患者为严重疾病对话做好准备:通过现象学镜头识别心理情绪障碍
Alston Ng1,2, Su-Min Yeo1, Shirlyn Hui-Shan Neo1,2
1Division of Supportive and Palliative Care, National Cancer Centre Singapore, Singapore, Singapore.
Psycho-oncology
|October 28, 2025
概括
患者对严重疾病对话 (SIC) 的准备往往受到精神情绪因素的阻碍,例如迷失方向和适应不良. 解决这些障碍是调整护理与患者价值观的关键.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 定性研究是指质量研究.
背景情况:
- 严重疾病对话 (SIC) 对于将患者的护理与他们的价值观和偏好保持一致至关重要.
- 患者的准备是有意义的SIC参与的关键因素,但障碍仍然不明确.
研究的目的:
- 探索患者准备SIC的障碍,重点关注情绪,认知和应对相关因素.
- 了解这些障碍如何影响患者在严重疾病期间讨论目标和优先事项的能力.
主要方法:
- 使用解释性现象学分析 (IPA) 的定性研究.
- 进行了深入采访,对那些至少有一次SIC的晚期癌症患者进行了深入采访.
- 采访补充了字段笔记和短片,以将发现置于背景.
主要成果:
- 分析了18名参与者;七人没有为SIC做好准备.
- 确定了阻碍准备的四个主要趋势:迷失方向,混乱,赤字固定和脱离.
- 这些倾向源于不适应的应对策略,如避免,反省和灾难性思维.
结论:
- 心理情绪障碍严重阻碍了患者对SIC的准备.
- 解决这些障碍的有针对性的干预措施可以改善患者的参与度.
- 加强参与可以使患者价值观和护理决策更好地协调.
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