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通过提供信息、建立伙伴关系和反馈教学,在康复过程中加强健康促进。

Enhancing health promotion during rehabilitation through information-giving, partnership-building, and teach-back.

作者信息

Hyde Yolanda M, Kautz Donald D

机构信息

The University of North Carolina School of Nursing, Greensboro, NC, USA.

出版信息

Rehabil Nurs. 2014 Jul-Aug;39(4):178-82. doi: 10.1002/rnj.124. Epub 2013 Aug 28.

DOI:10.1002/rnj.124
PMID:24037997
Abstract

PURPOSE AND CONCEPTUAL FRAMEWORK

This clinical article explores how Street, Gordon, and Millay's framework of evidence-based communication strategies of information-giving and partnership-building can be used by rehabilitation nurses and other rehabilitation team members in their practice to help patients with health promotion.

METHOD (INTERVENTION STRATEGIES): This clinical article gives practical suggestions for using the information-giving strategies of control, description, instructions, options, outlook, rationale, recommendations, and risks; and the partnership-building strategies of agreement, decision-making, questions, and requests to assist patients.

CONCLUSION AND CLINICAL RELEVANCE

Combined with the teach-back method, these strategies have been shown to increase the likelihood that patients will lose weight, adopt a regular exercise program, and bring chronic illnesses such as hypertension and diabetes under control, which is also likely to increase patients' functional ability and independence. These strategies can be used by rehabilitation nurses and all members of the rehabilitation team in acute, sub-acute, out-patient, and in-home rehabilitation programs.

摘要

目的与概念框架

本文探讨康复护士及其他康复团队成员如何在实践中运用斯特里特、戈登和米莱基于证据的信息提供与建立伙伴关系沟通策略框架,以促进患者的健康。

方法(干预策略):本文给出实用建议,介绍如何运用信息提供策略(控制、描述、说明、选择、前景、理由、建议和风险)以及建立伙伴关系策略(达成一致、决策、提问和请求)来帮助患者。

结论与临床意义

与反馈教学法相结合,这些策略已被证明能增加患者减肥、采用规律运动计划以及控制高血压和糖尿病等慢性病的可能性,这也可能提高患者的功能能力和独立性。这些策略可被康复护士及康复团队所有成员用于急性、亚急性、门诊和家庭康复项目。

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