COVID期间使用远程医疗为晚期癌症患者提供支持和姑息治疗?乌克兰流感大流行

Hojouj Mohammad I M
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引用次数: 2

摘要

COVID-19使医疗保健系统的能力不堪重负,限制了晚期癌症患者获得支持性和姑息性治疗的机会。远程医疗已成为一种为患者提供连续护理同时限制传染风险的工具。然而,在资源有限的环境中实施远程医疗具有挑战性。我们报告了第聂伯罗市由患者导航员领导的多学科远程医疗支持性护理项目的结果。为50名患者(中位年龄67岁,47%为女性)提供了一百六十五项远程医疗干预措施。四分之一的患者受教育程度低于或等于小学,18%的患者生活在农村地区。最常见的干预措施是心理护理(30%)、疼痛和症状控制(27%)以及营养咨询(10%)。一半的干预措施是通过视频会议提供的。患者报告的最常见障碍是使用通信技术的经验有限。我们的研究结果证明了在资源有限的环境中使用远程医疗提供支持性和姑息性护理干预的可行性。
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Using Telemedicine for Providing Supportive and Palliative Care Patients with Advanced Cancer during the COVID?19 Pandemic in Ukraine
COVID‐19 has overwhelmed the capacity of health care systems, limiting access to supportive and palliative care for patients with advanced cancer. Telemedicine has emerged as a tool to provide care continuity to patients while limiting the risk of contagion. However, implementing telemedicine in resource‐limited settings is challenging. We report the results of a multidisciplinary patient‐navigator‐led telemedicine supportive care program in Dnipro City. One‐hundred sixty‐five telemedicine interventions were provided to 50 patients (median age 67, 47% female). A quarter of the patients had less than or equal to elementary school education, and 18% lived in a rural area. The most common interventions were psychological care (30%), pain and symptom control (27%), and nutritional counseling (10%). Half of the interventions were provided by video conferencing. The most common patient‐reported barrier was limited experience using communication technology. Our results demonstrate the feasibility of providing supportive and palliative care interventions using telemedicine in resource‐limited settings.
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