与患者和家人沟通关于重症监护后综合征的沟通
Mark L Rolfsen1, M Elizabeth Wilcox2, Matthew F Mart3
1Vanderbilt University Medical Center, Division of Allergy, Pulmonary and Critical Care Medicine, and The Critical Illness, Brain Dysfunction, and Survivorship (CIBS) Center, Nashville, TN.
数以百万计的人在严重疾病中幸存下来,但却面临着长期的挑战,比如后重症监护综合征 (PICS). 改善沟通和临床医生的意识对于准备幸存者在ICU后的生活至关重要.
科学领域:
- 关键护理医学 关键护理医学
- 患者的治疗结果.
- 卫生传播健康传播
背景情况:
- 每年有数以百万计的人在危险疾病中幸存下来,但许多人经历了长期的身体,认知和心理障碍.
- 这些被称为重症监护后综合征 (PICS) 的后果,显著影响幸存者的生活质量,工作和家庭护理.
- 关于ICU团队中PICS意识和患者咨询的知识差距仍然存在.
研究的目的:
- 审查重症监护后综合征 (PICS) 和ICU幸存者的康复轨迹.
- 与患者和家人讨论有效的沟通策略,以应对PICS挑战.
- 为临床医生提供一个框架来管理这些关键的对话,并改善幸存者护理.
主要方法:
- 文献综述总结了关于PICS的当前知识.
- 讨论沟通策略,专注于同情心.
- 开发一个关于幸存者的临床对话框架.
主要成果:
- 后重症监护综合征 (PICS) 涵盖了对ICU幸存者的一系列衰弱的长期影响.
- 有效的沟通和临床医生意识对于准备患者应对PICS挑战至关重要.
- 以同理心驱动的沟通策略可以改善患者和家庭对生存的准备.
结论:
- 临床医生需要加强知识和沟通框架,以应对PICS的多方面的挑战.
- 积极和富有同情心的沟通对于支持ICU幸存者在退院后过渡到生活至关重要.
- 解决PICS需要一种系统方法,以便更好地为患者准备应对危急疾病的长期后果.
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