探索儿童重症监护中"痛苦"索赔如何运作
Karolina Grekov1, Jason Batten2, Tyler Tate3
1Department of Pediatrics (K.G.), Boston Children's Hospital, Boston, Massachusetts, USA.
Journal of pain and symptom management
|May 19, 2025
概括
了解儿童在儿科重症监护中遭受的痛苦是具有挑战性的. "痛苦"一词经常被含糊地使用,影响了护理目标和家庭沟通.
科学领域:
- 儿科重症监护 儿科重症监护
- 医学伦理 医学伦理
- 定性研究是指质量研究.
背景情况:
- 在儿科重症监护室 (PICU) 评估儿童的痛苦是复杂的.
- 了解"痛苦"一词对于临床决策,沟通和终身护理中的目标设定至关重要.
- 民族学方法被用来探索临床医生,患者和家庭在PICU中的"痛苦"的含义.
研究的目的:
- 调查临床医生和家庭如何在PICU中运行"痛苦".
- 分析"痛苦"讨论对决策过程的影响.
主要方法:
- 使用民族学方法进行定性探索性研究.
- 对21个护理会议成绩单和50个民族学观察结果的分析.
- 代式的,解释性的方法来识别来自医生,护士和家庭的数据中的主题.
主要成果:
- "痛苦"很少有明确的定义.
- 讨论患者的痛苦包括患者的经历,以及对提供者和家庭的附带影响.
- 医生使用"痛苦"来改变护理目标;父母的使用是可变的.
结论:
- 在PICU中的"痛苦"缺乏具体性,表明痛苦,并且可以改变与家庭价值观不一致的护理目标.
- 识别隐含的语言信息可以改善沟通,协作决策和患者的结果.
- 关于目标和偏好的加强沟通对于儿科生命终端护理至关重要.
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