管理困难的患者遭遇
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Justin Bailey1, Susan A Martin2, Angela Bangs3
1University of Washington School of Medicine, Seattle, Washington; Full Circle Health, Family Medicine Residency of Idaho-Boise, Boise, Idaho.
American family physician
|November 20, 2023
概括
医生可以通过使用正念技术和避免患者标签来改善困难的患者遭遇. 像CALMER和激励面试这样的策略可以提高患者护理和医生福祉,防止倦怠.
科学领域:
- 家庭医学 家庭医学 家庭医学
- 医学教育 医学教育
- 心理学 心理学 心理学
背景情况:
- 在家庭医学中,困难的患者遭遇是常见的,这导致了患者和医生的不满.
- 医生为中心的因素,包括系统压力,沟通问题和局势挑战,导致了这些困难的遭遇.
- 标记患者类型可能会导致护理差异和患者伤害,需要改变方法.
研究的目的:
- 确定在家庭医学中成功应对困难患者遭遇的策略.
- 探索正念和特定的沟通技巧在改善患者与医生的互动中的作用.
- 为医生提供可操作的方法来管理具有挑战性的情况并防止倦怠.
主要方法:
- 对医生因素的审查,这些因素有助于困难的遭遇.
- 应用正念的方法如"命名它来服它"和冷静.
- 整合治疗联系,议程谈判和验证患者情绪.
- 采用激励面试,使患者对健康目标拥有主权.
- 强调医生通过反思和支持系统自我照顾.
主要成果:
- 正念技术 (Name It to Tame It,CALMER) 可以改善困难遭遇的结果.
- 卡尔默的方法有助于医生管理可控的情况,改变思想,容忍不确定性.
- 治疗性联系,议程谈判和情感验证有助于集中接触和管理期望.
- 支持患者接受不确定性和管理慢性疾病,而不是寻求治愈,使他们有能力.
- 激励性采访促进了患者的参与和治疗目标的拥有.
结论:
- 避免给病人贴上标签和采用正念策略对于有效的困难遭遇管理至关重要.
- 医生可以通过专注于可控因素,沟通和患者验证来提高患者护理并减少不满.
- 医生自我护理对于持续的幸福和预防燃烧在管理具有挑战性的患者互动时至关重要.
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