Lopez-Campos José Luis, Calle Myriam, G Cosío Borja, González Villaescusa Cruz, García Rivero Juan Luis, Fernandez Villar Alberto, Soler Cataluña Juan Jose, Alcázar Bernardino
Unidad Médico-Quirúrgica de Enfermedades Respiratorias. Instituto de Biomedicina de Sevilla (IBiS). Hospital Universitario Virgen del Rocío/Universidad de Sevilla, Sevilla, España.
Centro de Investigación Biomédica en Red de Enfermedades Respiratorias (CIBERES). Instituto de Salud Carlos III, Madrid, España.
Open Respir Arch. 2020 Jul-Sep;2(3):179-185. doi: 10.1016/j.opresp.2020.05.009. Epub 2020 Aug 17.
The state of alarm declared by the Spanish government as the main measure for preventing contagion has involved a change in the clinical management of chronic patients. Although new communication technologies offer us many ways to establish direct but remote contact, the peculiarities of the COPD patient often mean that their healthcare is reduced to telephone calls. The challenge of caring for COPD patients is made even more complex when it has to be delivered over the phone. The interview must be conducted without examining the patient, without performing additional tests, and without checking their inhalation technique. Therefore, healthcare providers who conduct these interviews must be trained to perform them properly in order to make the right decisions. This document is aimed at healthcare professionals who need to provide some form of telephone care to COPD patients during the SARS-CoV-2 pandemic and is based on the authors' experience in telephone interviews conducted during this period. It summarizes essential aspects of how this interview should be approached, how to conduct it, what factors should be kept in mind, how to organize the interview, and how to keep patients informed. It is very likely that from now on this type of interview will be common practice in the care of our patients, so we need to learn how to structure a new model of healthcare for many of the clinical visits that have until now been conducted face-to-face.
西班牙政府宣布进入警戒状态,作为预防疫情传播的主要措施,这一举措导致了慢性病患者临床管理方式的改变。尽管新的通信技术为我们提供了许多建立直接远程联系的方式,但慢性阻塞性肺疾病(COPD)患者的特殊情况往往意味着他们的医疗护理仅限于电话沟通。当必须通过电话提供护理时,照顾COPD患者的挑战变得更加复杂。访谈必须在不检查患者、不进行额外检查、不检查其吸入技术的情况下进行。因此,进行这些访谈的医疗服务提供者必须接受培训,以便正确地进行访谈,从而做出正确的决策。本文档面向在2019冠状病毒病大流行期间需要为COPD患者提供某种形式电话护理的医疗专业人员,它基于作者在此期间进行电话访谈的经验。它总结了进行此类访谈应如何着手、如何进行、应牢记哪些因素、如何组织访谈以及如何让患者了解情况等重要方面。从现在起,这种类型的访谈很可能会成为我们护理患者的常见做法,所以我们需要学习如何构建一种新的医疗模式,用于许多迄今为止一直面对面进行的临床问诊。