University of Queensland, Communication Disability Centre, Brisbane, Australia Human Communication Sciences, La Trobe University, Melbourne, Australia. R.O'
Int J Lang Commun Disord. 2011 Jan-Feb;46(1):30-47. doi: 10.3109/13682821003660380. Epub 2010 Mar 26.
Many people have communication-related impairments when they are patients in acute hospital stroke units. One way to improve a person's ability to communicate is by providing a supportive communicative environment.
Using the World Health Organisation's (WHO) International Classification of Functioning, Disability and Health (ICF) framework, this research sought to identify the environmental factors that either create barriers to and/or facilitate communication between patients and their healthcare providers in acute hospital stroke units.
METHODS & PROCEDURES: A qualitative research methodology was used. Sixty-five patients were observed communicating with their healthcare providers in healthcare events. Interactions were transcribed and analysed to identify any environmental factors that may have influenced the interaction.
OUTCOMES & RESULTS: In total, 126 environmental factors were identified, which were grouped into 89 subcategories, 28 categories, and seven overall themes. Four themes related to the healthcare provider's knowledge, communication skills, attitudes and individual characteristics. The other three themes included the presence of family, the physical environment, and hospital systems.
CONCLUSIONS & IMPLICATIONS: There are many environmental factors that influence communication between patients and their healthcare providers in the acute stroke unit. Removing barriers and maintaining factors that facilitate communication may contribute towards the development of communicatively accessible stroke units.
许多人在急性医院卒中病房中存在与交流相关的障碍。改善一个人沟通能力的一种方法是提供一个支持性的交流环境。
本研究旨在利用世界卫生组织（WHO）的国际功能、残疾和健康分类（ICF）框架，确定在急性医院卒中病房中，哪些环境因素会对患者与医疗保健提供者之间的交流造成障碍和/或促进作用。
采用定性研究方法。观察了 65 名患者在医疗事件中与医疗保健提供者的交流情况。对互动进行了转录和分析，以确定可能影响互动的任何环境因素。
共确定了 126 个环境因素，这些因素被分为 89 个子类别、28 个类别和 7 个总体主题。其中四个主题与医疗保健提供者的知识、沟通技巧、态度和个人特征有关。另外三个主题包括家属的存在、物理环境和医院系统。
急性卒中病房中存在许多影响患者与医疗保健提供者之间交流的环境因素。消除障碍和维持促进沟通的因素可能有助于发展具有良好沟通能力的卒中病房。
