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Psychological Considerations in the Intersection of Infectious Disease with Critical Care Medicine 传染病与重症医学交叉的心理学考量
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0008
J. Highfield, M. Morgan, P. Twose
This chapter discusses the intersection between infectious disease and critical care and how it has impacted the delivery of critical care medicine as well as the ability to provide rehabilitation and psychological intervention. It also considers the psychological implications for critical care staff, relationships at work and team dynamics, and the requirements for staff support. Specific issues encountered during worldwide pandemics are also reviewed, along with implications for future practice. The family of coronavirus illnesses are highlighted, including Middle East respiratory syndrome, severe acute respiratory syndrome, and coronavirus, which causes coronavirus disease (COVID-19). Similarities and differences between practices in the United Kingdom and United States are also discussed.
本章讨论了传染病和重症监护之间的交集,以及它如何影响重症监护医学的提供,以及提供康复和心理干预的能力。它还考虑了对重症监护人员的心理影响,工作关系和团队动态,以及对工作人员支持的要求。还审查了在全球大流行病期间遇到的具体问题,以及对未来实践的影响。重点介绍了冠状病毒家族疾病,包括中东呼吸综合征、严重急性呼吸综合征和导致冠状病毒病(COVID-19)的冠状病毒。本文还讨论了英国和美国实践的异同。
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引用次数: 0
Introduction to Critical Care Psychology and Rehabilitation 重症监护心理学与康复导论
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0001
K. Stucky, Jennifer E. Jutte
This chapter provides an introduction to critical care psychology and rehabilitation for professionals who are interested in, or who are already providing services in, intensive care environments. The concept of postintensive care syndrome (PICS) and postintensive care syndrome in family members (PICS-F) is introduced and foundational arguments are made to emphasize the benefits of integrating rehabilitative and psychological principles into the continuum of critical care practice for all stakeholders—patients, families, caregivers, staff, institutions, and society at large. Relevant literature is briefly summarized while referring the reader to other chapters in the book that explore specific topics in greater depth.
本章为那些对重症监护环境感兴趣或已经在重症监护环境中提供服务的专业人员提供了重症监护心理学和康复的介绍。介绍了重症监护后综合征(PICS)和家庭成员重症监护后综合征(PICS- f)的概念,并提出了基本论点,以强调将康复和心理学原理整合到所有利益相关者-患者,家庭,护理人员,工作人员,机构和整个社会的重症监护实践的连续性的好处。相关文献简要总结,同时向读者介绍书中更深入探讨特定主题的其他章节。
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引用次数: 0
Family and Psychosocial Considerations in Critical Care 重症监护中的家庭和社会心理因素
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0012
M. G. Herrer, J. Davidson, G. H. La Calle
This chapter discusses the expanding movement to humanize critical care and intensive care settings. An international perspective is provided with regard to how patients, families, and professionals, along with health care managers and authorities, can redesign health care systems to overcome the obstacles of dehumanization in hospitals and health centers, with social interest at the core. The authors maintain that caring for all parties, including the family, that coexist in the health care system is critical to building an excellent and effective service.
本章讨论了不断扩大的运动,以人性化的重症监护和重症监护设置。提供了一个关于患者、家庭和专业人员以及卫生保健管理人员和当局如何重新设计卫生保健系统以克服医院和卫生中心的非人性化障碍的国际视角,以社会利益为核心。作者认为,照顾医疗保健系统中共存的各方,包括家庭,对于建立优质有效的服务至关重要。
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引用次数: 0
Unique Considerations for Psychologists Working in Pediatric Critical Care 心理学家在儿科重症护理工作的独特考虑
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0009
Crystal L. Cederna-Meko, S. Dennis, R. Ellens
This chapter reviews the roles of pediatric psychologists in critical care settings. Assessment and intervention strategies are discussed while also highlighting the importance of interdisciplinary collaboration. Relevant literature is reviewed while also providing practical information regarding psychology practice in these complex settings. The authors summarize adverse psychiatric sequelae and risk factors during and after the critical care admission. The consultation and liaison roles of psychologists, including assessment and intervention, health promotion, interprofessional team support, and familial support through biopsychosocial and developmental frameworks, make a case for the value they bring to critical care teams. The chapter also reviews the key knowledge, skills, and attributes necessary for psychologists to function effectively within pediatric critical care settings.
本章回顾了儿科心理学家在重症监护环境中的作用。评估和干预策略进行了讨论,同时也强调了跨学科合作的重要性。相关文献进行了回顾,同时也提供了实用的信息,有关心理学实践在这些复杂的设置。作者总结了重症监护期间和之后的不良精神后遗症和危险因素。心理学家的咨询和联络作用,包括评估和干预、健康促进、跨专业团队支持以及通过生物心理社会和发展框架提供的家庭支持,证明了他们为重症监护团队带来的价值。本章还回顾了关键知识,技能和必要的属性,心理学家在儿科重症监护设置有效地发挥作用。
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引用次数: 0
Neurocognitive Disorders 神经认知障碍
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0006
R. Hopkins, K. Stucky
This chapter discusses the prevalence, characteristics, risk factors, assessment, management, and short- and long-term neurologic outcomes for survivors of critical illness and critically ill survivors of COVID-19 including neurocognitive disorders with an emphasis on the role of delirium. The psychologist’s role in caring for survivors of critical illness is discussed along with coverage of integrative concepts that require collaboration between members of the interdisciplinary team. Interventions to improve outcomes are reviewed, including environmental management, tracking mental status, pharmacologic intervention, family intervention, and support and rehabilitation interventions are also reviewed. The chapter also discusses future goals and research to improve outcomes following critical illness.
本章讨论了COVID-19危重疾病幸存者和危重疾病幸存者的患病率、特征、危险因素、评估、管理以及短期和长期神经系统预后,包括神经认知障碍,重点是谵妄的作用。讨论了心理学家在照顾危重疾病幸存者中的作用,以及需要跨学科团队成员之间合作的综合概念。本文回顾了改善结果的干预措施,包括环境管理、跟踪精神状态、药物干预、家庭干预以及支持和康复干预。本章还讨论了未来的目标和研究,以改善危重疾病后的结果。
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引用次数: 2
Contributions to Critical Care from Psychological Science and Practice 心理科学与实践对重症监护的贡献
Pub Date : 2021-11-18 DOI: 10.1093/oso/9780190077013.003.0004
N. Merbitz, J. Fleishman, Hannah Kamsky, Stephanie A. Sundborg, Jamie L Tingey, N. Ciccolella, A. Warren
In this chapter we highlight findings and practices from Psychology that can be applied to mitigate the impact of critical illness and the ICU environment on patients, families and staff. The substantial accumulating evidence for detrimental health effects of traumatic stress is highly relevant for the care of patients on the ICU, who are potentially traumatized by the experience and who may bring a history of trauma with them. The fields of trauma psychology and rehabilitation psychology share foundational principles to guide patient-centered and systemic changes to ICU care, and these principles guided our selection and presentation of material. Our discussion of how to implement these principles within a healthcare system is informed by selected findings from social, organizational and behavioral psychology, which also are summarized.
在本章中,我们重点介绍了心理学的研究结果和实践,这些发现和实践可以用于减轻危重疾病和ICU环境对患者,家属和工作人员的影响。大量累积的证据表明创伤应激对健康有害,这与ICU患者的护理高度相关,这些患者可能因创伤经历而受到创伤,并可能带来创伤史。创伤心理学和康复心理学领域共享指导以患者为中心和系统改变ICU护理的基本原则,这些原则指导我们选择和呈现材料。我们对如何在医疗保健系统中实施这些原则的讨论是根据社会、组织和行为心理学的一些研究结果进行的,这些研究结果也进行了总结。
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引用次数: 0
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Critical Care Psychology and Rehabilitation
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