探索护理人员和患者在补充疗法问题上的沟通状态
Tzu-Yueh Lee1, Ruei-Jhen Lin, Cheng-Yi Huang
1Author Affiliations: Infectious Disease Ward (Ms Lee), Department of Nursing (Mrss Lee and Lin and Dr Huang), Second Intensive Care Unit (Ms Lin), Chung Shan Medical University Hospital, Taichung Taiwan; School of Nursing (Mrs Lin and Dr Huang), Chung Shan Medical University, Taichung Taiwan.
台湾的护士很少与患者讨论补充和替代医学 (CAM) 或记录其使用情况. 时间限制和缺乏信息等障碍阻碍了这些关键的以患者为中心的护理对话.
科学领域:
- 护理 护理 护理
- 综合医学是一个整体的医学.
- 医疗保健通讯 医疗保健通讯
背景情况:
- 补充和替代医学 (CAM) 的使用在患者中很普遍.
- 医疗保健提供者和患者之间关于CAM的有效沟通对于安全和综合护理至关重要.
- 对于台湾大学医院中护理人员在CAM方面面临的当前沟通实践和障碍的了解有限.
研究的目的:
- 调查护理人员和患者之间关于补充和替代医学 (CAM) 的沟通状况.
- 确定护士在与患者讨论CAM时遇到的障碍.
- 探索护士特征对CAM沟通的影响.
主要方法:
- 在台湾一所大学医院的内科病房中,对90名护士进行了一项经过验证的横截面调查.
- 收集了有关护士沟通实践,感知障碍和与CAM讨论有关的人口特征的数据.
- 使用统计分析来确定趋势和影响因素.
主要成果:
- 不到四分之一的护士记录了患者的CAM使用情况,这表明CAM讨论的启动和记录率较低.
- 对CAM沟通的重大障碍包括时间有限,无法充分获得基于证据的信息以及工作场所的文化.
- 护士的特点,如年龄,经验多年和资历,被发现会影响CAM沟通的程度.
结论:
- 医疗机构有很大需要加强关于补充和替代医学 (CAM) 的沟通策略.
- 干预措施应侧重于克服已识别的障碍,例如提供可访问的基于证据的信息和解决时间限制.
- 优先考虑CAM沟通对于提供全面,以患者为中心的护理和确保患者安全至关重要.
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