家庭成员在重症监护室的症状沟通,评估和管理中的参与:一种定性研究
家庭成员积极参与危急病患者的症状沟通,充当中介和独立管理人员. 他们的参与,受重症监护室环境和患者偏好的影响,增强了沟通.
科学领域:
- 关键护理医学 关键护理医学
- 患者与家人的沟通 患者与家人的沟通
- 定性研究是指质量研究.
背景情况:
- 危急病患者的沟通和决策机会有限.
- 家庭成员可以作为代孕来赋予患者权力.
研究的目的:
- 探索家庭成员在重症监护室 (ICU) 内的症状沟通中的参与.
主要方法:
- 使用现场工作方法的定性描述性设计.
- 参与者观察和个人采访的三角化.
- 对9名机械呼吸患者,6名家庭成员和9名临床医生的实地笔记和成绩单进行主题分析.
主要成果:
- 家庭成员积极参与症状沟通,评估和管理.
- 确定的主题:中介角色 (报告症状,提供信息),独立角色 (管理症状,促进沟通) 和参与条件 (ICU环境,患者关系,偏好).
结论:
- 家庭成员拥有独特的患者知识,这补充了医疗保健工作人员.
- 这种独特的知识可能有助于改善ICU中的症状传播.
- 建议进行进一步的研究,以探索家庭对症状沟通,评估和管理的贡献.
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