在危地马拉的儿科瘤诊断过程中,家长与医疗服务提供者的沟通动态:一种定性研究
Anneliese H Williams1, Bria Welcome2, Silvia Rivas3
1School of Public Health, Purdue University, West Lafayette, Indiana, USA.
Pediatric blood & cancer
|July 26, 2024
概括
父母参与儿科癌症护理沟通是关键. 医疗保健提供者的支持性沟通鼓励父母积极参与,促进更好的以患者为中心的护理.
科学领域:
- 儿科瘤学 儿科瘤学
- 卫生沟通健康沟通
- 跨文化心理学 跨文化心理学
背景情况:
- 医疗保健中的有效沟通需要家庭和提供者之间的双向参与.
- 虽然在成人医学中有益,但在儿科中,特别是在不同的环境中,父母提供者沟通动态并未得到充分理解.
- 这项研究的重点是了解这些动态在危地马拉儿童癌症诊断的背景下.
研究的目的:
- 调查诊断癌症沟通期间的家长提供者沟通动态.
- 探索父母参与这些交流交流的作用.
- 在文化多样化的儿科瘤学环境中分析沟通风格.
主要方法:
- 这是一项定性研究,涉及20个患有癌症儿童的家庭和10名医疗保健提供者.
- 记录了父母,心理学家和瘤学家之间的心理教育和诊断对话.
- 使用先验和新型代码进行主题分析,检查沟通行为和人际关系动态.
主要成果:
- 提供者主导对话 (68-85%的单词) 具有不同的沟通风格,包括支持和父式的谈话.
- 积极的家长参与 (提出问题,表达关切) 与支持性提供者沟通有关.
- 支持性提供者沟通鼓励了父母的积极参与,而非支持性沟通却没有.
结论:
- 家长与提供者之间的沟通是双向的,每个人都会影响对方.
- 提供者的支持性沟通对于促进父母积极参与至关重要.
- 这种相互作用对于在儿科瘤学中实现以患者为中心的护理至关重要.
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