Zhang Chencheng, Zhang Jing, Qiu Xian, Zhang Yingying, Lin Zhengyu, Huang Peng, Pan Yixin, Storch Eric A, Sun Bomin, Li Dianyou
Department of Neurosurgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Center for Functional Neurosurgery, Ruijin Hospital, School of Medicine, Shanghai Jiao Tong University, Shanghai, China.
Front Hum Neurosci. 2021 Apr 1;15:628105. doi: 10.3389/fnhum.2021.628105. eCollection 2021.
Public health guidelines have recommended that elective medical procedures, including deep brain stimulation (DBS) surgery for Parkinson's disease (PD), should not be scheduled during the coronavirus (COVID-19) pandemic to prevent further virus spread and overload on health care systems. However, delaying DBS surgery for PD may not be in the best interest of individual patients and is not called for in regions where virus spread is under control and inpatient facilities are not overloaded.
We administered a newly developed phone questionnaire to 20 consecutive patients with PD who received DBS surgery in Ruijin Hospital in Shanghai during the COVID-19 pandemic. The questionnaire was designed to gather the patients' experiences and perceptions on the impact of COVID-19 on their everyday activities and access to medical care.
Most of the patients felt confident about the preventive measures taken by the government and hospitals, and they have changed their daily living activities accordingly. Moreover, a large majority of patients felt confident obtaining access to regular and COVID-19-related health care services if needed. Routine clinical referral, sense of security in the hospital during the outbreak, and poor control of PD symptoms were the three main reasons given by patients for seeking DBS surgery during the COVID-19 pandemic.
The COVID-19 pandemic has considerably impacted medical care and patients' lives but elective procedures, such as DBS surgery for PD, do not need to be rescheduled when the health care system is not overloaded and adequate public health regulations are in place.
公共卫生指南建议，包括帕金森病（PD）的脑深部电刺激（DBS）手术在内的择期医疗程序，不应在冠状病毒病（COVID-19）大流行期间安排，以防止病毒进一步传播和医疗系统不堪重负。然而，推迟PD的DBS手术可能不符合个别患者的最佳利益，在病毒传播得到控制且住院设施未过载的地区也没有必要这样做。
我们对20名在COVID-19大流行期间于上海瑞金医院接受DBS手术的连续PD患者进行了一项新开发的电话问卷调查。该问卷旨在收集患者对COVID-19对其日常活动和医疗服务获取影响的经历和看法。
大多数患者对政府和医院采取 的预防措施有信心，并相应地改变了他们的日常生活活动。此外，绝大多数患者感到如果需要，能够放心地获得常规和与COVID-19相关的医疗服务。常规临床转诊、疫情期间在医院的安全感以及PD症状控制不佳是患者在COVID-19大流行期间寻求DBS手术的三个主要原因。
COVID-19大流行对医疗服务和患者生活产生了重大影响，但在医疗系统未过载且有适当公共卫生规定的情况下，诸如PD的DBS手术等择期手术无需重新安排时间。
