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姑息治疗中的社会心理挑战:利用数字健康弥合差距

Psychosocial Challenges in Palliative Care: Bridging the Gaps Using Digital Health.

作者信息

Sultana Abida, Tasnim Samia, Sharma Rachit, Pawar Priyanka, Bhattcharya Sudip, Hossain Md Mahbub

机构信息

Department of Mental Health, EviSyn Health, Khulna, Bangladesh.

Department of Health Promotion and Community Health Sciences, Texas A&M University, Texas, United States.

出版信息

Indian J Palliat Care. 2021 Jul-Sep;27(3):442-447. doi: 10.25259/IJPC_381_20. Epub 2021 Sep 9.

Abstract

Psychosocial health is a major palliative care concern globally. Patients and caregivers engaged in palliative care may experience deteriorated mental and social health conditions. Global evidence informs a high burden of depression, anxiety, psychological distress and other mental health problems among the palliative care populations. Those challenges aggravate the preexisting palliative care issues, such as lack of access and suboptimal quality of care. Palliative caregiving, both in the institutional and community settings, should be strengthened, incorporating psychosocial support for the patients and their caregivers. The recent advancements in digital health technologies have shown promising impacts in facilitating health communication, decision-making and delivering psychosocial interventions using digital devices and platforms. Adopting evidence-based interventions can help the users to access mental health resources and communicate with each other to promote shared decision-making and management of health problems. Health-care organisations and systems may explore opportunities to advance psychosocial care using digital technologies. Leveraging advanced technologies in palliative caregiving may require multifaceted research exploring potential barriers and opportunities at the user, institutional and systems levels. Nonetheless, palliative care policies and health systems measures should be strengthened to develop and implement digital support systems that may improve psychosocial health and overall palliative care outcome.

摘要

心理社会健康是全球姑息治疗关注的一个主要问题。参与姑息治疗的患者和照护者可能会出现精神和社会健康状况恶化的情况。全球证据表明,姑息治疗人群中抑郁症、焦虑症、心理困扰和其他心理健康问题的负担很重。这些挑战加剧了现有的姑息治疗问题,如获得治疗的机会不足和护理质量欠佳。无论是在机构环境还是社区环境中,都应加强姑息照护,为患者及其照护者提供心理社会支持。数字健康技术的最新进展在促进健康沟通、决策以及使用数字设备和平台提供心理社会干预方面显示出了有前景的影响。采用循证干预措施可以帮助用户获取心理健康资源并相互交流,以促进共同决策和健康问题的管理。医疗保健组织和系统可以探索利用数字技术推进心理社会护理的机会。在姑息照护中利用先进技术可能需要多方面的研究,探索用户、机构和系统层面的潜在障碍和机会。尽管如此,应加强姑息治疗政策和卫生系统措施,以开发和实施可能改善心理社会健康和总体姑息治疗结果的数字支持系统。

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