Trovo de Araújo Monica Martins, da Silva Maria Júlia Paes
Centro Universitário São Camilo, São Paulo, SP, Brasil.
Rev Esc Enferm USP. 2012 Jun;46(3):626-32. doi: 10.1590/s0080-62342012000300014.
The objective of this study is to verify the relevance and utilization of communication strategies in palliative care. This is a multicenter qualitative study using a questionnaire, performed from August of 2008 to July of 2009 with 303 health care professionals who worked with patients receiving palliative care. Data were subjected to descriptive statistical analysis. Most participants (57.7%) were unable to state at least one verbal communication strategy, and only 15.2% were able to describe five signs or non-verbal communication strategies. The verbal strategies most commonly mentioned were those related to answering questions about the disease/treatment. Among the non-verbal strategies used, the most common were affective touch, looking, smiling, physical proximity, and careful listening. Though professionals have assigned a high degree of importance to communication in palliative care, they showed poor knowledge regarding communication strategies. Final considerations include the necessity of training professionals to communicate effectively in palliative care.
本研究的目的是验证沟通策略在姑息治疗中的相关性和应用情况。这是一项多中心定性研究,采用问卷调查的方式,于2008年8月至2009年7月对303名从事姑息治疗患者护理工作的医护人员进行了调查。数据进行了描述性统计分析。大多数参与者(57.7%)无法说出至少一种言语沟通策略,只有15.2%的人能够描述五种信号或非言语沟通策略。最常提到的言语策略是与回答有关疾病/治疗问题相关的策略。在使用的非言语策略中,最常见的是情感触摸、眼神交流、微笑、身体靠近和仔细倾听。尽管专业人员高度重视姑息治疗中的沟通,但他们对沟通策略的了解却很匮乏。最后的思考包括培训专业人员在姑息治疗中进行有效沟通的必要性。