Division of Nursing Research and Education, City of Hope National Medical Center, Duarte, California, USA.
Health Services Research & Quality, HealthCare Chaplaincy Network, New York, New York, USA.
J Pain Symptom Manage. 2020 Sep;60(3):e7-e11. doi: 10.1016/j.jpainsymman.2020.06.034. Epub 2020 Jul 3.
The coronavirus disease 2019 (COVID-19) crisis has amplified the importance of palliative care to countless patients suffering with and dying from this disease, as well as to their families, communities, and the worldwide cadre of overburdened health care workers. Particularly urgent is the need for spiritual care specialists and generalists to address spiritual suffering given the degree of isolation, loneliness, and vulnerability caused by this pandemic. Although spiritual care has long been recognized as one of the domains of quality palliative care, it is often not fully integrated into practice. All disciplines are ultimately responsible for ensuring that spiritual care is prioritized to improve quality of life and the experience of patients and families facing spiritual emergencies amid the complex life-and-death scenarios inherent to coronavirus disease 2019. Although the pandemic has revealed serious fault lines in many health care domains, it has also underscored the need to recommit to spiritual care as an essential component of whole-person palliative care.
2019 年冠状病毒病(COVID-19)危机使姑息治疗对无数患有这种疾病和死于这种疾病的患者及其家属、社区以及全世界负担过重的医疗保健工作者变得更加重要。鉴于这种大流行病造成的隔离、孤独和脆弱程度,特别需要精神保健专家和通才来解决精神痛苦。尽管精神保健长期以来一直被认为是优质姑息治疗的领域之一,但它往往没有完全融入实践。所有学科最终都有责任确保将精神保健作为优先事项,以提高面临 2019 年冠状病毒病固有复杂生死场景的患者和家庭的生活质量和体验。虽然大流行揭示了许多医疗保健领域的严重缺陷,但它也强调了需要重新致力于将精神保健作为整体姑息治疗的一个重要组成部分。