Franco-Rocha Oscar Yesid, Carrillo González Gloria Mabel, Rivera-Romero Nathaly
. University of Texas at Austin, Austin, TX, USA. Email:
. Enfermera, Magister en Enfermería, Doctora en Enfermería. Profesora Asociada, Universidad Nacional de Colombia. Bogotá, Colombia. Email:
Rev Cuid. 2023 Mar 31;13(3):e2601. doi: 10.15649/cuidarte.2601. eCollection 2022 Sep-Dec.
COVID-19 exacerbated the deficit of palliative and end-of-life care provision and increased healthcare services' burden, but the extent of the literature on that topic is unknown.
To describe the evidence of palliative and end-of-life care provision in adults during the COVID-19 pandemic.
The scoping review was performed according to Arksey and O'Malley's methodological framework. The search was conducted in English and Spanish, in PubMed, SciELO, the Virtual Health Library, and the Coronavirus research database. The articles were filtered by title, abstract, and full text. The results were summarized according to the charting technique.
Fifty-one publications were included. A total of five categories emerged: 1) Palliative care characteristics, 2) advanced care planning, 3) support for family members and loved ones, 4) telehealth, and 5) nursing role in palliative care.
The social cost of the pandemic is reflected in the increased burden of palliative care units, higher mortality rates, and the decreased average age of death. Future studies should address the psychosocial impact of COVID-19 on patients' loved ones, as well as the impact at the community level.
Palliative and end-of-life care is an essential tool for COVID-19 patients care. The pandemic has enhanced the development of information and communication technologies to deliver palliative care.
新冠疫情加剧了姑息治疗和临终关怀服务的不足,增加了医疗服务负担,但关于该主题的文献数量尚不清楚。
描述新冠疫情期间成人姑息治疗和临终关怀服务的证据。
根据阿克西和奥马利的方法框架进行范围综述。在PubMed、SciELO、虚拟健康图书馆和冠状病毒研究数据库中以英语和西班牙语进行检索。文章通过标题、摘要和全文进行筛选。结果根据图表技术进行总结。
纳入了51篇出版物。共出现了五个类别:1)姑息治疗特征,2)高级护理计划,3)对家庭成员和亲人的支持,4)远程医疗,5)姑息治疗中的护理角色。
疫情的社会成本体现在姑息治疗单位负担加重、死亡率上升以及平均死亡年龄下降。未来的研究应关注新冠疫情对患者亲人的心理社会影响,以及在社区层面的影响。
姑息治疗和临终关怀是新冠患者护理的重要工具。疫情推动了信息和通信技术在提供姑息治疗方面的发展。