一个家长沟通评估倡议在儿科心血管ICU
Katherine Hansen1,2, Erin Jenkins3, Aihua Zhu1
1Division of Cardiology, Department of Pediatrics, Stanford University School of Medicine, Stanford, CA, USA.
Cardiology in the young
|April 29, 2024
概括
为儿童心脏重症监护室 (ICU) 的家长开发沟通评估工具揭示了不同的偏好. 个性化沟通可以加强家庭的沟通.
科学领域:
- 儿科重症监护医药 儿科重症监护医药
- 医疗保健的沟通 医疗保健的沟通
- 患者为中心的护理
背景情况:
- 儿童重症监护室 (ICU) 的家庭和护理人员之间仍然存在沟通挑战.
- 沟通偏好的变化,护理目标的不一致以及连续性问题使家庭参与变得复杂.
- 改善家庭在ICU的体验需要解决这些沟通缺口.
研究的目的:
- 为儿童心脏ICU患者的家长开发和评估一个评估工具 (家长沟通评估 - PCA).
- 确定PCA是否促进了以患者为中心的护理,并增强了家庭的ICU体验.
- 了解父母在重症期间的特定沟通偏好.
主要方法:
- 一项质量改善计划开发了家长沟通评估 (PCA) 工具.
- 在心脏ICU的孩子的父母被随机分配到接受PCA (干预) 或标准护理 (控制).
- 后续调查评估了对沟通,决策和整体体验的满意度.
主要成果:
- 该PCA表明,家长更喜欢详细的沟通,而不是广泛的概述.
- 虽然大多数家长都觉得很舒服,并理解日常讨论,但很大一部分家长觉得自己没有为艰难的决策做好准备,缺乏控制.
- 在PCA干预和标准护理组之间没有发现总体沟通满意度的显著差异.
结论:
- 儿童重症监护室儿童的父母表现出不同的沟通偏好.
- 虽然整体满意度很普遍,但基于父母偏好的个性化沟通对于改善ICU体验至关重要.
- 该PCA工具强调了家庭感到没有得到支持的特定领域,表明需要量身定制的沟通策略.
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