在门诊息护理中举办叙事医学研讨会:可行性和探索性研究
Gregory Heinonen1, Maura Spiegel2, Craig D Blinderman3
1Vagelos College of Physicians & Surgeons, Columbia University, New York, NY, USA.
这项试点研究发现,虚拟叙事医学小组对于息治疗患者来说是可行的. 虽然定量症状得分没有变化,但患者报告隔离减少和主观疼痛缓解.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 叙事医学是一种叙事医学.
- 群体治疗 群体治疗
背景情况:
- 息治疗旨在改善患有严重疾病的患者的生活质量.
- 叙事医学利用患者的故事来培养同情和理解.
- 虚拟分娩提供了可访问的医疗保健解决方案.
研究的目的:
- 评估虚拟叙事医学小组对息治疗患者的可行性和影响.
- 评估患者报告的结果,包括症状严重程度和尊严.
主要方法:
- 进行了为期六个会议的,由医生领导的虚拟叙事医学小组.
- 招募了十名门诊息护理患者.
- 症状严重程度 (ESAS) 和尊严 (PDI) 被测量为干预前,中期和后期.
- 通过干预前报告和干预后访谈收集了定性数据.
主要成果:
- 没有观察到患者尊严库存 (PDI) 或埃德蒙顿症状评估调查 (ESAS) 评分的显著变化.
- 报告的参与者满意度很高,89%的人愿意重新加入并推该小组.
- 定性反突出了患者连接,主观疼痛减轻和减少隔离的好处.
结论:
- 虚拟叙事医学小组对于息治疗患者来说是一种可行且潜在的有益的干预措施.
- 通过随机试验进行更大样本大小的进一步研究是有必要的,以确认对症状负担,生存和生活质量的影响.
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