Jordan Aubrey L, Rojnica Marko, Siegler Mark, Angelos Peter, Langerman Alexander
University of Chicago Pritzker School of Medicine, Chicago, IL; Bucksbaum Institute for Clinical Excellence, University of Chicago, Chicago, IL.
Department of Surgery, University of Chicago Medicine, Chicago, IL; Bucksbaum Institute for Clinical Excellence, University of Chicago, Chicago, IL.
J Am Coll Surg. 2014 Nov;219(5):958-67. doi: 10.1016/j.jamcollsurg.2014.05.019. Epub 2014 Jul 16.
Family members are important in the perioperative care of surgical patients. During the perioperative period, communication about the patient occurs between surgeons and family members. To date, however, surgeon-family perioperative communication remains unexplored in the literature.
Surgeons were recruited from the surgical faculty of an academic hospital to participate in an interview regarding their approach to speaking with family members during and immediately after an operative procedure. An iterative process of transcription and theme development among 3 researchers was used to compile a well-defined set of qualitative themes.
Thirteen surgeons were interviewed and described what informs their communication, how they practice surgeon-family perioperative communication, and how the skills integral to perioperative communication are taught. Surgeons saw perioperative communication with family members as having a special role of providing support and anxiety alleviation that is distinct from the role of communication during clinic or postoperative visits. Wide variability exists in how interviewed surgeons practice perioperative communication, including who communicates with the family, and the frequency and content of the communication. Surgeons universally reported that residents' instruction in perioperative communication with families was lacking.
Surgeons recognize perioperative communication with family members to be a part of their role and responsibility to the patient. However, during the perioperative period, they also acknowledge an independent responsibility to alleviate family members' anxieties. This independent responsibility supports the existence of a distinct "surgeon-family relationship."
家庭成员在外科手术患者的围手术期护理中至关重要。在围手术期，外科医生与家庭成员之间会就患者情况进行沟通。然而，迄今为止，外科医生与家庭成员在围手术期的沟通在文献中尚未得到探讨。
从一家学术医院的外科教职员工中招募外科医生，参与关于他们在手术过程中和手术后立即与家庭成员交谈方式的访谈。3名研究人员采用转录和主题开发的迭代过程，汇编了一套明确的定性主题。
对13名外科医生进行了访谈，他们描述了影响其沟通的因素、他们如何进行外科医生与家庭成员的围手术期沟通，以及如何教授围手术期沟通所需的技能。外科医生认为与家庭成员的围手术期沟通具有特殊作用，即提供支持和减轻焦虑，这与门诊或术后访视期间的沟通作用不同。受访外科医生在围手术期沟通的实践方式上存在很大差异，包括与家属沟通的人员、沟通的频率和内容。外科医生普遍报告称，住院医师在与家属进行围手术期沟通方面缺乏指导。
外科医生认识到与家庭成员的围手术期沟通是他们对患者的角色和责任的一部分。然而，在围手术期，他们也承认有独立的责任减轻家庭成员的焦虑。这种独立责任支持了一种独特的“外科医生 - 家庭关系”的存在。
