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在重症监护室探索沟通需求和挑战:从提供者和患者的角度进行的一项调查研究

Cheng Cheng¹, Lana Schommer², Micheal Tarver³

¹Department of Speech, Language, and Hearing Sciences, The University of Texas at Austin.

American journal of speech-language pathology

|July 25, 2024

概括

在重症监护室 (ICU) 中,有效的沟通至关重要. 这项研究强调了患者因沟通障碍而感到丧,并表明增强型和替代型沟通 (AAC) 策略可以提高护理质量.

科学领域:

医疗保健通讯医疗保健通讯
患者体验患者体验
密集护理医学密集护理医学

背景情况:

有效的沟通对于在重症监护室 (ICU) 提供优质护理至关重要.
非说话患者在ICU环境中表达他们的需求和经历时面临重大挑战.
了解患者和提供者的观点是识别和解决沟通缺口的关键.

研究的目的:

评估医疗保健提供者和不说话的患者在ICU中有效沟通的观点.
确定在ICU环境中遇到的常见通信障碍.
探索潜在的策略,以提高患者和提供者之间的沟通效率.

主要方法:

采用了定性和定量调查方法.
使用评级尺度来衡量患者的丧和沟通效率.
整合了开放式问题,以收集有关障碍和建议的见解.

主要成果:

不能说话的患者报告说,由于不有效的沟通,他们感到很丧.
获得增强型和替代性沟通 (AAC) 策略和材料可以减少患者的挫折感.
提供者主要使用是/否问题,限制了患者的输入,导致沟通中断. 提供者对AAC培训表示兴趣.

结论:

无论是患者还是医疗提供者,都会在ICU中遇到沟通挑战和丧.
障碍包括提供者培训不足和对AAC材料的有限访问.
针对性技能培训对于改善重症监护机构的患者-医疗服务提供者沟通至关重要.

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