组织沟通与患者在医疗错误后长期情绪影响的经验之间的关联
Joint Commission journal on quality and patient safety
|April 2, 2024
概括
医疗错误可能会导致长期的情绪困扰,尤其对妇女和那些社会经济地位较低的人来说. 错误后的不良沟通显著加剧了这种长期的情绪影响.
科学领域:
- 医学社会学 医学社会学
- 患者体验研究 研究研究
- 卫生沟通研究 卫生沟通研究
背景情况:
- 医疗错误会对患者产生深刻而持久的情感后果.
- 了解在医疗错误后导致长期情绪困扰的具体因素对于改善患者护理和支持至关重要.
研究的目的:
- 调查美国成年人口中医疗错误后长期情绪影响的患病率和相关因素.
- 检查组织沟通实践与医疗错误后情绪困扰的持续时间之间的关系.
主要方法:
- 2017年美国成年人调查数据的次分析 (n=2,536).
- 情绪影响持续时间的分类 (短期,长期,特别是长期).
- 多位数回归分析以确定长期情绪影响的预测因素,包括患者人口统计学,错误特征和沟通经验.
主要成果:
- 在报告医疗错误的患者中,超过一半的患者经历了长期 (30.8%) 或特别长期 (20.4%) 的情绪影响.
- 与长期情绪影响相关的因素包括女性性别,低社会经济地位,身体伤害以及不充分或违反指导方针的沟通.
- 与国家披露准则不一致的沟通显著放大了情绪上的痛苦.
结论:
- 长期的情绪影响对相当一部分经历医疗错误的患者来说是显著的后果.
- 组织沟通失败,特别是不遵守披露准则时,会加剧患者的伤害和情绪困扰.
- 解决沟通差异的干预措施至关重要,尤其是面临医疗保健不平等的弱势群体.
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