谈论严重疾病的舒适风格:瑞士范围的因数调查研究
Robert Staeck1,2, Carsten Sauer3, Steven M Asch4
1Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland.
BMC medicine
|April 13, 2025
概括
在严重疾病谈话期间的医生沟通显著影响患者的舒适性. 清晰度,时间和护理的连续性是关键,与同情心和自我揭露一起,以改善患者的体验.
科学领域:
- 医学沟通 医学沟通
- 患者体验 患者体验
- 抚慰性护理是一种缓解性护理.
背景情况:
- 严重疾病的谈话会导致患者的不适,妨碍理解和决策.
- 确定医生沟通策略以减少患者的不适对于改善护理至关重要.
- 这项研究探讨了患者在严重疾病背景下对安慰医生的沟通方式的看法.
研究的目的:
- 为了调查哪些医生沟通风格和特征患者在严重疾病谈话中认为是舒适的.
- 确定医生沟通的关键要素,以提高患者的舒适性和理解,在生命结束的讨论.
主要方法:
- 进行了一项全国性的在线因子调查,对德国,法国和意大利语言地区的1572名瑞士参与者进行了调查.
- 参与者评估了1000个独特的图片,在末期癌症预后场景中操纵了11个医生和患者属性.
- 采用随机效应的多层模型来分析这些属性对报告的患者舒适度的影响.
主要成果:
- 信息的清晰度,医生花费足够的时间,以及护理的连续性是患者舒适度的最强有力的预测因素.
- 之前的医生与患者的关系,医生自我披露,以及表达悲伤的表达对舒适产生了积极的影响.
- 基于患者偏好的建议增加了舒适度,而未能提供推的理由则降低了舒适度.
结论:
- 提供清晰的信息,投入足够的时间,并确保护理的连续性是提高患者舒适度的关键.
- 医生的同情心,包括自我揭露和表达悲伤,以及先前存在的患者与医生的关系,也对患者的舒适性作出了重大贡献.
- 这些发现强调了特定沟通策略在改善严重疾病讨论期间患者体验方面的重要性.
相关概念视频
01:15Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.6K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.6K
01:17Classification of Illness
7.2K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.2K
01:18Factors Affecting Illness
4.0K
When a person's physical, emotional, intellectual, social development or spiritual functioning is compromised, this deviation from a healthy normal state is called illness. Illness creates stress that in turn harms individuals. Irritation, anger, denial, hopelessness, and fear are behavioral and emotional changes an individual experiences in the phases of illness. A variety of factors influence a person's health and well-being.
For instance, risk factors are connected to illness,...
For instance, risk factors are connected to illness,...
4.0K
01:21Kubler Ross's Stages of Dying
55
Elisabeth Kübler-Ross significantly advanced psychology's understanding of the process of dying with her influential book, On Death and Dying (1969). She focused on studying terminally ill individuals and outlined five stages commonly experienced when coping with death: denial, anger, bargaining, depression, and acceptance.
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
In denial, individuals reject the reality of their condition, often thinking, "This isn't true; I feel fine," as a way to protect themselves from...
55
01:21Dimensions of Health and Illness
6.8K
The factors influencing the health-illness continuum can be internal or external and may or may not be under conscious control. They are related to the following eight human dimensions, and each dimension is interrelated to one other.
6.8K
02:12Relationship Formation
39.4K
What do you think is the single most influential factor in determining with whom you become friends and whom you form romantic relationships? You might be surprised to learn that the answer is simple: the people with whom you have the most contact. This most important factor is proximity. You are more likely to be friends with people you have regular contact with. For example, there are decades of research that shows that you are more likely to become friends with people who live in your dorm,...
39.4K