严重病患者的危机沟通技巧和策略:一种定性研究
Aliza Moledina1,2,3, Chloe Thabet4,5, Peter Munene4,5
1Department of Medicine, The Ottawa Hospital, Ottawa, ON, Canada. almoledina@toh.ca.
Journal of general internal medicine
|December 9, 2025
概括
医生需要更好的工具来在健康危机中进行严重疾病对话. 严重疾病对话指南 (SICG) 可以适应危机沟通,结合高急性环境的基本技能和策略.
科学领域:
- 医学沟通 医学沟通
- 危机干预 危机干预
- 抚慰性护理是一种缓解性护理.
背景情况:
- 医生在健康危机期间进行严重疾病对话的工具有限.
- 严重疾病对话指南 (SICG) 为稳定的环境提供了一个框架,并且可以适应危机沟通.
研究的目的:
- 识别专家临床医生在危机情况下的沟通技巧和战略.
- 确定SICG应用于危机通信的适应性.
主要方法:
- 与经验丰富的危机沟通 (一般内科,重症监护,紧急医疗) 的医生进行半结构面试.
- 对面试成绩单进行主题分析.
- 开发SICG用于危机通信的初步调整.
主要成果:
- 危机沟通的挑战包括时间限制,预后不确定性,历史有限,缺乏建立的关系和高症状负担.
- 有效的策略包括快速建立信任,对不确定性的透明度,并允许情绪表达.
- 医生发现SICG可适应,但需要对高敏度设置进行修改,并注意到缺少的元素,如医疗背景,先前的愿望,能力评估和家庭参与.
结论:
- 确定了危机沟通的关键技能和策略.
- SICG对于危机沟通具有相关性和适应性.
- 未来的研究应该与患者和护理人员一起评估适应的指南.
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