COVID-19大流行:在息护理中,医院和家庭死亡之间的悲伤经历在息护理中的死亡
Elizabeth Lobb1, Fiona Maccallum2, Jane L Phillips3
1IMPACCT - Improving Palliative, Aged and Chronic Care through Clinical Research and Translation, Faculty of Health, University of Technology (E.L.), Sydney, New South Wales, Australia; Department of Palliative Care, Calvary Health Care (E.L.), Kogarah, New South Wales, Australia.
Journal of pain and symptom management
|November 16, 2023
概括
COVID-19公共卫生措施影响了终身护理. 与医院相比,在家中死亡导致悲伤的严重程度更大,并对丧亲个人造成功能障碍. 经常缺乏支持服务.
科学领域:
- 息护理研究 息护理研究
- 悲伤研究 悲伤研究
- 公共卫生政策影响力 公共卫生政策影响力
背景情况:
- 澳大利亚的COVID-19公共卫生措施限制了与医疗保健专业人员的沟通以及在家人死亡时的出席.
- 流行病挑战和公共卫生任务可能会改变生命末期和丧亲经验.
研究的目的:
- 为了比较COVID-19大流行期间在家发生的死亡与在医院发生的死亡的生命终结和丧亲结果.
- 评估流行病特定挑战对息护理和丧亲经验的影响.
主要方法:
- 在2020年至2022年期间,对悲伤的成年人进行了一项横截面的在线调查.
- 对家庭死亡与住院患者息护理死亡的哀悼结果进行了比较分析.
- 对亲属或负责人进行了健康沟通结果分析.
主要成果:
- COVID-19公共卫生措施影响了家庭死亡的决定.
- 与医院死亡相比,家庭死亡与更高的悲伤严重程度和功能障碍有关.
- 只有37%的丧亲获得了丧亲支持信息;38%的丧亲表现出长期悲伤障碍的迹象.
结论:
- 卫生服务必须将丧亲关怀纳入息和整体医疗保健中.
- 死亡前后的悲伤和丧亲支持至关重要,特别是在家庭死亡时.
- 确保及时和可访问的支持服务对于丧失者至关重要.
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