使用VitalTalk ADAPT框架评估胰腺癌预后的外科医生沟通
Lindsay K Dickerson1, Trisha A Lipson1, Sardar Shahmir B Chauhan1
1Department of Surgery, University of Washington School of Medicine, Seattle, Washington, USA.
Journal of surgical oncology
|July 11, 2024
概括
手术瘤学家经常提供胰腺癌预后信息,但错过了关键的沟通步骤. 在息护理沟通方面的培训可能会改善患者报告的结果.
科学领域:
- 在瘤学瘤学.
- 手术瘤学手术瘤学
- 通信科学 通信科学
背景情况:
- 外科瘤学家的最佳沟通策略还没有很好地定义.
- VitalTalk的 ADAPT 工具为讨论预后提供了一个框架.
研究的目的:
- 描述胰腺癌预后的外科医生沟通.
- 评估VitalTalk ADAPT框架在外科医生与患者接触中的使用情况.
主要方法:
- 对胰腺癌的12次录音的外科医生与患者接触的定性内容分析.
- 转录使用五步 ADAPT (询问,发现,预测,提供,跟踪) 框架进行编码.
主要成果:
- 在92%的遭遇中,外科医生提供了预后信息,但只有8%的人使用了四到五个ADAPT步骤.
- 诸如引起理解和响应情绪等沟通步骤在少数遭遇 (25%-42%) 中被使用.
- 患者的情绪暗示往往没有得到解决.
结论:
- 外科医生主要专注于信息传递,忽视了关键的预后沟通元素.
- 需要进一步的研究来评估息护理沟通培训对外科医生的可行性和影响.
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