改变对生命终端沟通的期望:一项实验性调查
Yannik Bendel1, Martin Pinquart1, Christian Schulz-Quach2
1Department of Psychology, Philipps University of Marburg, Marburg, Germany.
Patient education and counseling
|November 27, 2024
概括
一个简短的视频干预和终生对话 (EOL) 显著减少了对EOL沟通的负面期望. 这些发现表明,基于社区的干预措施可以改善EOL沟通.
科学领域:
- 老年学是一门学科.
- 沟通研究 沟通研究
- 心理学 心理学 心理学
背景情况:
- 生命终点 (EOL) 沟通对于以患者为中心的护理至关重要.
- 负面的期望可能会阻碍关于EOL的公开和诚实的对话.
- 需要采取干预措施来改善EOL沟通并减少相关的焦虑.
研究的目的:
- 评估短视频干预对EOL沟通期望的影响.
- 评估EOL与亲属的对话对EOL沟通期望的影响.
主要方法:
- 272名参与者被随机分配到三个视频条件:干预组 (积极的EOL体验),对照组1 (无关视频) 和对照组2 (不同的EOL态度).
- 消极期望在干预前,干预后和两个月后的随访期间进行了测量.
- 鼓励参与者与亲人进行EOL对话.
主要成果:
- 与对照组相比,干预组在视频后立即显示出负面期望的显著减少.
- 在测试后和随访期间进行了EOL对话的参与者报告说,负面期望的减少明显更大.
- 这些发现强调了视频干预的短期有效性和个人对话的持续影响.
结论:
- 一个简短的视频干预可以有效地改变对EOL沟通的短期期望.
- 与家庭成员进行EOL对话具有显著的潜力,可以减少负面期望.
- 建议以社区为基础的倡议促进EOL讨论,以加强沟通.
相关概念视频
Ethical Dilemmas II
936
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
936
Kubler Ross's Stages of Dying
61
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
61
Ethical Issues
856
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
Ethical Concerns in Healthcare:
856
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
Guidelines for Writing Outcome
2.7K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
2.7K
Longitudinal Research
11.9K
Sometimes we want to see how people change over time, as in studies of human development and lifespan. When we test the same group of individuals repeatedly over an extended period of time, we are conducting longitudinal research. Longitudinal research is a research design in which data-gathering is administered repeatedly over an extended period of time. For example, we may survey a group of individuals about their dietary habits at age 20, retest them a decade later at age 30, and then again...
11.9K


