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[姑息治疗:沟通作为对晚期患者的一种护理策略]

[Palliative care: communication as a strategy of care for the terminal patient].

作者信息

de Andrade Cristiani Garrido, da Costa Solange Fátima Geraldo, Lopes Maria Emília Limeira

机构信息

Departamento de Enfermagem, Centro de Ciências da Saúde, Campus I, Universidade Federal da Paraíba, Cidade Universitária - Campus I, Castelo Branco, 58.059-900 João Pessoa PB, Brazil.

出版信息

Cien Saude Colet. 2013 Sep;18(9):2523-30. doi: 10.1590/s1413-81232013000900006.

DOI:10.1590/s1413-81232013000900006
PMID:23989558
Abstract

Palliative care involves an approach in the field of care for terminal patients and their families that seeks to assure them better quality of life by establishing good communication. The scope of this study was to verify how nurses use communication in the field of palliative care when assisting patients in the terminal phase. This is exploratory research of a qualitative nature in which 28 nurses working in wards of a hospital in the city of Joao Pessoa in the State of Paraíba participated in the period from August to October 2012. A form was used for data collection that was then analyzed using the content analysis technique. Three categories emerged from the analysis of the material: "palliative care and communication - interpersonal relationship between the nurse and the terminal patient"; "communication in palliative care as a strategy for strengthening the bond between the nurse and the terminal patient"; and "the importance of communication between the nurse and the family of the terminal patient under palliative care." The conclusion reached was that communication is seen to be an effective element of care for the patient in the terminal phase and it is extremely important for the promotion of palliative care.

摘要

姑息治疗涉及为终末期患者及其家属提供护理的一种方法,旨在通过建立良好的沟通来确保他们有更高的生活质量。本研究的范围是验证护士在姑息治疗领域协助终末期患者时如何运用沟通。这是一项定性的探索性研究,2012年8月至10月期间,帕拉伊巴州若昂佩索阿市一家医院病房的28名护士参与了该研究。使用了一种表格进行数据收集,然后运用内容分析技术进行分析。对材料的分析得出了三个类别:“姑息治疗与沟通——护士与终末期患者之间的人际关系”;“姑息治疗中的沟通作为加强护士与终末期患者之间联系的策略”;以及“姑息治疗下护士与终末期患者家属之间沟通的重要性”。得出的结论是,沟通被视为终末期患者护理的一个有效要素,对促进姑息治疗极为重要。

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