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应对2019年冠状病毒病时代的姑息治疗培训需求:印度南部喀拉拉邦为低收入和中等收入国家开发及传播培训资源与指南的背景和过程

Responding to Palliative Care Training Needs in the Coronavirus Disease 2019 Era: The Context and Process of Developing and Disseminating Training Resources and Guidance for Low- and Middle-Income Countries from Kerala, South India.

作者信息

Daniel Sunitha, Venkateswaran Chitra, Sunder Poornima, Nair Shoba, Chittazhathu Rajashree K, Manuel Athul Joseph, Raghavan Biju, Kumar M M Sunil, Rijju Vineetha, Vijay Geetha, Rao Seema, Prabhu Anupama V, Parameswaran Uma, Spruijt Odette, Rajagopal M R, Leng Mhoira

机构信息

Department of Pain and Palliative Care, General Hospital Ernakulam, Kerala India.

Wolfson Palliative Care Research Centre, University of Hull, Hull, UK.

出版信息

Indian J Palliat Care. 2020 Jun;26(Suppl 1):S8-S16. doi: 10.4103/IJPC.IJPC_131_20. Epub 2020 Jun 30.

Abstract

BACKGROUND

Palliative care has an important role to play in the global coronavirus disease 2019 (COVID-19) pandemic. It is integrated and is a key component in the governmental and community structures and services in Kerala, in India. Palliative care in the state has grown to be a viable model recognized in global palliative care and public health scene. The community network of palliative care, especially the volunteers linking with clinical teams, is a strong force for advocacy, relief support including provision of emergency medications, and clinical care.

OBJECTIVE

To develop a palliative care resource tool kit for holistic care of patients affected with COVID-19 and to support the health-care workers looking after them to enable palliative care integration with COVID-I9 management.

METHODS

The Kerala State government included senior palliative care advisors in the COVID-19 task force and 22 palliative care professionals formed a virtual task force named Palli COVID Kerala as an immediate response to develop recommendations. Results: Developed a palliative care in COVID-19 resource toolkit which includes an e-book with palliative care recommendations, online training opportunities, short webinars and voice over power point presentations.

CONCLUSION

Integrated Palliative care should be an essential part of any response to a humanitarian crisis. The e resource tool kit can be adapted for use in other low- and middle-income countries.

摘要

背景

姑息治疗在全球2019年冠状病毒病(COVID-19)大流行中发挥着重要作用。在印度喀拉拉邦的政府和社区结构及服务中,姑息治疗是一个综合且关键的组成部分。该邦的姑息治疗已发展成为全球姑息治疗和公共卫生领域认可的可行模式。姑息治疗的社区网络,尤其是与临床团队相联系的志愿者,是倡导、提供包括急救药物在内的救济支持以及临床护理的强大力量。

目的

开发一个用于全面护理COVID-19患者的姑息治疗资源工具包,并支持照顾这些患者的医护人员,以使姑息治疗与COVID-19管理相结合。

方法

喀拉拉邦政府将资深姑息治疗顾问纳入COVID-19特别工作组,22名姑息治疗专业人员组成了一个名为“喀拉拉邦姑息治疗应对COVID”的虚拟特别工作组,作为立即做出的回应以制定建议。结果:开发了一个COVID-19姑息治疗资源工具包,其中包括一本带有姑息治疗建议的电子书、在线培训机会、简短的网络研讨会以及语音旁白的幻灯片演示文稿。

结论

综合姑息治疗应成为应对人道主义危机的任何举措的重要组成部分。该电子资源工具包可适用于其他低收入和中等收入国家。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/dd8f/7534997/e2d64fbc888e/IJPC-26-8-g001.jpg

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