Battley Jodie E, Balding Lucy, Gilligan Oonagh, O'Connell Catherine, O'Brien Tony
Department of Medical Oncology, Mercy University Hospital, Cork, Ireland.
BMJ Support Palliat Care. 2012 Jun;2(2):168-9. doi: 10.1136/bmjspcare-2012-000210. Epub 2012 Mar 31.
Effective communication is a prerequisite to the delivery of good palliative care. The increasing use of web-based technologies and social media challenges us to reassess traditional communication styles and to define appropriate applications of evolving technologies. The use of Skype, blogging and webcams by patients in our hospitals and hospices is increasing. As illustrated in this case, the availability of such technology enables patients and families to communicate across wide geographical boundaries. This has particular advantages in situations where family members cannot routinely attend at the hospital because of other commitments or distance. The authors report on the varying use of Skype video-telephony over the course of a cancer patient's illness from the initial treatment phase through to the final days and hours of life. The benefits and challenges of using such technologies in a hospital setting and particularly in end-of-life circumstances are discussed.
有效的沟通是提供优质姑息治疗的前提条件。基于网络的技术和社交媒体的日益普及，促使我们重新评估传统的沟通方式，并确定如何恰当地应用不断发展的技术。我们医院和临终关怀机构中的患者使用Skype、写博客和网络摄像头的情况越来越多。如本案例所示，此类技术的可用性使患者及其家人能够跨越广阔的地理区域进行交流。在家庭成员因其他事务或距离原因无法定期前往医院的情况下，这具有特别的优势。作者报告了一名癌症患者从初始治疗阶段到生命的最后几天和几个小时期间，Skype视频电话的使用情况变化。本文还讨论了在医院环境中，尤其是在临终情况下使用此类技术的益处和挑战。
