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Az epilepszias betegek ellatasanak valtozasa a COVID-19-jarvany elso veszelyhelyzeti periodusaban #MMPMID33190124
Fabo D; Horvath Z; Klivenyi P; Kamondi A
Orv Hetil 2020[Nov]; 161 (46): 1939-1943 PMID33190124show ga
Osszefoglalo. Bevezetes: A COVID-19-jarvany vilagszerte honapokra atalakitotta a jarobeteg-ellatas mukodeset is. Magyarorszagon a 2020. marcius 11-tol 2020. junius 17-ig fennallo egeszsegugyi veszelyhelyzeti rendelkezesek szabtak meg az uj kereteket. Celkituzes: Az elso veszelyhelyzeti periodus masodik feleben, 2020. aprilis 22. es 2020. majus 5. kozott mertuk fel az epilepsziaellatasban reszt vevo orvosok velemenyet, hogy milyen mertekben valtozott a betegek ellatasa, es hogyan eltek meg a valtozasokat szemelyesen. Modszer: Internetes kerdoives velemenyfelmeres tortent, a Magyar Epilepszia Liga 2020. aprilis 16-17-re tervezett, de a COVID-19-jarvany miatt elhalasztott XV. kongresszusara regisztralt neurologusok kozott. Kilenc egyszeres vagy tobbszoros feleletvalasztos kerdes es 'szabad kommentar' mezok alltak rendelkezesre. Eredmenyek: A megkeresett 116 neurologus kozul 33-an valaszoltak (28%), osszesen 30 kommentar kerult rogzitesre. 73%-uk szerint a valtozasok komoly nehezseget okoztak, 15%-uk gondolta, hogy ennek sulyos kovetkezmenyei lesznek. Uj betegek fogadasa 53%-ban leallt, 25%-ban nagy nehezsegekbe utkozott. A gondozott betegek problemait 49%-ban a tavvizit lehetosegeivel elve meg tudtak oldani, de 24%-ban ez nem sikerult. A beteg tavolleteben lebonyolitott vizitek 68%-a dokumentalt telefonbeszelgetesek formajaban zajlott. Az orvosok ketharmada veszelyeztetve erezte magat, hogy elkapja a virust, ebbol 40% ugy erezte, nem kap elegendo vedelmet, 6% (2 fo) kapta el a fertozest. Kovetkeztetes: A COVID-19-jarvany a leginkabb az uj szakvelemenyek kiadasat erintette, de a gondozasi feladatokat sem mindig lehetett megfeleloen megoldani. A karokat jelentosen enyhitette az ellatoszemelyzet rugalmassaga. A telefonvizitek, szukseg eseten, az epileptologiaban potolhatjak a szemelyes orvos-beteg talalkozasokat. A jarvany visszateresenek veszelye miatt a tavvizit-alkalmazasok technikai fejlesztese es ezek dokumentalasi kerdeseinek megoldasa fontos. A jarvanyidoszakban a szemelyzet vedelmere nagy figyelmet kell forditani a fertozodes elkerulese es az orvosok biztonsagerzetenek fokozasa erdekeben. Orv Hetil. 2020; 161(46): 1939-1943. INTRODUCTION: COVID-19 pandemic has transformed the operation of outpatient care worldwide for months. The new framework was set in Hungary by the health emergency regulations that existed from 11. 03. 2020 to 17. 06. 2020. OBJECTIVE: In the second half of the emergency period, between 22. 04. 2020 and 05. 05. 2020, we surveyed the opinion of physicians involved in epilepsy care about the extent to which patient care had changed and how they experienced the changes in person. METHOD: An internet questionnaire survey was conducted among neurologists registered for the annual congress of the Hungarian Chapter of the International League Against Epilepsy. Nine single- or multiple-choice questions and 'free comment' fields were available. RESULTS: Of 116 neurologists contacted, 33 responded (28%), and a total of 30 comments were recorded. 73% said the changes caused a serious difficulty, 15% thought it would have serious consequences. Reception of new patients was stopped in 53%, and 25% encountered great difficulties. In 49%, the problems of the cared patients could be solved using remote visits, but 24% could not solve them properly. 68% of outpatient visits took the form of documented telephone conversations. Two-thirds of doctors feared catching the virus, 40% of whom felt they were not getting enough protection. 6% caught the infection. CONCLUSION: The COVID-19 pandemic has mostly affected the issuance of new expert opinions, but care tasks have not always been adequately addressed. The damage was significantly mitigated by the flexibility of the care staff. Telephone visits, if necessary, can replace personal doctor-patient encounters in epileptology. The technical development of remote visit applications and their documentation issues are important. During the pandemic period, great care must be taken to protect staff in order to avoid infection and increase the sense of safety of doctors. Orv Hetil. 2020; 161(46): 1939-1943.
Orv+Hetil 2020 ; 161 (46): 1939-1943
