相关实验视频
Updated: Aug 4, 2026
08:47
Oral Health Assessment by Lay Personnel for Older Adults
Published on: February 2, 2020
概括
医疗和护理人员很少与临终老年患者讨论诊断或即将死亡的问题. 这种沟通缺口导致了未满足的患者需求和员工压力,突出了终身护理的关键问题.
科学领域:
- 老年病的医生 老年病的医生
- 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:
- 在终身护理中,有效的沟通至关重要.
- 了解患者对诊断和预后的认识对于适当的护理至关重要.
- 之前的研究表明,医疗保健提供者与临终患者之间的沟通存在差距.
研究的目的:
- 评估医疗和护理人员对垂死老年患者的看法,以及老年患者对诊断和即将死亡的认识.
- 为了确定诊断和迫在眉的死亡与患者讨论的程度.
- 探索沟通,患者需求和员工压力之间的关系.
主要方法:
- 对91名医疗和护理工作人员进行了标准采访.
- 工作人员曾照顾过24名老年患者,他们死亡.
- 分析了回复,以确定工作人员对患者意识和沟通频率的评估.
主要成果:
- 只有45%的员工认为患者知道他们的诊断,而42%的人认为患者知道死亡即将到来.
- 关于诊断的直接讨论仅发生在18%的病例中,关于即将死亡的直接讨论发生在14%的病例中.
- 在14名醒的垂死患者中,有13名患者的需求得到了不充分的满足,沟通失败为此做出了贡献.
结论:
- 在医疗人员和临终老年患者之间,关于诊断和预后存在重大沟通缺陷.
- 不能公开讨论临终问题导致患者的需求未得到满足,员工压力增加.
- 改进的沟通策略对于提高临终患者护理质量和支持医疗保健专业人员至关重要.
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