在护理目标对话中发现心理社会背景:多中心随机对照试验中的定性研究
Julia Gambino1, Lindsay M Schlichte2, Marie C Haverfield3
1Duke University, Durham, North Carolina, USA.
Clinical gerontologist
|February 17, 2025
概括
患者在护理目标对话中的情绪表达揭示了关键的心理社会背景. 了解这些情绪有助于临床医生更好地支持患者的价值观和治疗偏好.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 心理社会瘤学
- 在医疗保健领域的沟通
背景情况:
- 限制生命的慢性疾病给患者带来了重大的心理和社会压力.
- 在重症监护讨论期间,心理社会问题经常通过情绪表达来传达.
研究的目的:
- 在护理对话的目标中,识别和描述意味着心理社会背景的情感表达.
- 了解患者的情绪如何与他们的价值观和偏好在治疗决策中的关系.
主要方法:
- 从关怀目标对话中对26个成绩单进行了定性分析.
- 使用了"沟通指南的目标",来自ADAPT的先进系统缓解与息治疗试验.
- 采用了诱导和演方法,并开发了一个代码书来检查表达的情绪.
主要成果:
- 心理社会背景的四个主要主题出现了:接受疾病,感觉像一个负担,疾病过渡和患病.
- 在患者的表情中观察到积极和消极的情绪影响.
- 情感感受往往是不引起的,强调了它们的意义.
结论:
- 患者在护理目标中的情感感受对话是心理社会背景的关键指标.
- 识别这些情绪可以提高临床医生支持患者目标和偏好的能力.
- 这种理解可以改善息治疗中的共享决策.
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