COVID-19康復者的呼吸功能障礙與心理後遺症

Respiratory Dysfunction and Psychological Sequelae in COVID-19 Survivors

COVID-19疫情已在全球造成數以百萬計的感染案例，儘管許多患者已康復，仍有部分個體長期面臨生理與心理層面的後遺症。其中，呼吸功能障礙為「長新冠」（Long COVID）最常見且持續性的症狀之一，並與焦慮、憂鬱及創傷後壓力症候群（PTSD）等心理困擾密切相關。
本篇敘述性綜論旨在探討COVID-19康復者呼吸功能障礙與心理健康之間的交互關係，整合現有流行病學證據與病理機轉，分析對生活品質與心理復原力的影響。文中以臺灣「COVID-19染疫康復者門住診整合醫療計畫」為政策實踐案例，並提出臨床整合照護建議，包括呼吸復健、心理介入及遠距照護策略，以促進身心整合與長期復原。
本研究期望能為臨床照護與衛生政策制定提供實證基礎，協助康復者重建生活功能並順利回歸社會。

The COVID-19 pandemic has affected millions worldwide. Although many patients have recovered, a considerable proportion continue to experience long-term physical and psychological sequelae. Among these, respiratory dysfunction remains one of the most common and persistent symptoms of long COVID, closely associated with anxiety, depression, and post-traumatic stress disorder (PTSD).
This narrative review explores the interrelationship between respiratory dysfunction and psychological health among COVID-19 survivors. It integrates current epidemiological findings and pathophysiological mechanisms, analyzing their impacts on quality of life and psychological resilience. Taiwan's“Integrated Outpatient and Inpatient Care Program for Post COVID-19 Rehabilitation＂is presented as a case example of policy implementation. The review proposes comprehensive clinical strategies—including pulmonary rehabilitation, psychological intervention, and telehealth approaches—to promote holistic and sustained recovery.
This study provides an evidence-based foundation for clinical practice and healthcare policy, supporting COVID-19 survivors in restoring daily functioning and reintegration into society.