Palliative care strategies in the management of people with serious cases of COVID-19

ABSTRACT Objectives: to analyze the assistance strategies in palliative care developed in the COVID-19 pandemic for critically ill patients and their families. Methods: an integrative review carried out in August 2021 and updated in April 2022 in the Base de Dados de Enfermagem (BDENF), Cumulative Index to Nursing and Allied Health Literature (CINAHL), Medical Literature Analysis and Retrieval System Online (MEDLINE), US National Library of Medicine (PubMed), Web of Science databases, and presented in the PRISMA flowchart. Results: thirteen works were selected for reading and content analysis, from which emerged the two main themes that reflect the reality evidenced in this context: The sudden advent of COVID-19 with impacts on palliative care; and The strategies used in palliative care to mitigate these impacts. Final Considerations: palliative care is the best strategy for providing health care, used as a comfort to bring relief and comfort to patients and families.

摘要
研究目的：分析新冠疫情期间针对重症患者及其家属所制定的姑息照护（palliative care）辅助策略。
研究方法：本研究为整合性综述，于2021年8月开展并于2022年4月完成更新，检索数据库涵盖护理数据库（Base de Dados de Enfermagem，BDENF）、护理及相关健康文献累积索引（Cumulative Index to Nursing and Allied Health Literature，CINAHL）、医学文献分析与检索系统在线版（Medical Literature Analysis and Retrieval System Online，MEDLINE）、美国国家医学图书馆（US National Library of Medicine，PubMed）及Web of Science，并采用PRISMA流程图呈现研究筛选流程。
研究结果：最终纳入13篇文献进行阅读与内容分析，由此提炼出两大反映该研究情境下现实状况的核心主题：一是新冠疫情的突然暴发对姑息照护造成的冲击；二是姑息照护领域用于缓解上述冲击的各类应对策略。
研究结论：姑息照护是当前提供医疗照护的最优策略，可作为慰藉手段，为患者及其家属缓解病痛、带来安抚。