Ten reasons for focusing on the care we provide for family members of critically ill patients with COVID-19.

Ten reasons for focusing on the care we provide for family members of critically ill patients with COVID-19.
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DOI:
10.1007/s00134-020-06319-5
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发表时间:
2021-03
影响因子:
38.9
通讯作者:
Kentish-Barnes N
Kentish-Barnes N
中科院分区:
医学1区
文献类型:
--
作者:
Azoulay É;Curtis JR;Kentish-Barnes N

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这种新型冠状病毒已成为世界性的威胁和医疗危机。自2019年底在中国爆发以来,疫情已影响到全球数百万人,造成数十万人死亡[1]。约20%的冠状病毒病2019(新冠肺炎)住院患者因低氧性呼吸衰竭而进入重症监护病房(ICU),60%至90%接受机械通气[2]。SARS-CoV-2在人与人之间的传播主要通过呼吸道飞沫和与受感染患者的直接接触[3],强调了呆在家里的重要性[4]。除了社会距离指导方针、普遍的流行病意识和限制医院就诊外,居家命令已经证明不仅在减少每个感染者感染的人数方面有效,而且在累计住院方面也有效[4]。这篇简短的文章利用新冠肺炎大流行之前和期间的证据[5-8],讨论了在这一背景下造成新冠肺炎危重患者家属难以照顾的多种因素。
The novel coronavirus has become a worldwide threat and healthcare crisis. Since its outbreak in China at the end of 2019, the pandemic has affected millions of people and caused several hundred thousand deaths globally [1]. Approximately 20% of hospitalized patients with coronavirus disease 2019 (COVID-19) are admitted to the intensive care unit (ICU) for hypoxemic respiratory failure, and 60 to 90% receive mechanical ventilation [2]. Human to human transmission of SARS-CoV-2 occurs mostly through respiratory droplets and through direct contact with an infected patient [3], highlighting the importance of stay-at-home orders [4]. Stay-at-home orders, in addition to social distancing guidelines, general pandemic awareness, and restriction of hospital visits, has demonstrated effectiveness not only to reduce the number of people infected by each infected person, but also cumulative hospitalizations [4]. This short article discusses the multiple elements that contribute to the difficulty of caring for family members of critically ill patients with COVID-19 in this context, drawing on evidence before and during the COVID-19 pandemic [5–8].
DOI: 10.1016/j.jhin.2010.04.027
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