描述医生生命终结沟通培训对模拟压力的影响,使用新型压力标记物
Amy H J Wolfe1,2, Pamela S Hinds2,3, Adre J du Plessis4
1Department of Critical Care Medicine, Children's National Hospital, Washington, DC, USA.
儿科住院医生接受有限的生命终端 (EOL) 培训,导致在关键通信模拟期间增加压力. 之前的EOL暴露可能会减轻这种应激反应.
科学领域:
- 儿科 儿科 儿科
- 医学教育 医学教育
- 沟通技巧 沟通技巧 这些技巧
背景情况:
- 富有同情心的生命末期 (EOL) 沟通对于儿科患者和家庭的福祉至关重要.
- 有限的培训机会可能会增加医生在EOL护理期间的压力.
研究的目的:
- 评估儿科住院医生暴露和对EOL沟通的培训.
- 在模拟的关键EOL通信场景中测量压力反应.
- 为了评估之前EOL暴露对压力的影响.
主要方法:
- 前性,试点观察性队列研究.
- 评估了医生EOL暴露和模拟的沟通压力.
- 通过州道焦虑清单 (STAI) 测量主观压力.
- 使用心率变化 (HRV) 测量客观压力.
主要成果:
- 85.7%的居民报告说,EOL患者的护理很少发生,并且感到不准备.
- 模拟通信显著增加了主观和客观压力.
- 暴露于EOL较少的居民表现出较小的应激反应.
结论:
- 儿科住院医生只有有限的EOL沟通经验,这可能会影响他们传递困难消息的能力.
- 模拟遭遇有效诱导可测量的压力,为有限的EOL机会提供培训解决方案.
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