Kleeman K M
Crit Care Nurs Clin North Am. 1989 Mar;1(1):23-31.
The key to effective management of patients and families with multiple trauma is an early assessment of family system structure, relationship process, and function. Immediate management through the application of a firm knowledge base incorporating family systems principles can enhance existing family strengths and target potential dysfunction early in the crisis. Trauma nurses are in key, pivotal positions to identify functional and/or dysfunctional family adaptation and to intervene accordingly. Incorporation of patient and family issues into family care plans should lead to increased participatory care and greater ease in transition for patient and family through subsequent stages of recovery.
有效管理多发伤患者及其家庭的关键在于早期评估家庭系统结构、关系进程和功能。通过运用包含家庭系统原则的坚实知识库进行即时管理，可增强家庭现有的优势，并在危机早期针对潜在的功能障碍采取措施。创伤护士处于关键且核心的位置，能够识别家庭功能正常和/或功能失调的适应情况，并据此进行干预。将患者和家庭问题纳入家庭护理计划，应能提高参与式护理水平，并使患者及其家庭在后续康复阶段的过渡更加顺利。
