摘要
目的深入了解ICU患者家属对医护人员病情告知的心理体验与感受,为制定干预措施提供参考依据。方法采用现象学研究方法对浙江省某三级甲等综合医院2022年9月一2023年2月收治的9例ICU患者家属进行深入访谈,运用Colaizzi法对访谈内容进行分析。结果ICU患者家属对医护人员病情告知的心理体验可归纳为4个主题:医学专业术语难理解、病情告知重结果轻过程、医疗决策压力、缺乏有效的应对方式。结论ICU患者家属在双向沟通、同理支持、共享决策等方面存在诸多需求与困扰,医护人员应该提高对患者家属的关注度,做好评估与应答,促进医患沟通。
Objective To understand the psychological experience and feelings of family members of ICU patients to the medical staffs,and provide reference for the formulation of intervention measures.Methods The phenomenological research method was used to conduct in-depth interviews with the family members of 9 ICU patients admitted to a grade A tertiary general hospital in Zhejiang Province from September 2022 to February 2023,and the interview contents were analyzed by Colaizzi method.Results The psychological experience of ICU patients'family members on disease disclosure by medical staffs could be summarized into four themes:difficult to understand medical professional terms,disease disclosure was more important than the result and less important than the process,the pressure of medical decision-making and lack of effective coping styles.Conclusion Family members of ICU patients have many needs and problems in two-way communication,empathetic support,and shared decision-making.Medical staffs should improve the attention of family members of patients,do a good job of assessment and response,and promote doctor-patient communication.
作者
项俊之
丁溢姣
叶铭惠
胡颖颖
徐小群
郑秀云
XIANG Jun-zhi;DING Yi-jiao;YE Ming-hui;HU Ying-ying;XU Xiao-qun;ZHENG Xiu-yun(The First Affiliated Hospital of Wenzhou Medical University)
出处
《医院管理论坛》
2024年第2期37-40,32,共5页
Hospital Management Forum
基金
温州市科协服务科技创新项目,编号:jczc0287
温州市科技局项目,编号:Y2023718。
关键词
重症监护病房
家属
病情告知
质性研究
Intensive care unit(ICU)
Family members
Disease disclosure
Qualitative study