Mercadante Sebastiano, Adile Claudio, Ferrera Patrizia, Giuliana Fausto, Terruso Lidia, Piccione Tania
La Maddalena Cancer Center, Palermo, Italy.
La Maddalena Cancer Center, Palermo, Italy.
J Pain Symptom Manage. 2020 Aug;60(2):e79-e80. doi: 10.1016/j.jpainsymman.2020.04.025. Epub 2020 May 4.
After COVID-19 crisis in Italy, serious restrictions have been introduced for relatives, with limitations or prohibitions on hospital visits. To partially overcome these issues "WhatsApp" has been adopted to get family members to participate in clinical rounds. Family members of patients admitted to the acute palliative care unit and hospice were screened for a period of two weeks. Four formal questions were posed: 1) Are you happy to virtually attend the clinical round? 2) Are you happy with the information gained in this occasion? 3) Do you think that your loved one was happy to see you during the clinical rounds? 4) This technology may substitute your presence during the clinical rounds? The scores were 0 = no, 1 = a little bit, 2 = much, 3 = very much. Relatives were free to comment about these points. Sixteen of 25 screened family members were interviewed. Most family members had a good impression, providing scores of 2 or 3 for the first three items. However, the real presence bedside (forth question) was considered irreplaceable. They perceived that their loved one, when admitted to hospice, had to say good-bye before dying.
在意大利爆发新冠疫情危机后，对亲属实施了严格限制，限制或禁止其前往医院探视。为了部分解决这些问题，采用了“WhatsApp”让家庭成员参与临床查房。对入住急性姑息治疗病房和临终关怀病房患者的家属进行了为期两周的筛查。提出了四个正式问题：1）你愿意通过视频参加临床查房吗？2）你对在这次查房中获得的信息满意吗？3）你认为你所爱的人在临床查房期间见到你会开心吗？4）这项技术能替代你在临床查房时的在场吗？评分标准为：0 = 否，1 = 有点，2 = 很，3 = 非常。亲属可以自由对这些问题发表评论。在接受筛查的25名家庭成员中，有16人接受了访谈。大多数家庭成员印象良好，对前三个问题给出了2分或3分。然而，他们认为在床边实际陪伴（第四个问题）是不可替代的。他们觉得自己所爱的人在入住临终关怀病房时，必须在死前道别。
