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新冠疫情时代的临终问题

End-of-Life Issues in the Era of the COVID-19 Pandemic.

作者信息

Ghosh Deyashinee, Gupta Bhavna

机构信息

Department of Anesthesiology, All India Institute of Medical Sciences, Rishikesh, Uttarakhand, India.

出版信息

Hanguk Hosupisu Wanhwa Uiryo Hakhoe Chi. 2020 Sep 1;23(3):162-165. doi: 10.14475/kjhpc.2020.23.3.162.

Abstract

PURPOSE

The coronavirus disease 2019 (COVID-19) pandemic has brought the world to a standstill and has exposed the lack of preparedness of most nations' health care systems. Even in usual times, palliative care has not received its fair share of recognition as an important component of patient care; instead, the emphasis is often placed on aggressive patient management. Now, with the entire medical community and decision-making committees focussed on intensive patient care, end-of-life care has taken a backseat.

METHODS

This article is a brief communication.

RESULTS

COVID 19 infection has been shown to lead to greater mortality and morbidity in patients with pre-existing illnesses such as hypertension, diabetes, renal failure, and cancer. Patients typically in need of end-of-life care, such as those with late-stage cancer or heart failure, are therefore at a higher risk of both contracting COVID-19 and suffering a more severe disease course. The strict nationwide lockdowns being imposed in most countries have deterred patients from seeking medical attention or hospice care. Every day new research is coming to light regarding COVID 19. This has helped significantly in creating awareness and limiting the spread of disease. However, misinformation is also rampant, leading to discrimination and mistreatment of infected patients.

CONCLUSION

This pandemic has been a terrifying ordeal for all and has exposed our entire population physically, psychologically, emotionally, and financially to unimaginable stresses. In the present scenario, EOL care is as much a necessity as intensive care and should be given at least a fraction of its importance.

摘要

目的

2019年冠状病毒病(COVID-19)大流行使世界陷入停滞,并暴露了大多数国家医疗保健系统准备不足的问题。即使在平常时期,姑息治疗作为患者护理的重要组成部分也未得到应有的认可;相反,重点往往放在积极的患者管理上。如今,随着整个医学界和决策委员会都专注于重症患者护理,临终关怀已退居次位。

方法

本文是一篇简短的通讯。

结果

已证明COVID-19感染会导致患有高血压、糖尿病、肾衰竭和癌症等既往疾病的患者有更高的死亡率和发病率。因此,通常需要临终关怀的患者,如晚期癌症或心力衰竭患者,感染COVID-19以及病情更严重的风险更高。大多数国家实施的严格全国封锁阻碍了患者寻求医疗救治或临终关怀。关于COVID-19的新研究每天都在涌现。这在提高认识和限制疾病传播方面起到了很大帮助。然而,错误信息也很猖獗,导致对感染患者的歧视和虐待。

结论

这场大流行对所有人来说都是一场可怕的磨难,使我们全体民众在身体、心理、情感和经济上承受了难以想象的压力。在当前情况下,临终关怀与重症监护一样必要,至少应给予其一定的重视。

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