COVID-19大流行期间远程临终关怀使用情况综述

Jonah Abordo, April Casabona, Geraldine Resonable, Roison Andro Narvaez
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引用次数: 0

摘要

背景:2019冠状病毒病大流行扰乱了传统的临终关怀,促使人们使用远程临终关怀来远程提供临终服务,同时保持护理的质量和连续性。目的:本综合综述探讨了COVID-19大流行期间远程临终关怀的可行性、有效性和挑战,重点关注患者结局和护理人员体验。方法:采用综合评价方法分析2020年1月至2023年6月期间发表的12项同行评议研究。研究结果:远程临终关怀提高了农村和服务不足地区获得护理的机会,实现了及时的症状管理,并加强了跨学科合作。家庭报告说,沟通、情感支持和决策参与都有所改善。然而,人们经常注意到远程临终关怀面临的挑战,如互联网接入有限、数字素养差距和难以复制面对面护理的亲密感。结论:远程安宁疗护是一种可行且可接受的临终关怀模式。对基础设施、培训和公平准入的持续投资对长期一体化至关重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A review of telehospice use during the COVID-19 pandemic.

Background: The COVID-19 pandemic disrupted traditional hospice care, prompting the use of telehospice to deliver end-of-life services remotely while maintaining quality and continuity of care.

Aim: This integrative review examines the feasibility, effectiveness and challenges of telehospice during the COVID-19 pandemic, with a focus on patient outcomes and caregiver experiences.

Method: An integrative review approach was used to analyse 12 peer-reviewed studies published between January 2020 and June 2023.

Findings: Telehospice enhanced access to care in rural and underserved areas, enabled timely symptom management and strengthened interdisciplinary collaboration. Families reported improved communication, emotional support and involvement in decision-making. However, challenges to telehospice care such as limited internet access, digital literacy gaps and difficulties replicating the intimacy of in-person care were frequently noted.

Conclusion: Telehospice is a feasible and acceptable model for end-of-life care. Ongoing investment in infrastructure, training and equitable access is essential for long-term integration.

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