Transitional care during COVID-19 pandemic in Japan: Calls for new strategies to integrate traditional approaches With information and communication technologies
Transitional care during COVID-19 pandemic in Japan: Calls for new strategies to integrate traditional approaches With information and communication technologies
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DOI：
10.5582/bst.2021.01056
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发表时间：
2021-02-01
影响因子：
5.5
通讯作者：
Yamamoto-Mitani, Noriko
中科院分区：
文献类型：
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作者：
Sumikawa, Yuka;Yamamoto-Mitani, Noriko
过渡期护理对于成功地将患者从医院转移到家中并防止在此过程中发生不良事件是必不可少的。为尽量减少COVID-19的传播，多间医院的服务受到限制。因此，医院无法提供充分的过渡性护理，可能导致患者出院后结局不佳。一些医院现在已经将预防感染与面对面的机会结合起来，即，要求保留过渡性护理咨询和限制出院前会议。一些医院开始使用应用程序提供出院前会议，患者/家庭护理人员和护理团队可以面对面讨论医疗和护理计划，目标和偏好。然而，在患者/家人和医疗/护理人员之间建立关系，并提供通常亲自进行的决策、心理支持和风险评估，仍然存在需求。应制定和评估新的混合战略，在大流行期间提供过渡性护理，同时使用在线系统和最低限度的面对面支持。
Transitional care is indispensable in successfully transitioning patients from hospital to home and preventing adverse events during this process. There were restricted services in several hospitals for minimizing the spread of COVID-19. Therefore, hospitals could not provide adequate transitional care that possibly resulted in poor post-discharge outcomes in patients. Some hospitals have now combined infection prevention with face-to-face opportunities, i.e., requiring reservations for transitional care consultation and restricting pre-discharge conferences. Several hospitals started providing pre-discharge conferences using apps, where patients/family caregivers and care teams could have face-to-face discussions about medical and nursing care plans, goals, and preferences. However, building a relationship between patient/family and medical/nursing staff and providing decision-making, psychological support, and risk assessment generally performed in person are still in demand. New hybrid strategies should be developed and evaluated to provide transitional care while using online systems and minimal face-to-face support during the pandemic.