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建立信任关系——亲属积极参与医患会谈的重要性。

A trustful relationship--the importance for relatives to actively participate in the meeting with the physician.

机构信息

Division of Caring Sciences, University West, Trollhaettan, Sweden.

出版信息

Int J Qual Stud Health Well-being. 2013 May 20;8:20608. doi: 10.3402/qhw.v8i0.20608.

Abstract

In previous research, no uniform picture emerged of the role of relatives in the meeting between an elderly patient and a physician. Knowledge about relatives' experiences of the meeting between an elderly patient and a physician will help healthcare practitioners better understand the role of relatives during the meeting and how practitioners can assist relatives in assuming their supporting role more efficiently. The purpose of this study is to explore experiences of relatives of meeting with the physician in a hospital setting when an elderly patient is discharged from hospital care to home care, in order to identify aspects that may facilitate relatives in taking up their role in a more efficient manner. This descriptive and exploratory study is based on 20 interviews with relatives. The result shows that the physician's communication style influences the meeting between the relative, the elderly patient, and the physician, and that this style is the result of power and interaction. A trustful relationship during the meeting between the relative and the physician can increase the relative's feeling of confidence with the healthcare organization and treatment of the elderly patient. The relative has an important supporting role in the care for the elderly family member, both in the hospital and the home setting. It is likely that the relative's value as a resource, for both the patient and the physician, increases as the relative experiences feelings of confidence in the meeting with the physician. It is therefore of value to increase our knowledge about the conditions and circumstances facilitating and/or hampering the meeting between the relative and the physician. The result stresses the importance of encouraging relatives to participate in the meeting. Physicians need more guidance and training in communication skills, respectful demeanor, and collaboration while meeting the relatives.

摘要

在之前的研究中,亲属在老年患者与医生会面中的作用并没有形成统一的画面。了解亲属在老年患者与医生会面中的体验将有助于医疗保健从业者更好地理解亲属在会议中的角色,以及从业者如何帮助亲属更有效地承担其支持角色。本研究旨在探讨当老年患者从医院护理转为家庭护理时,亲属在医院环境中与医生会面的体验,以确定有助于亲属更有效地承担其角色的方面。这项描述性和探索性研究基于对 20 名亲属的访谈。结果表明,医生的沟通方式影响了亲属、老年患者和医生之间的会面,而这种方式是权力和互动的结果。亲属与医生之间的信任关系可以增加亲属对医疗保健组织和老年患者治疗的信心。亲属在对老年家庭成员的护理中起着重要的支持作用,无论是在医院还是在家庭环境中。随着亲属在与医生的会面中感到自信,亲属作为资源的价值,对于患者和医生来说,很可能会增加。因此,增加我们对促进和/或阻碍亲属与医生会面的条件和环境的了解是有价值的。研究结果强调了鼓励亲属参与会议的重要性。医生在与亲属会面时需要更多的沟通技巧、尊重的态度和协作方面的指导和培训。

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