在COVID-19大流行期间临终关怀的挑战和创新:一个范围的审查
Patricia Dobríková1, Regina Scheitel1, Audrey Roulston2
1Faculty of Health Care and Social Work, Trnava University, Trnava, Slovakia.
Journal of social work in end-of-life & palliative care
|June 30, 2023
概括
由于限制和远程医疗,宿舍患者在COVID-19大流行期间面临社会隔离和沟通障碍. 创新的护理变化出现了,但技术依赖影响了敏感的对话.
科学领域:
- 息护理和老年学
- 公共卫生和流行病学
- 健康和疾病的社会学
背景情况:
- 临终关怀传统上解决医疗和护理需求,但社会决定因素如关系,隔离和支持至关重要.
- "COVID-19"大流行严重破坏了医疗保健的现有做法,包括宿舍服务.
- 了解大流行对宿舍患者社会福祉的影响对于适应性护理模型至关重要.
研究的目的:
- 进行范围审查,检查COVID-19大流行期间成人宿舍患者面临的挑战.
- 识别和分析在疫情期间在宿舍护理提供中实施的创新变化.
- 综合关于COVID-19期间住院环境中的社会影响和适应策略的研究结果.
主要方法:
- 采用了基于乔安娜·布里格斯研究所 (JBI) 框架的范围审查方法.
- 从2020年起,在PubMed和SAGE期刊中进行了搜索,重点关注COVID-19,宿舍,社会支持和挑战.
- 在两个审查员进行独立选和数据提取后,包括了14项研究.
主要成果:
- 关键主题包括因COVID-19限制而导致的患者损失,医疗保健工作人员面临的挑战和沟通障碍.
- 过渡到远程医疗提供了机遇和挑战,包括依赖技术进行敏感讨论.
- 虽然对访客的限制减少了病毒传播,但它们加剧了患者的社会隔离,影响了他们与亲人的联系.
结论:
- 随着COVID-19大流行,临终关怀患者面临的重大社会挑战显现出来,特别是与隔离和沟通有关的问题.
- 远程医疗和访客限制等适应措施虽然对于感染控制是必要的,但对社会福祉产生了意想不到的后果.
- 未来的宿舍护理模式必须整合强有力的战略,以解决社会需求和减轻孤立,特别是在公共卫生危机期间.
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