Abstract

In addition to addressing nursing and medical needs, the social needs of patients within hospice care require assessment (i.e., relationships, isolation, loneliness, societal inclusion or exclusion, negotiating adequate formal and informal support, or living with a life-limiting condition). The objectives of this scoping review are to examine the challenges of adult patients in receipt of hospice care during the COVID-19 pandemic and to identify innovative changes to care during the pandemic. The methodology of the scoping review follows the Joanna Briggs Institute framework developed in 2015. The context included hospice services (inpatient, outpatient and community). In August 2022, PubMed and SAGE journals were searched from 2020 onwards for studies published in English, which focused on COVID-19, hospice, social, support and challenges. Titles and abstracts were independently screened by two reviewers against agreed criteria. Fourteen studies were included. Data were independently extracted by authors. Emerging themes were loss due to COVID-19 restrictions, challenges for staff, barriers to communication and transition to Telemedicine, and positive effects of the pandemic. Pivoting to Tele-medicine and restricting visitors reduced the risk of spreading coronavirus but resulted in patients being socially isolated from loved ones, and a reliance on technology to have sensitive conversations.

摘要

除了满足护理和医疗需求外，还需要评估临终关怀患者的社会需求（即关系、隔离、孤独、社会包容或排斥、协商充分的正式和非正式支持，或生活在生命有限的情况下）。本次范围审查的目的是研究在 COVID-19 大流行期间接受临终关怀的成年患者面临的挑战，并确定大流行期间护理的创新变革。范围界定审查的方法遵循 2015 年制定的 Joanna Briggs Institute 框架。背景包括临终关怀服务（住院患者、门诊患者和社区）。2022 年 8 月，PubMed 和 SAGE 期刊检索了 2020 年起以英文发表的研究，重点关注 COVID-19、临终关怀、社会、支持和挑战。标题和摘要由两名审稿人根据商定的标准独立筛选。包括十四项研究。数据由作者独立提取。新出现的主题包括因 COVID-19 限制而造成的损失、工作人员面临的挑战、沟通和向远程医疗过渡的障碍以及大流行的积极影响。转向远程医疗和限制访客降低了传播冠状病毒的风险，但导致患者与亲人在社会上隔离，并依赖技术进行敏感对话。