叙述医学干预在烧伤中心的可行性和可接受性
Daniel H Grossoehme1,2, Nicole Robinson2,3, Anjay Khandelwal4
1Haslinger Family Pediatric Palliative Care Center, Akron Children's Hospital, Akron, OH United States.
概括
叙事医学干预措施对烧伤患者和护理人员有希望,减少焦虑和改善情绪调节. 这种低成本的非药理学方法对患者来说是可行的,需要进一步研究.
科学领域:
- 医学人文学科 医学人文学科
- 心理社会健康 心理健康
- 行为干预行为干预
背景情况:
- 烧伤伤害可能会给患者和护理人员带来重大的心理社会挑战,影响恢复.
- 叙事医学利用指导阅读,讨论和写作,提供一种非药理学方法来应对这些挑战.
- 该干预旨在帮助个人感到被听到,被看到,并促进自我反思和表达.
研究的目的:
- 对烧伤患者及其护理人员进行叙事医学干预的可行性和可接受性进行评估.
- 探索对候选结果变量 (如焦虑和情绪调节) 的潜在益处.
- 为未来准实验研究的设计提供信息.
主要方法:
- 在区域烧伤中心进行了前性,不受控制的可行性和可接受性试验.
- 六名患者和六名护理人员参加了叙事医学干预.
- 可行性是通过会议完成率来衡量;可接受性是通过入学率来衡量. 焦虑和情绪调节被测量为候选结果. 针对定性数据,使用了主题分析.
主要成果:
- 这种干预对患者 (100%完成) 和护理人员 (86%完成) 非常可行.
- 患者招募符合可接受性标准 (35%),但护理人员招募率低 (低于35%).
- 在患者和护理人员中观察到焦虑和情绪调节的可测量变化. 从主题分析中出现了四个关键主题:医院外的压力因素,希望和同情心,医疗更新和情绪.
结论:
- 叙事医学是一种可接受和可行的干预,用于烧伤患者,具有降低焦虑和调节情绪的潜力.
- 虽然对护理人员来说是可行的,但接受度很低,这表明需要修改方法.
- 这些发现支持进一步开发和修订研究设计,以便进行更大规模的准实验性试验.
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