沟通作为抑郁症的关键组成部分:概念框架和文献综述
Terri R Fried1,2, Na Ouyang3, Danijela Gnjidic4
1Department of Medicine, Yale School of Medicine, New Haven, Connecticut, USA.
Journal of the American Geriatrics Society
|December 11, 2024
概括
描述沟通框架揭示了社区层面尚未开发的机会. 在临床接触之外扩大沟通策略对于老年人有效停药至关重要.
科学领域:
- 老年学是指老年学的学科.
- 药理学 药理学是指药理学的学科.
- 卫生传播健康传播
背景情况:
- 停止处方对于老年人护理至关重要,重点是停止不必要的药物.
- 有效的沟通是成功的抑郁症干预措施的基础.
- 这项研究旨在开发一个概念框架来描述沟通,并评估其应用.
研究的目的:
- 创建一个概念框架,用于沟通在描述.
- 在这个框架内评估当前和潜在的沟通策略.
- 识别沟通中缺口和机会,描述沟通.
主要方法:
- 成立了一个国际专家工作组 (14名成员),包括老年医生,药理学家和通信专家.
- 文献评论分析了在描述随机临床试验 (RCT) 和观察性研究中的通信组件.
- 该概念框架被用来评估现有的关于描述沟通,知识,态度和价值观的研究.
主要成果:
- 开发的框架说明了抑郁症的沟通跨越了个人,卫生系统和社区层面.
- 卫生系统的沟通包括患者反和学术细节;社区层面涉及制药公司,互联网和团体.
- 目前的RCT主要关注个人临床和卫生系统沟通,对观察性研究中的沟通方法和风格的研究有限.
结论:
- 显著的机会存在于扩大抑郁症描述的沟通方法,特别是在社区层面.
- 需要进一步的研究来确定最佳的内容和个性化的风格来描述沟通.
- 加强沟通策略可以改善老年人群的药物管理和患者结果.
更多相关视频
04:29Vagus Nerve Stimulation As an Adjunctive Neurostimulation Tool in Treatment-resistant Depression
Published on: January 7, 2019
28.4K
05:48The Adventures of Fundi Intervention Based on the Cognitive and Emotional Processing in Attention Deficit Hyperactive Disorder Patients
Published on: June 12, 2020
5.7K
相关概念视频
Therapeutic Communication
4.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.4K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.8K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.8K
Communication
5.4K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
5.4K
Drug Therapy
39
The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
Antianxiety Medications
Antianxiety Medications
39
Antidepressant Drugs: Overview
357
Antidepressant drugs are a class of medications primarily used for treating various mood disorders, including major depression, anxiety disorders, and other related conditions. These medicines work by modulating the neurotransmitter balance within the brain, alleviating depressive symptoms. Antidepressants can be broadly categorized into several groups according to their mechanism of action and chemical structure: Selective Serotonin Reuptake Inhibitors (SSRIs), Serotonin-Norepinephrine...
357
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
