疫情之下的安寧療護介入──論台灣南部某醫學中心安寧介入之概況

Tung Chang; Shian-Chin Ko

doi:10.6537/TJHPC.202303_27(1).03

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P32 - 43

医药卫生 > 预防保健与卫生学
医药卫生 > 社会医学

DOI： 10.6537/TJHPC

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疫情之下的安宁疗护介入──论台湾南部某医学中心安宁介入之概况

Palliative care integration in the midst of Pandemic: Overview of palliative care in a southern Taiwan hospital

张彤(Tung Chang) ；柯献钦(Shian-Chin Ko)

安宁疗护杂志； 27 卷 1 期 (2023 / 03 / 01) ， P32 - 43

繁体中文;英文 DOI： 10.6537/TJHPC.202303_27(1).03

严重特殊传染性肺炎（COVID-19）；安寧療护介入；缓和療护； COVID-19 ； palliative care ； palliative care integration

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摘要 │ 参考文献 (10) │ 国际计量

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Background: During the COVID-19 pandemic, palliative care plays an important role in ensuring the dignity of patients and maintaining precious medical resources. However, there is currently a lack of research on the timing and methods of palliative care intervention for COVID-19 patients, especially in Asian countries. Aim: The aim of this study was to analyze the percentage and approaches of hospice care integrated during this pandemic from COVID-19 infected patients. Methods: This is a retrospective cohort study which collects COVID-19 diagnosed adult patients between January 1, 2021, and September 30, 2022. This study analyzes the relationship between demographic variables, palliative care interventions, and medical interventions. Results: A total of 1,086 adult patients (53.8% male) were collected, with 167 deaths during the period, resulting in a mortality rate of 15.4%. During the study period, a total of 528 individuals received palliative care interventions, which is 48.6% (n=528/1086) of the total sample size. Among the population who died, as many as 96.4% had received palliative care interventions, with morphine being the main intervention method. The average time from palliative care intervention to death was 22.59 days. Factors that could effectively predict palliative care interventions included age, gender, length of hospital stay, number of comorbidities, and number of medical interventions. Conclusion: Palliative care was more easily integrated in those with more comorbidities and medical interventions.

参考文献 ( 10 ) 〈TOP〉

Who-China-Joint-Mission-on-Covid-19- Final-Report.pdf. Available online at: https://www.who.int/docs/default-source/coronaviruse/who-china-joint-mission-on-covid-19-final-report.pdf (accessed June 1, 2020).
Scottish Palliative Care Guidelines. End of Life Care Guidance when a Person is Imminently Dying from COVID-19 Lung Disease. 2020, https://www.palliativecareguidelines.scot.nhs.uk/guidelines/symptom-control/end- of-life-care-guidance-when-a-person-is-imminently-dying-from-covid-19-lung-disease.aspx.
Almeida L,Silva TJ,Silva D(2022).Palliative care in Hospitalized Middle-Aged and Older Adults With COVID-19.J Pain Symptom Manage,63,680-688.
Frydman, J,Aldridge, M,Moreno, J(2022).Access to Palliative Care Consultation for Hospitalized Adults with COVID-19 in an Urban Health System: Were There Disparities at the Peak of the Pandemic?.J Palliat Med,25,124-129.
Haydar, A,Lo, K,Goyal, A(2020).Palliative Care Utilization Among Patients With COVID-19 in an Underserved Population: A Single-Center Retrospective Study.J Pain Symptom Manage,60,e18ee21.

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