在重症监护室,患者与临床医生之间有三种症状交流模式:一项实地工作研究
Ragnhild Nyhagen1,2, Ingrid Egerod3,4, Tone Rustøen1,2
1Department of Research and Development, Division of Emergencies and Critical Care, Oslo University Hospital, Oslo, Norway.
Journal of advanced nursing
|December 5, 2023
概括
在重症监护室有效的症状沟通需要主动和反应的策略. 识别和解决患者的痛苦对于最佳护理和机械通风患者的改善结果至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 患者与临床医生的沟通
- 定性研究是指质量研究.
背景情况:
- 在重症监护室 (ICU) 的机械通风患者经常在传达症状方面面临挑战.
- 有效的症状管理对于患者的福祉和康复至关重要.
研究的目的:
- 描述用于预防,识别和管理机械通风患者症状的沟通模式.
- 了解临床医生在ICU内的症状沟通中的作用.
主要方法:
- 一个定性实地研究,采用参与者观察和个人采访.
- 对9名患者和50名临床医生 (护士,理疗师,医生) 的观察.
- 采访了6名患者和9名临床医生,这些患者在输出管后和康复后接受了采访.
主要成果:
- 他们发现了三个沟通模式:主动,反应和缺乏症状沟通.
- 发现主动和反应式的沟通模式互相补充.
- 缺乏沟通表明症状困扰的管理不足.
结论:
- 临床医生识别非说话患者的症状是一个关键的技能.
- 两种沟通模式促进了有效的症状管理.
- 改善沟通需要临床判断,注意力,评估工具和增强性沟通策略.
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