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姑息治疗与家庭照顾者:用相互伪装(同理心)换取持续注视(同情心)。

Palliative Care and the Family Caregiver: Trading Mutual Pretense (Empathy) for a Sustained Gaze (Compassion).

作者信息

Goldsmith Joy, Ragan Sandra L

机构信息

Department of Communication, University of Memphis, 235 Art and Communication Building, Memphis, TN 38152-3150, USA.

Department of Communication, University of Oklahoma, Norman, OK 73019, USA.

出版信息

Behav Sci (Basel). 2017 Apr 13;7(2):19. doi: 10.3390/bs7020019.

DOI:10.3390/bs7020019
PMID:28406430
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5485449/
Abstract

In this conceptual piece, we survey the progress of palliative care communication and reflect back on a chapter we wrote a decade ago, which featured the communication concept of mutual pretense, first described by Glaser and Strauss (1965). This work will include an update on family caregivers and their role in cancer caregiving as well as a review of current palliative care communication curriculum available for providers. And finally, we will spotlight the conversation and research going forward on the subject of health literacy for all stakeholders; patients, families, providers, and systems. We feature one family's story of incurable cancer and end of life to revisit the needs we identified ten years ago, which are still present. Goals for going forward in chronic and terminal illness are suggested in a health care context still too void of palliative care communication resources for providers, patients, and especially family caregivers.

摘要

在这篇概念性文章中,我们审视了姑息治疗沟通的进展,并回顾了我们十年前撰写的一章内容,其中介绍了由格拉泽和施特劳斯(1965年)首次描述的相互假装的沟通概念。这项工作将包括对家庭护理人员及其在癌症护理中的作用的更新,以及对目前可供医疗服务提供者使用的姑息治疗沟通课程的回顾。最后,我们将聚焦于所有利益相关者(患者、家庭、医疗服务提供者和医疗系统)在健康素养主题上正在进行的对话和研究。我们讲述了一个家庭患不治之症和生命终结的故事,以重温我们十年前确定的需求,这些需求仍然存在。在医疗环境中,对于医疗服务提供者、患者,尤其是家庭护理人员而言,姑息治疗沟通资源仍然匮乏,本文提出了在慢性和晚期疾病中向前发展的目标。

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本文引用的文献

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2
Definition of compassion in healthcare: a systematic literature review.医疗保健中同情心的定义:一项系统的文献综述。
Int J Palliat Nurs. 2016 Dec;22(12):599-606. doi: 10.12968/ijpn.2016.22.12.599.
3
Sympathy, empathy, and compassion: A grounded theory study of palliative care patients' understandings, experiences, and preferences.同情、同理心与怜悯:一项关于姑息治疗患者的理解、经历及偏好的扎根理论研究
Palliat Med. 2017 May;31(5):437-447. doi: 10.1177/0269216316663499. Epub 2016 Aug 17.
4
Assessment of a Statewide Palliative Care Team Training Course: COMFORT Communication for Palliative Care Teams.一项全州范围姑息治疗团队培训课程的评估:姑息治疗团队的COMFORT沟通法
J Palliat Med. 2016 Jul;19(7):746-52. doi: 10.1089/jpm.2015.0552. Epub 2016 Jun 10.
5
Factors associated with depression and anxiety symptoms in family caregivers of patients with incurable cancer.不可治愈癌症患者家庭照顾者中与抑郁和焦虑症状相关的因素。
Ann Oncol. 2016 Aug;27(8):1607-12. doi: 10.1093/annonc/mdw205. Epub 2016 May 13.
6
A systematic review of instruments assessing dimensions of distress among caregivers of adult and pediatric cancer patients.一项关于评估成年和儿科癌症患者照顾者痛苦维度的工具的系统评价。
Palliat Support Care. 2017 Feb;15(1):110-124. doi: 10.1017/S1478951516000079. Epub 2016 Mar 29.
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Measuring healthcare integration: Operationalization of a framework for a systems evaluation of palliative care structures, processes, and outcomes.衡量医疗保健整合:姑息治疗结构、过程和结果系统评估框架的实施
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