为受绝症影响的人提供心理支持:一项混合方法研究,对临终关怀医院工作人员的认知能力,信心和培训需求进行研究
Fatema Zavery1, Sulafa Fakhreddin1, Sarah Huibregtse Van Loon1
1Clinical Psychology, School of Health in Social Science, University of Edinburgh, Edinburgh, United Kingdom.
PloS one
|September 24, 2025
概括
临床医生提供心理支持,但需要更多的培训来识别和转介复杂的需求. 大多数工作人员对基本支持有信心,但对于高级病例缺乏技能.
科学领域:
- 抚慰性护理是一种缓解性护理.
- 在绝症患者的心理支持.
- 临终关怀实践 临终关怀实践
背景情况:
- 在绝症患者中,心理困扰很普遍.
- 临床医生是心理支持的主要提供者.
- 心理健康专家处理复杂的病例.
研究的目的:
- 描述医院当前的心理支持实践.
- 评估宿舍临床医生对心理支持的信心和能力.
- 确定宿舍工作人员的培训需求.
主要方法:
- 混合方法研究设计使用在线问卷.
- 数据来自英国和爱尔兰共和国的273家临终医院.
- 对151名临终关怀医院工作人员的反应进行了定量和专题分析.
主要成果:
- 81%的临终关怀医院工作人员检查心理困扰,经常使用临床判断.
- 工作人员表示对基本支持有信心,但难以区分需求或安排专家推.
- 障碍包括患者/家庭因素和系统性问题,如时间限制.
结论:
- 临终关怀工作人员对基本的心理支持充满信心,但希望接受进一步培训.
- 需要加强培训,以改善心理需求的识别和转介.
- 需要更明确的推指南,以提供专业的心理支持.
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