临终关怀和息医疗医生的主要心理健康能力:德尔菲研究
Lisa Podgurski1, Danielle Chammas2, Keri O Brenner3
1Section of Palliative Care and Medical Ethics (L.P.), University of Pittsburgh, Pittsburgh, Pennsylvania, USA.
Journal of pain and symptom management
|May 22, 2025
概括
这项研究确定并优先考虑了临终关怀和息医学 (HPM) 医生的关键心理健康能力. 其目标是改善严重疾病患者的精神病学和心理护理.
科学领域:
- 抚慰性护理医学 抚慰性护理医学
- 精神病学是一个精神病学.
- 心理学 心理学 心理学
背景情况:
- 精神病和心理护理在严重疾病中至关重要,解决患者的心理社会反应和精神健康并发症.
- 虽然社会工作者领导心理社会方面,但整个临终关怀和息医学 (HPM) 团队共同负责全人护理.
- 目前缺乏为HPM医生提供心理健康培训和实践的标准化.
研究的目的:
- 为专业HPM医生建立和优先考虑初级心理健康能力.
- 利用专家的共识方法来定义心理健康的基本技能,以提供息护理.
主要方法:
- 召集了一个专家小组,包括医生,社会工作者,心理学家和执业护士.
- 通过小组会议和面试生成初始能力.
- 使用两相修改的Delphi方法与36名息护理医生完成了高优先级能力.
主要成果:
- 提出了68个能力的初步清单,分为心理基础,心理健康障碍的诊断/管理和基于系统的实践.
- 经过两轮投票,最终确定了32个能力.
- 最终名单包括心理基础的7个能力,20个诊断/管理能力,5个基于系统的实践能力.
结论:
- 一个基于共识的,由专家领导的过程成功地为专家HPM医生生成并优先考虑了基本的心理健康能力.
- 这些能力旨在增强在息医学环境中提供的心理和精神病治疗.
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