Yuko Sugimoto, Mitsuru Chiba, Hideaki Andoh
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摘要

目的:自2020年新型冠状病毒病(COVID-19)暴发以来,为预防感染,住院患者与家属的接触受到严格限制。2023年5月,新冠肺炎被日本厚生劳动省列为5类传染病。虽然部分地区的限制已逐步解除,但在撰写本报告时,我院尚未全部解除探视限制。可以理解,在这种情况下,由于缺乏家人、朋友或伴侣的支持,患者会经历精神痛苦。虽然已采用远程访问作为面对面访问的替代方法,但其有效性仍不清楚。在本研究中,我们报告了三个案例,其中我们检查了通过电子设备远程访问对无法接受亲自访问的患者的影响。患者:在2022年4月至2023年3月转诊至我院姑息治疗团队的住院患者中,有3名因无法见家人而产生心理困扰,要求远程就诊的患者被纳入本研究。结果:远程访视后,所有患者的心理困扰程度均有所降低。然而,癌症相关疼痛(2例)和术后伤口疼痛(1例)在严重程度上没有显著差异。在一名患者中,焦虑是在远程访问后引起的。这是由于患者意识到他们与家人的隔离。结论:对于家属因各种原因无法亲临就诊的患者,远程就诊有助于缓解心理困扰。由于远程访问在某些情况下会引起不良情绪反应,因此监测远程访问期间和之后的精神状态是必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Investigating the impact of remote visits on patients in hospitals with restricted visiting conditions.

Objective: Following the novel coronavirus disease 2019 (COVID-19) outbreak that began in 2020, contact between hospitalized patients and their families was significantly restricted to prevent infection. In May 2023, COVID-19 was classified as a Class 5 infectious disease by the Japanese Ministry of Health, Labour and Welfare. Although restrictions have gradually been lifted in some areas, at the time of writing this report, our hospital has not lifted all visit restrictions. Understandably, patients in this situation experience mental distress due to a lack of support from family, friends, or partners. Although remote visits have been introduced as an alternative to in-person visits, their effectiveness remains unclear. In this study, we report three cases in which we examine the impact of remote visits via electronic devices on patients who were unable to receive in-person visits.

Patients: Among the inpatients referred to our hospital's palliative care team from April 2022 to March 2023, three who requested remote visits due to psychological distress caused by the inability to see their families were enrolled in this study.

Results: The degree of psychological distress in all cases reduced after conducting remote visits. However, cancer-related pain (in two patients) and postoperative wound pain (in one patient) showed no significant differences in severity. In one patient, anxiety was evoked following a remote visit. This was attributed to the patient's realization of their isolation from their family.

Conclusion: For patients whose family members are unable to conduct in-person visits due to visit restrictions for various reasons, remote visits may help alleviate psychological distress. Since remote visits can cause adverse emotional reactions in some cases, monitoring the mental status during and after remote visits is necessary.

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