Afolabi Oladayo A, Abboah-Offei Mary, Namisango Eve, Chukwusa Emeka, Oluyase Adejoke O, Luyirika Emmanuel B K, Harding Richard, Nkhoma Kennedy
Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK; Department of Nursing Science, University of Maiduguri, Maiduguri, Nigeria.
Cicely Saunders Institute of Palliative Care, Policy and Rehabilitation, Florence Nightingale Faculty of Nursing, Midwifery and Palliative Care, King's College London, London, UK.
J Pain Symptom Manage. 2021 May;61(5):e17-e23. doi: 10.1016/j.jpainsymman.2021.01.126. Epub 2021 Feb 19.
Palliative care should be a component of COVID-19 management to relieve suffering, improve patient outcomes and save cost.
We aimed to identify and critically appraise the palliative care recommendations within COVID-19 case management guidelines in African countries.
The study employed systematic guideline review design. All guidelines from any country in Africa, of any language, published between December 2019 and June 2020 were retrieved through online search and email to in-country key contacts. We conducted a content analysis of the palliative care recommendations within the guidelines and appraised the recommendations using African Palliative Care Association standards for providing quality palliative care.
We retrieved documents from 29 of 54 African countries. Fifteen documents from 15 countries were included in the final analysis, of which eight countries have identifiable PC recommendations in their COVID-19 management guidelines. Of these eight, only one country (South Sudan) provided comprehensive palliative care recommendations covering the domains of physical, psychological, social and spiritual wellbeing, two (Namibia and Uganda) addressed only physical and psychological wellbeing while the remaining five countries addressed only physical symptom management.
Comprehensive palliative care which addresses physical, psychological, social and spiritual concerns must be prioritized within case management guidelines in African countries.
姑息治疗应作为新冠疫情管理的一部分，以减轻痛苦、改善患者结局并节省成本。
我们旨在识别并严格评估非洲国家新冠病例管理指南中的姑息治疗建议。
本研究采用系统的指南审查设计。通过在线搜索和给国内关键联系人发送电子邮件，检索了2019年12月至2020年6月期间非洲任何国家以任何语言发布的所有指南。我们对指南中的姑息治疗建议进行了内容分析，并使用非洲姑息治疗协会提供优质姑息治疗的标准对这些建议进行了评估。
我们从54个非洲国家中的29个国家检索到了文件。最终分析纳入了来自15个国家的15份文件，其中8个国家在其新冠疫情管理指南中有可识别的姑息治疗建议。在这8个国家中，只有一个国家（南苏丹）提供了涵盖身体、心理、社会和精神健康领域的全面姑息治疗建议，两个国家（纳米比亚和乌干达）仅涉及身体和心理健康，其余五个国家仅涉及身体症状管理。
必须在非洲国家的病例管理指南中优先考虑解决身体、心理、社会和精神问题的全面姑息治疗。
