Mohan Midhun, Joy Lloyd F, Sivasankar Arun, Ali Shoukath, Meckattuparamban Biju Vareed
Department of Emergency Medicine, Kozhikode District Cooperative Hospital, Kozhikode, Kerala, India.
Department of Critical Care Medicine, Kozhikode District Cooperative Hospital, Kozhikode, Kerala, India.
Indian J Crit Care Med. 2021 Sep;25(9):1049-1050. doi: 10.5005/jp-journals-10071-23957.
Compassion has been one of the greatest virtues of healthcare professionals. In the early phase of the pandemic, a lot of caution was essential, and restrictions were imposed on the hospital visitation of the COVID-19 patients by their family members. The healthcare system was overburdened, and the healthcare workers were apprehensive about the new virus and the rising mortality. Compassion and family-centered care took a step back as survival of the pandemic became the ultimate goal of mankind. "COVID-19 patients admitted to the critical care units, their loved ones and the healthcare professionals caring for these patients took the brunt of the emotional and psychological impacts of the pandemic." However, as we have moved more than a year into the pandemic, knowledge and resources we gained may be leveraged to provide family-centered critical care for COVID-19 patients. Family presence in intensive care units (ICUs) has been associated with higher satisfaction with care, collaboration with the medical team, shared decision-making, reduced delirium, and optimized end-of-life care of COVID-19 patients. The policymakers should review the restrictions, consider a holistic approach, and take appropriate actions to provide safe family-centered critical care for COVID-19 patients.
Mohan M, Joy LF, Sivasankar A, Ali S, Meckattuparamban BV. "Compassion Cannot Choose:" A Call for Family-centered Critical Care during the COVID-19 Pandemic. Indian J Crit Care Med 2021;25(9):1049-1050.
同情心一直是医护人员最伟大的美德之一。在疫情早期,大量的谨慎措施至关重要,新冠患者的家属被限制前往医院探视。医疗系统不堪重负,医护人员对这种新型病毒和不断上升的死亡率感到担忧。随着战胜疫情成为人类的最终目标,同情心和以家庭为中心的护理退居其次。“入住重症监护病房的新冠患者、他们的亲人以及照顾这些患者的医护人员首当其冲受到了疫情带来的情感和心理影响。” 然而,在疫情已经过去一年多之后,我们所获得的知识和资源可以用来为新冠患者提供以家庭为中心的重症护理。重症监护病房(ICU)允许家属陪伴与对护理的更高满意度、与医疗团队的协作、共同决策、减少谵妄以及优化新冠患者的临终护理相关。政策制定者应该重新审视这些限制措施,考虑采取整体方法,并采取适当行动,为新冠患者提供安全的以家庭为中心的重症护理。
莫汉·M、乔伊·LF、西瓦桑卡尔·A、阿里·S、梅卡图帕兰班·BV。《“同情心无法选择”:呼吁在新冠疫情期间提供以家庭为中心的重症护理》。《印度重症监护医学杂志》2021年;25(9):1049 - 1050。