Cutshall Susanne M, Fenske Laura L, Kelly Ryan F, Phillips Brent R, Sundt Thoralf M, Bauer Brent A
Mayo Clinic, 200 First Street SW, Rochester, MN 55905, USA.
Complement Ther Clin Pract. 2007 Nov;13(4):217-23. doi: 10.1016/j.ctcp.2007.02.001. Epub 2007 Apr 10.
There has been a growing emphasis on evaluating and improving the experience of the hospitalized patient. In 2004, the Cardiovascular Surgery team at Mayo Clinic Rochester, though achieving a high level of technical expertise and clinical outcomes, recognized that patients were not rating their overall hospital experience as highly as was expected. After a systematic evaluation of the hospital experience, tension, stress, pain, and anxiety were identified as key challenges for patients. A multidisciplinary team was created to evaluate pain management practices and explore methods for reducing pain, anxiety, and tension. An extensive review of the literature and site visits to other institutions provided the foundation for the program. The term "Healing Enhancement" was coined to identify the goals of this emerging paradigm that focused on all aspects of the patient's experience-mind, body, and spirit. Integrated therapies such as music, massage, guided imagery, and relaxation training were explored to measure their role in patient care.
人们越来越重视评估和改善住院患者的体验。2004年，罗切斯特梅奥诊所的心血管外科团队尽管在技术专长和临床结果方面达到了很高水平，但他们意识到患者对整体住院体验的评分并未达到预期的高度。在对住院体验进行系统评估后，紧张、压力、疼痛和焦虑被确定为患者面临的关键挑战。一个多学科团队成立，以评估疼痛管理实践并探索减轻疼痛、焦虑和紧张的方法。广泛的文献综述和对其他机构的实地考察为该项目奠定了基础。“促进康复”这一术语被创造出来，以确定这一新兴模式的目标，该模式关注患者体验的各个方面——身心和精神。人们探索了音乐、按摩、引导式意象和放松训练等综合疗法，以衡量它们在患者护理中的作用。
