Nursing care of patients with multiple sclerosis during the COVID-19 pandemic

Mercè Lleixa Sardañons , Montse Artola Ortiz , Noelia Becerril Ríos , Guadalupe Cordero Martín , Ana Hernando Andrés , Ana María Lozano Ladero , José Ramón Sabroso Mellado , César Manuel Sánchez Franco , Beatriz del Río Muñoz
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Abstract

Introduction

At the beginning of the SARS-CoV-2 pandemic, health centres were places where there was a high risk of infection, and during the period of lockdown face-to-face health care was substantially reduced, forcing rapid changes in the care of multiple sclerosis patients by the specialised nursing staff in the units and monographic consultations of this disease.

Development

The experience of the nursing staff of multiple sclerosis units and monographic consultations, in 8 Spanish hospitals, is collected from the beginning of the pandemic and in later stages, and the adaptations that they made to continue caring for patients are specifically described. The scientific literature about how the SARS-CoV-2 has affected patients with multiple sclerosis is also reviewed, as well as the experiences of other multiple sclerosis teams in health centres in other countries.

Conclusions

During the lockdown and in later stages, new forms and previously little used forms of care were applied to multiple sclerosis patients. The nursing staff kept contact with them by telephone and online, provided them with information about safety and behaviour in relation to COVID-19. Face-to-face visits, treatments and distribution of medication were adapted. Information was provided about how patients could receive psychosocial support and about how they could maintain their quality of life.

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新冠肺炎大流行期间多发性硬化症患者的护理
引言在严重急性呼吸系统综合征冠状病毒2型大流行开始时,卫生中心是感染风险较高的地方,在封锁期间,面对面的医疗保健大幅减少,迫使各单位的专业护理人员和该疾病的专题咨询人员对多发性硬化症患者的护理迅速发生变化。发展西班牙8家医院的多发性硬化症病房护理人员和专题咨询的经验是从疫情开始和后期收集的,并具体描述了他们为继续照顾患者所做的调整。还回顾了关于严重急性呼吸系统综合征冠状病毒2型如何影响多发性硬化症患者的科学文献,以及其他国家卫生中心其他多发性痴呆症团队的经验。结论在封锁期间和后期,新形式和以前很少使用的护理形式被应用于多发性硬化症患者。护理人员通过电话和网络与他们保持联系,向他们提供与新冠肺炎有关的安全和行为信息。对面对面访问、治疗和药物分配进行了调整。提供了关于患者如何获得心理支持以及如何保持生活质量的信息。
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