COVID-Related Family Separation and Trauma in the Intensive Care Unit
COVID-Related Family Separation and Trauma in the Intensive Care Unit
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DOI：
10.1037/tra0000839
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发表时间：
2020-08-01
影响因子：
6.3
通讯作者：
Kuhl, Emily A.
中科院分区：
文献类型：
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作者：
Montauk, Tracy R.;Kuhl, Emily A.
由于严格但必要的感染控制规定，COVID-19 大流行越来越多地导致家人与入住重症监护病房 (ICU) 的亲人分离。即使在正常情况下。 ICU 家庭经常经历严重的心理功能障碍，包括创伤后应激障碍和其他与创伤相关的反应，尤其是在生命的最后阶段。随着越来越多的家庭被禁止进入重症监护室，新冠病毒大流行可能会加剧这些反应。因此，ICU 家属在充分了解亲人的复杂医疗需求（从而能够代表他们做出明智的护理决定）方面面临着额外的障碍；与护士和 ICU 治疗团队的其他成员建立融洽的关系；并且，如果亲人去世，则实现了结。 ICU 医疗保健提供者可以采取措施来减轻这些结果，方法是注意 ICU 家庭目前面临的独特压力源，并相应地调整他们的沟通和行为。
Due to stringent but necessary infection control mandates, the COVID-19 pandemic is increasingly resulting in family separation from loved ones admitted to intensive care units (ICUs). Even in normal circumstances. ICU families frequently experience significant psychological dysfunction-including posttraumatic stress disorder and other trauma-related reactions, especially during the end of life period. The COVID pandemic likely will exacerbate these reactions as more and more families are being barred from the ICU. Consequently, ICU families are facing additional barriers in fully understanding the complex medical needs of their loved ones (and hence being able to make informed care decisions on their behalf); establishing rapport and bonding with nurses and other members of the ICU treatment team; and, in the event that a loved one passes, achieving closure. ICU health care providers can take steps to mitigate these outcomes by being mindful of the unique stressors ICU families are currently facing and tailoring their communication and behavior accordingly.