Woolley N
Mid-Glamorgan School of Nursing, Wales.
J Adv Nurs. 1990 Dec;15(12):1402-8. doi: 10.1111/j.1365-2648.1990.tb01782.x.
Admission to a critical care unit often causes a great deal of distress and anguish, not only for the patient but also his or her family. If one believes in the holistic approach to care, then it is essential that the critical care nurse is able to identify the specific needs of family members, and demonstrate appropriate intervention techniques with those in need of support. It is suggested that crisis theory can provide an effective tripartite framework on which to base such nursing care. Following a brief description of its development and basic principles, application of its approach will be demonstrated in relation to the specific needs and concerns which have been identified from responses of family members themselves. Suggestions are offered which may assist the nurse in further developing basic communication skills which can assist the intervention process at this difficult time. Awareness of such principles is of value to all workers in critical care areas.
入住重症监护病房往往会给患者及其家人带来极大的痛苦和困扰。如果秉持整体护理理念，那么重症监护护士必须能够识别家庭成员的特殊需求，并对需要支持的人运用恰当的干预技巧。有人认为危机理论能为这类护理提供有效的三方框架。在简要介绍其发展历程和基本原则之后，将针对从家庭成员自身反馈中确定的特殊需求和担忧展示该理论方法的应用。文中还给出了一些建议，可能有助于护士进一步提升基本沟通技巧，从而在这个艰难时刻推动干预进程。了解这些原则对重症监护领域的所有工作人员都有价值。
