### What you need to know Long covid is a complex, highly variable, and sometimes relapsing-remitting condition that may have profound impacts on a patient’s wellbeing and ability to work.1 Many people living with long covid are attempting to return to work, or stay in work, while learning to manage an emerging long term condition.2 These challenges may be compounded by workplace burnout, fuelled by labour shortages, the psychological effects of the pandemic, widening inequalities, and global economic insecurity. For some people, disabling symptoms lead to complete inability to work.3 In less extreme cases, “work instability,” which is a mismatch between patients’ functional abilities and the demands of their work, can threaten employment if not addressed.45 This may manifest as difficulties in executive functioning and communication which adversely affect those in roles where they are expected to deliver at optimum performance in high pressure working environments. Numerically, however, the greatest impact is on patients from underserved communities who face the multiple jeopardy of physically demanding, inflexible, and insecure jobs where they encounter hostile scrutiny and punitive disciplinary procedures from supervisors. This scrutiny, combined with fewer employment rights—such as little or no entitlement to sick pay, working cash-in-hand, or being self-employed—creates additional stress and anxiety, often exacerbating their symptoms.6 They are also more likely to have comorbidities that are worsened by prolonged covid symptoms, further …

中文翻译：

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长期感染新冠病毒的人的工作和职业康复

### 您需要了解的内容 长期感染新冠病毒是一种复杂、高度可变、有时会复发缓解的疾病，可能会对患者的健康和工作能力产生深远影响。1 许多长期感染新冠病毒的人正在尝试重返工作岗位，或继续工作，同时学习管理新出现的长期状况。2这些挑战可能会因劳动力短缺、大流行的心理影响、不平等现象扩大和全球经济不安全而加剧的工作场所倦怠而加剧。对于某些人来说，残疾症状会导致完全无法工作。3 在不太极端的情况下，“工作不稳定”，即患者的功能能力与其工作要求之间的不匹配，如果不加以解决，可能会威胁就业。45 这可能会威胁到就业。表现为执行功能和沟通方面的困难，这对那些期望在高压工作环境中发挥最佳绩效的角色产生不利影响。然而，从数字上看，影响最大的是来自服务不足社区的患者，他们面临着体力要求高、缺乏灵活性和不稳定的工作的多重危险，他们会受到主管的敌意审查和惩罚性纪律程序。这种审查，再加上较少的就业权利（例如很少或根本没有病假工资、现金工作或自营职业），会造成额外的压力和焦虑，往往会加剧他们的症状。 6 他们也更有可能患有因长期新冠症状而恶化的合并症，进一步……