"我们真的不认识对方":一项混合方法研究,探索患者和临床医生的价值观以中心的讨论,在心室辅助装置植入后进行
Avery C Bechthold1, Rachel D Wells2, Colleen K McIlvennan3
1Avery C. Bechthold, PhD, RN, Assistant Professor, College of Nursing, University of Tennessee-Knoxville, Knoxville, Tennessee, USA.
The Journal of cardiovascular nursing
|February 6, 2026
概括
心室辅助器件 (VAD) 接收者喜欢讨论最重要的事情. 关系信任,情感安全和支持的环境对于这些对话至关重要.
科学领域:
- 心血管医疗护理是心血管的关键.
- 患者为中心的结果.
- 医学社会学 医学社会学
背景情况:
- 高质量的心血管保健需要将治疗与患者价值观保持一致.
- 了解心室辅助器件 (VAD) 接收者在植入后以价值为中心的讨论目前是有限的.
研究的目的:
- 探索VAD接收者如何参与对话以澄清他们的优先事项.
- 调查患者的经验和价值观为中心的讨论的促进者.
主要方法:
- 进行了一项连续的解释性混合方法研究.
- 成年VAD接受者完成了关于价值观讨论的调查,随后进行了半结构化访谈以获得更深入的见解.
主要成果:
- 调查数据 (N=32) 和采访 (n=12) 揭示了关键主题:关系信任,情感安全,时机,准备和沟通环境.
- 患者更喜欢值得信赖的,容易接触的沟通者,并重视接受他们的新现实.
- 负面经历源于挫折,冲突和缺乏理解.
结论:
- 关系信任,情感准备以及支持性的沟通环境对于以价值观为中心的讨论至关重要.
- 护士可以通过强调连续性,可访问性和情感安全来促进这些讨论.
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