优先考虑晚期癌症患者的价值观,愿望和需求:二次语言分析
Sita de Vries1, Krista Francke1, Sigrid Vervoort2
1Center of Expertise in Palliative Care, Julius Center for Health Sciences and Primary Care, University Medical Center Utrecht.
Health communication
|February 11, 2025
概括
医院临床医生经常在息性癌症护理期间限制讨论患者的价值观,愿望和需求 (VWN). 这种沟通缺口使患者无法充分表达他们的VWN,影响护理质量.
科学领域:
- 医学沟通 医学沟通
- 息护理语言学
- 瘤学患者体验 患者体验
背景情况:
- 关于临床医生如何在高级癌症息护理中传达患者价值观,愿望和需求 (VWN) 的研究有限.
- 了解临床医生的沟通对于改善瘤学中以患者为中心的护理至关重要.
研究的目的:
- 探索医院瘤临床医生使用的关于患者在息治疗中的VWN的口头表达.
- 检查临床医生在门诊咨询期间的言语行为和模式.
主要方法:
- 与临床医生进行的半结构面试 (N=7) 和门诊咨询 (N=7) 的二级语言分析.
- 内容分析以识别临床医生关于VWN的口头表达.
- 功能实用分析以确定语音行为和模式.
主要成果:
- 临床医生表示优先考虑患者的VWN,了解疾病的观点,并促进应对对话.
- 然而,临床医生的演讲行为往往集中在治疗目标和行动上,讨论患者的VWN的空间有限.
- 他们注意到临床医生对患者情绪的反应,但整体沟通不足以解决患者的VWN.
结论:
- 临床医生在息瘤学的沟通实践可能会限制患者讨论他们的价值观,愿望和需求的机会.
- 这些发现可以为改善息护理专业人员的沟通培训提供信息.
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