在儿科癌症中进行预后沟通的实际考虑
Brittany Cowfer1, Tammy I Kang1, Matthew T McEvoy2
1Division of Palliative Care, Texas Children's Hospital, Houston, TX; Department of Pediatrics, Baylor College of Medicine, Houston, TX.
Current problems in cancer
|October 14, 2023
概括
儿科瘤学家可以通过明确和富有同情心地传达癌症预后来改善护理. 诚实的预后披露支持家庭,并在孩子的癌症旅程中增强希望.
科学领域:
- 儿科瘤学 儿科瘤学
- 医学沟通 医学沟通
- 生物伦理学生物伦理学
背景情况:
- 有效的沟通对于儿童癌症患者和家属的最佳护理至关重要.
- 预后性沟通是瘤学家在整个疾病轨迹上的关键技能.
- 家庭往往更喜欢关于预后的诚实讨论,这可以支持希望.
研究的目的:
- 为儿童癌症的预后沟通提供实际指导.
- 为瘤学家提供有用的短语和沟通框架.
- 为瘤学家提供预后性沟通技能培训,以应对预后性沟通技能方面的挑战.
主要方法:
- 对儿科瘤学的沟通策略的审查.
- 包括用于预后讨论的实用短语.
- 建立的沟通框架的概述.
主要成果:
- 预后披露,与先前的信念相反,支持父母的希望.
- 家庭重视并期望关于预后的诚实对话.
- 在瘤学家中,预后沟通方面的培训往往缺乏.
结论:
- 清晰和富有同情心的预后沟通对于儿科癌症护理至关重要.
- 指导和培训可以提高瘤学家有效讨论预后的能力.
- 诚实的沟通满足了家庭的需要,并在整个治疗过程中培养了希望.
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