在第三级瘤中心的沟通中的伦理问题:探索性调查调查
Elena Ruggiero1, Stefania Schiavon1, Silvia Stragliotto2
1Pain Therapy and Palliative Care Unit, Veneto Institute of Oncology IOV-IRCCS, Padua, Italy.
Frontiers in psychology
|June 23, 2025
概括
有效的瘤学沟通受到时间和情绪障碍的阻碍. 通过培训来应对这些挑战,可以改善医生患者关系和终身护理讨论.
科学领域:
- 在瘤学瘤学.
- 医学沟通 医学沟通
- 患者护理 患者护理
背景情况:
- 在瘤学中,沟通至关重要,但具有挑战性,尤其是在传递坏消息时.
- 医生与病人之间的关系受到时间限制,情绪和生命结束时的讨论困境的压力.
- 威尼托瘤研究所 (IOV) 检查了有效沟通的障碍,包括时间限制和情感困难.
研究的目的:
- 识别阻碍关于坏消息和生命终结问题的及时有效讨论的因素.
- 确定敏感对话的主要参与者.
- 了解处理关键话题延迟的原因.
主要方法:
- 在瘤学和血液瘤学部门的43名医生接受了匿名调查问卷.
- 收集的数据包括人口统计,角色和沟通实践.
- 分析了医生的反应,以确定传递坏消息的行为模式.
主要成果:
- 大多数 (65.1%) 的人更喜欢直接向患者传达坏消息,而不是给护理人员.
- 时间限制是最重要的障碍 (40%),其次是情绪困扰和害怕患者失去动力.
- 尽管存在障碍,但76.7%的医生对与患者共享决策充满信心.
结论:
- 结构化的沟通培训对于克服时间和情绪障碍至关重要.
- 需要增强资源来支持医生在困难的对话.
- 改善沟通可以增强患者的自主权,并加强终身护理中的医生患者关系.
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