;Papazian L;Moss M;Azoulay É;Herridge M
2019冠状病毒病大流行挑战了世界各地医院和重症监护病房的能力，在许多情况下甚至超出了这些能力。尽管身心疲惫、个人有感染风险、担心传染给家庭成员、朋友和同事生病或死亡，以及失去了许多病人，卫生保健工作者仍继续为病人提供护理。可悲的是，卫生保健工作者还面临着许多通常可以避免的额外压力和焦虑来源，长时间轮班加上前所未有的人口限制，包括个人隔离，影响了个人的应对能力。随着大流行的展开，许多卫生保健工作者前往新的工作地点，在不堪重负的设施中为患者提供护理；那些在不熟悉的临床领域志愿工作的人往往在技能和培训不足的情况下被投入大流行重症监护室。培训和监督这些志愿者的重担落在了已经压力很大的临床医生身上。在解决了最初的个人防护装备短缺问题后，医院的卫生专业人员长时间穿着笨重和不舒服的个人防护装备工作。他们努力跟上新出现的知识、机构和区域程序以及不断变化的个人防护装备建议，同时努力区分准确信息和错误信息。保健工作者必须采用新技术来履行病人护理和教育职责，包括提供远程医疗。
The COVID-19 pandemic has challenged and, in many cases, exceeded the capacity of hospitals and intensive care units (ICUs) worldwide. Health-care workers have continued to provide care for patients despite exhaustion, personal risk of infection, fear of transmission to family members, illness or death of friends and colleagues, and the loss of many patients. Sadly, health-care workers have also faced many additional—often avoidable—sources of stress and anxiety, and long shifts combined with unprecedented population restrictions, including personal isolation, have affected individuals' ability to cope.As the pandemic unfolded, many health-care workers travelled to new places of work to provide patient care in overwhelmed facilities; those who volunteered in unfamiliar clinical areas were often launched into the pandemic ICU setting with insufficient skills and training. The burden of training and supervising these volunteers fell on already stressed clinicians. Hospital-based health professionals worked long hours wearing cumbersome and uncomfortable personal protective equipment (PPE), after initial shortages of PPE had been addressed. They strived to keep up with emerging knowledge, institutional and regional procedures, and changing PPE recommendations, while trying to distinguish accurate information from misinformation. Health-care workers had to adopt new technologies to fulfil patient care and educational responsibilities, including the provision of telemedicine.