在医学上传达悲伤的,坏的,困难的消息
Lesley Fallowfield1, Valerie Jenkins
1Cancer Research UK Psychosocial Oncology Group, Brighton and Sussex Medical School, University of Sussex, BN1 9QG, Falmer, UK. lesley@sussex.ac.uk
Lancet (London, England)
|January 31, 2004
概括
传递困难的医疗新闻需要敏感,以尽量减少患者的痛苦,避免负面的结果. 有效的沟通培训和协议对于医疗保健提供者管理这些具有挑战性的患者互动至关重要.
科学领域:
- 医学沟通 医学沟通
- 患者体验 患者体验
- 医疗保健提供者培训培训
背景情况:
- 传递坏消息是跨专业医疗实践中常见但具有挑战性的方面.
- 不敏感的沟通会加剧患者的痛苦,阻碍适应,增加诉讼风险.
- 医疗保健提供者经常发现这些互动令人压力,缺乏足够的培训来有效地管理它们.
研究的目的:
- 审查关于传递困难新闻对患者和医生的影响的研究.
- 评估旨在改善坏消息传递的干预措施的有效性.
- 专注于特定的高压环境:产科/儿科,急诊室和瘤学.
主要方法:
- 关于难以传递新闻的研究文献综述.
- 沟通技巧培训,指导方针和协议的评估.
- 在关键的医疗环境中,专注于患者和医疗保健提供者的观点.
主要成果:
- 沟通不良显著增加了患者的痛苦和负面结果.
- 有效的沟通策略和培训可以减轻负面影响.
- 干预措施显示出希望,但需要在不同的环境中进一步评估.
结论:
- 改善坏消息的传递对于患者的福祉和医疗保健质量至关重要.
- 针对性的沟通培训和标准化的协议对于医疗保健提供者来说至关重要.
- 需要进一步的研究来优化重症监护和瘤学设置中的干预措施.
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