父母与儿科心脏病重症监护室临床团队的沟通满意度
Jennifer K Walter1,2, Chris Feudtner1,2, Arzu Cetin2
1Pediatric Advanced Care Team, Children's Hospital of Philadelphia, Philadelphia, PA, USA.
Cardiology in the young
|June 26, 2023
概括
父母对儿科心脏病重症监护室的沟通满意度与儿童的沟通满意度有关.
科学领域:
- 儿科重症监护医学 儿科重症监护医学
- 医疗保健通讯 医疗保健通讯
- 患者和家庭的体验.
背景情况:
- 医疗保健提供者和家长之间的有效沟通在儿科心脏重症监护病房 (ICU) 中至关重要.
- 了解影响父母对沟通满意度的因素,有助于应对这种高压环境中的挑战.
研究的目的:
- 研究家长和儿童特征之间的关系,以及家长对儿科心脏病重症监护室医疗团队沟通的满意度.
- 为了确定与更高的沟通满意度得分相关的因素,在严重疾病儿童的父母中.
主要方法:
- 对儿童患者的家长进行了横截面调查,这些患者至少在心脏病重症监护室住了两周.
- 用团队设置的沟通评估工具来评估沟通满意度.
- 用多变量顺序模型收集和分析了有关父母情绪,压力,对照料的看法,人口统计和患者临床特征的数据.
主要成果:
- 患有高手术前死亡率风险的儿童的父母报告说,他们的沟通满意度明显更高.
- 手术并发症的存在和对ICU护理的更高整体满意度也与更高的沟通得分有关.
- 84名患者的93名家长完成了调查,70%的患者在入院时不到6个月.
结论:
- 结果突出了与沟通挑战相关的特定患者和临床因素,使提供者能够预测和准备困难的沟通场景.
- 旨在减少家长焦虑和改善沟通的干预措施是有必要的,特别是对于复杂的临床发展轨迹的患者.
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