生命末期的沟通 生命末期的沟通
1Department of Psycho-oncology, Saitama Medical University International Medical Center, Saitama, Japan.
Journal of hospice and palliative care
|September 7, 2023
概括
终身讨论 (EOLD) 改善了患者的护理和结果,但仍未得到充分利用. 以意义为中心的心理治疗可能会增强EOLD的实践,使患者和家人受益.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理学 心理学 心理学
- 医学伦理 医学伦理
背景情况:
- 临终期的患者往往会经历显著的身体,精神,社会和存在的痛苦.
- 虽然医疗干预可以控制身体症状,但有效的沟通和心理支持对于解决整体患者需求至关重要.
- 终身讨论 (EOLD) 是理解患者心理状态和改善护理的重要工具.
研究的目的:
- 突出生命结束讨论 (EOLD) 在息护理中的重要性和好处.
- 探索对EOLD临床实施的障碍.
- 研究以意义为中心的心理治疗在促进EOLD方面的潜在作用.
主要方法:
- 文献综述和综合现有关于EOLD和相关心理干预的研究.
- 分析影响EOLD成功实施的因素,包括患者和临床医生的观点.
- 探索以意义为中心的心理治疗作为EOLD的促进者.
主要成果:
- EOLD积极影响终身治疗决策,目标实现,患者和家人的生活质量,并减少复杂的悲伤.
- EOLD的临床实践受到患者和医疗专业人员犹的限制.
- 有效的EOLD的关键要素包括评估患者的判断力和心理状态,开放的沟通,目标设定和临床医生的同情心.
结论:
- EOLD对于全面的终身护理至关重要,但其实施面临挑战.
- 解决患者的心理因素和临床医生的犹是必要的,以增加EOLD利用率.
- 以意义为中心的心理治疗在促进EOLD和减轻存在的痛苦方面表现有前途,需要进一步的研究和临床应用.
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