与患者和家人存在的沟通:多学科瘤学临床医生经验的定性探索
Megan Miller1, William E Rosa2, Haley Buller3
1School of Nursing, University of Wisconsin-Madison, Madison, WI, USA.
The American journal of hospice & palliative care
|December 3, 2025
概括
多学科瘤临床医生在与患者和家人存在的沟通中找到意义,尽管面临挑战. 需要培训和支持,以有效地导航生命终结讨论.
科学领域:
- 在瘤学瘤学.
- 抚慰性护理是一种缓解性护理.
- 医学沟通 医学沟通
背景情况:
- 在严重疾病和生命末期护理中,存在性的担忧是常见的.
- 对于临床医生来说,就这些问题进行有效的沟通往往是困难的.
研究的目的:
- 探索多学科瘤临床医生与存在的沟通的经验.
- 确定使这种沟通有意义和具有挑战性的因素.
主要方法:
- 定性研究分析了83名瘤临床医生 (护士,社会工作者,牧师) 的开放式调查答案.
- 用专题分析来分析数据.
主要成果:
- 临床医生在存在的沟通中讨论了内,恐惧,悲伤和精神问题等主题.
- 有意义的方面包括见证和减轻痛苦.
- 挑战包括对死亡的不适,否认,以及对息治疗的系统性障碍.
结论:
- 存在的沟通在瘤学中至关重要,但具有挑战性.
- 临床医生从这项工作中获得意义,但面临着情绪和系统障碍.
- 加强培训,反思和机构支持对于有效的终身沟通至关重要.
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