特定叙事元素与患者对急性疼痛治疗的看法之间的关联
Eden Engel-Rebitzer1, Abby Dolan2, Frances S Shofer3
1Center for Emergency Care Policy and Research, University of Pennsylvania, Philadelphia, PA, USA; Brigham and Women's Hospital, Boston, MA, USA.
The American journal of emergency medicine
|October 5, 2023
概括
关于阿片类药物处方的叙事视频可以改善患者对风险的回忆. 然而,特定的叙事元素并没有显著影响患者的满意度或治疗决策.
科学领域:
- 卫生沟通健康沟通
- 患者教育 患者教育
- 疼痛管理 疼痛管理
背景情况:
- 叙述是有效的沟通阿片类药物处方治疗急性疼痛.
- 通过叙述,可以提高患者对疼痛管理的满意度.
- 具体叙事元素对患者观点的影响仍然不清楚.
研究的目的:
- 检查叙事特征和患者结果之间的关联.
- 为了确定特定的叙事元素是否影响阿片类药物偏好,风险回忆和护理视角.
- 为患者教育提供叙事沟通工具的设计提供信息.
主要方法:
- 来自多中心RCTLife STORRIED的数据的二次分析.
- 433名患者 (18-70岁) 出现在急诊室,患有或背部疼痛观看了叙事视频.
- 检查了叙事特征与患者阿片类药物偏好,风险回忆和护理视角之间的关联.
主要成果:
- 患者更喜欢讲故事的人分享他们的种族或性别的视频.
- 观看提及处方阿片类药物的视频增加了对疼痛治疗信息的回忆 (86.3%与72.9%,p=0.02).
- 讨论家庭中毒史的视频与患者在治疗决策中的更大参与相关 (p=0.04).
结论:
- 患者更喜欢以类似种族或性别的讲故事者为特色的叙事.
- 特定的叙事元素与以患者为中心的结果没有显著关联.
- 研究结果表明,定制叙事内容和讲故事者的特点可能会提高参与度和信息回忆.
相关概念视频
Analgesia and Pain Management
640
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
640
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.9K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.9K
Guidelines for Nursing Documentation II
1.1K
Effective documentation is an integral part of nursing practice. Here are some essential guidelines to follow when documenting patient care:
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
Timely documentation is crucial to ensure continuity of care for patients. Any delays in recording or reporting medical information can result in medical errors and even adverse patient outcomes. From medication administration to diagnostic test results, every detail must be accurately and promptly documented to provide the best possible care for patients.
1.1K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
8.2K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
8.2K
Patient-centered Care
2.1K
Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
2.1K
Nociception
27.9K
Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
27.9K


