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在印度尼西亚为重症新冠患者提供姑息治疗的重要性。

The importance of providing palliative care for patients with severe COVID-19 in Indonesia.

作者信息

Effendy Christantie, Kristanti Martina Sinta

机构信息

Department of Medical Surgical Nursing, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.

Lotus Care, Wound and Palliative Homecare Center, Private Clinic, Yogyakarta, Indonesia.

出版信息

Belitung Nurs J. 2021 Oct 28;7(5):438-442. doi: 10.33546/bnj.1466. eCollection 2021.

DOI:10.33546/bnj.1466
PMID:37496509
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10367976/
Abstract

Patients with Coronavirus Disease 2019 (COVID-19), particularly those with a severe condition, might not survive. Pandemic situation challenges the healthcare providers in addressing palliative care to the patients. This paper aimed to describe the importance of providing palliative care for patients with severe COVID-19 in Indonesia. We used a case scenario to illustrate the common condition experienced by a patient with severe COVID-19. Health care providers in Indonesia could address palliative care for patients with COVID-19 by focusing on controlling the symptoms, avoiding futile intervention, and connecting the patients and their families. Nurses need to consider the patients' needs for family supports, even though not in physical or psychosocial support, and help the patients who need end-of-life care to be dying with dignity. Communication technology must be utilized optimally by healthcare providers to realize the communication among the patients, families, and health workers.

摘要

2019年冠状病毒病(COVID-19)患者,尤其是重症患者,可能无法存活。大流行的形势给医疗服务提供者在为患者提供姑息治疗方面带来了挑战。本文旨在描述在印度尼西亚为重症COVID-19患者提供姑息治疗的重要性。我们用一个病例场景来说明重症COVID-19患者所经历的常见情况。印度尼西亚的医疗服务提供者可以通过关注控制症状、避免无效干预以及将患者与其家人联系起来,为COVID-19患者提供姑息治疗。护士需要考虑患者对家庭支持的需求,即使不是身体或心理社会方面的支持,并帮助那些需要临终关怀的患者有尊严地离世。医疗服务提供者必须最佳地利用通信技术,以实现患者、家属和医护人员之间的沟通。

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本文引用的文献

1
Common ethical dilemmas of family caregivers of palliative patients in Indonesia.印度尼西亚姑息治疗患者家庭照顾者常见的伦理困境。
Belitung Nurs J. 2021 Jun 28;7(3):246-250. doi: 10.33546/bnj.1457. eCollection 2021.
2
Opportunities to improve COVID-19 provider communication resources: A systematic review.改善 COVID-19 医护人员沟通资源的机会:系统评价。
Patient Educ Couns. 2021 Mar;104(3):438-451. doi: 10.1016/j.pec.2020.12.031. Epub 2021 Jan 9.
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COVID-19-Related Mental Health Effects in the Workplace: A Narrative Review.工作场所与 COVID-19 相关的心理健康影响:叙事性综述。
Int J Environ Res Public Health. 2020 Oct 27;17(21):7857. doi: 10.3390/ijerph17217857.
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Palliative care for patients with severe covid-19.为重症新型冠状病毒肺炎患者提供的姑息治疗。
BMJ. 2020 Jul 14;370:m2710. doi: 10.1136/bmj.m2710.
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Integration of palliative care into COVID-19 pandemic planning.将姑息治疗纳入 COVID-19 大流行规划。
BMJ Support Palliat Care. 2021 Mar;11(1):40-44. doi: 10.1136/bmjspcare-2020-002364. Epub 2020 Jun 11.
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Risk and resilience in family well-being during the COVID-19 pandemic.新冠疫情期间家庭福祉的风险和韧性。
Am Psychol. 2020 Jul-Aug;75(5):631-643. doi: 10.1037/amp0000660. Epub 2020 May 21.
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The key role of palliative care in response to the COVID-19 tsunami of suffering.姑息治疗在应对新冠疫情苦难海啸中的关键作用。
Lancet. 2020 May 9;395(10235):1467-1469. doi: 10.1016/S0140-6736(20)30964-8. Epub 2020 Apr 22.
9
Palliative care strategies offer guidance to clinicians and comfort for COVID-19 patient and families.姑息治疗策略为临床医生提供指导,并为新冠肺炎患者及其家属带来慰藉。
Heart Lung. 2020 May-Jun;49(3):227-228. doi: 10.1016/j.hrtlng.2020.04.001. Epub 2020 Apr 4.
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Not Dying Alone - Modern Compassionate Care in the Covid-19 Pandemic.不再独自离世——新冠疫情下的现代关怀护理
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