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为患有严重新型冠状病毒肺炎的癌症患者提供姑息治疗:不确定性带来的挑战

Palliative care for cancer patients with severe COVID-19: the challenge of uncertainty.

作者信息

Cheng Hon Wai Benjamin

机构信息

Medical Palliative Care Team, Department of Medicine & Geriatrics, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong.

Medical Palliative Medicine (MPM) Team, Department of Medicine & Geriatrics, R8B Rehabilitation Block, Tuen Mun Hospital, Tuen Mun, New Territories, Hong Kong SAR, China.

出版信息

Support Care Cancer. 2021 Mar;29(3):1153-1155. doi: 10.1007/s00520-020-05809-y. Epub 2020 Oct 1.

Abstract

Cases of coronavirus disease 2019 (COVID-19) are escalating rapidly across the globe, with the mortality risk being especially high among those with existing illness and multi-morbidity. The immunosuppressed status of some cancer patients increases their risk of infection compared with the general population, and cancer treatment within 2 weeks of COVID-19 diagnosis was reported as a risk factor for developing severe events. Palliative care workers have an essential role in the response to COVID-19 by responding rapidly and flexibly; ensuring protocols for symptom management are available, considering redeploying staffs and volunteers to provide psychosocial and bereavement care and using technology to communicate with patients and carers.

摘要

2019年冠状病毒病(COVID-19)病例在全球范围内迅速增加,在患有基础疾病和多种疾病的人群中,死亡风险尤其高。与普通人群相比,一些癌症患者的免疫抑制状态增加了他们的感染风险,并且据报道,在COVID-19诊断后2周内进行癌症治疗是发生严重事件的一个风险因素。姑息治疗工作者在应对COVID-19中发挥着至关重要的作用,包括迅速灵活地做出反应;确保有症状管理方案;考虑重新部署工作人员和志愿者以提供心理社会和丧亲护理,并利用技术与患者及护理人员进行沟通。

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