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在 COVID-19 大流行期间传递坏消息:文献系统综述。

Breaking Bad News During the COVID-19 Pandemic: A Systematic Review of the Literature.

机构信息

Department of Public Health Policy School of Public Health University of West Attica, Athens, Greece;

Third Department of Medical Oncology, Agii Anargiri Cancer Hospital, Kifissia, Greece.

出版信息

Anticancer Res. 2023 Feb;43(2):773-779. doi: 10.21873/anticanres.16217.

DOI:10.21873/anticanres.16217
PMID:36697067
Abstract

The aim of the present review was to extend research by reviewing international research regarding the communication between oncologists and oncology patients and the communication of bad news to oncology patients during the COVID-19 pandemic. Following the PRISMA guidelines a review of the literature was performed by searching PubMed, Scopus, and EMBASE bibliographic databases from inception to October 10, 2022. The search was limited to articles written in English. Two reviewers independently completed title and abstract, full-text screening, and data extraction. A total of five studies were deemed eligible for this systematic review. A narrative synthesis was undertaken. Of these five articles, three referred to the communication of bad news to patients by medical oncologists during the COVID-19 pandemic, whereas the remaining two referred to the transmission of bad news to patients by surgeons during the pandemic. The COVID-19 pandemic and the social distancing measures imposed caused radical changes in the forms of communication in medical environments. The challenges faced by the oncologist in breaking bad news to cancer patients are highlighted in this systematic review, and the need for physician preparation prior to communication with the patient is emphasized. Overall, new studies are needed on the effects of distance communication on both health professionals and patients. New studies are also needed that would explore the perceptions of physicians and patients in Greece.

摘要

本综述的目的是通过回顾国际上关于在 COVID-19 大流行期间肿瘤学家与肿瘤患者之间的沟通以及向肿瘤患者传达坏消息的研究,来扩展研究。根据 PRISMA 指南,通过搜索 PubMed、Scopus 和 EMBASE 书目数据库,从成立到 2022 年 10 月 10 日进行了文献回顾。搜索仅限于用英文撰写的文章。两名评审员独立完成了标题和摘要、全文筛选和数据提取。共有五项研究被认为符合本系统综述的标准。进行了叙述性综合。在这五篇文章中,有三篇文章提到了在 COVID-19 大流行期间医学肿瘤学家向患者传达坏消息的问题,而其余两篇文章则提到了在大流行期间外科医生向患者传达坏消息的问题。COVID-19 大流行和实施的社交距离措施导致医疗环境中的沟通形式发生了根本性变化。本系统综述强调了肿瘤学家在向癌症患者传达坏消息时所面临的挑战,并强调了医生在与患者沟通之前进行准备的必要性。总体而言,需要进行新的研究来探讨远程沟通对卫生专业人员和患者的影响。还需要进行新的研究来探索希腊医生和患者的看法。

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