• 文献检索
  • 文档翻译
  • 深度研究
  • 学术资讯
  • Suppr Zotero 插件Zotero 插件
  • 邀请有礼
  • 套餐&价格
  • 历史记录
应用&插件
Suppr Zotero 插件Zotero 插件浏览器插件Mac 客户端Windows 客户端微信小程序
定价
高级版会员购买积分包购买API积分包
服务
文献检索文档翻译深度研究API 文档MCP 服务
关于我们
关于 Suppr公司介绍联系我们用户协议隐私条款
关注我们

Suppr 超能文献

核心技术专利:CN118964589B侵权必究
粤ICP备2023148730 号-1Suppr @ 2026

文献检索

告别复杂PubMed语法,用中文像聊天一样搜索,搜遍4000万医学文献。AI智能推荐,让科研检索更轻松。

立即免费搜索

文件翻译

保留排版,准确专业,支持PDF/Word/PPT等文件格式,支持 12+语言互译。

免费翻译文档

深度研究

AI帮你快速写综述,25分钟生成高质量综述,智能提取关键信息,辅助科研写作。

立即免费体验

癌症患者、护理人员和临终关怀护士之间的沟通:内容、过程和随时间的变化。

Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time.

机构信息

College of Nursing, University of Utah, Salt Lake City, USA.

Department of Health Outcomes and Behavior, Moffitt Cancer Center, Tampa, USA.

出版信息

Patient Educ Couns. 2018 Mar;101(3):414-421. doi: 10.1016/j.pec.2017.09.013. Epub 2017 Sep 22.

DOI:10.1016/j.pec.2017.09.013
PMID:28964559
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5857410/
Abstract

OBJECTIVE

First, to describe communication of home hospice nurse visits to cancer patient-caregiver dyads. Second, to assess change in communication related to domains of care over the course of visits.

METHODS

Multi-site prospective observational longitudinal study of audio-recorded home hospice visits (N=537 visits; 101 patient-caregiver dyads; 58 nurses). Communication was coded using the Roter Interaction Analysis System to describe content and process. Conversation representing three care domains (physical, psychosocial/daily life, and emotional) was calculated from RIAS categories across speakers and analyzed to assess change in communication over time.

RESULTS

On average, nurses spoke 54% of total utterances, caregivers 29%, and patients 17%. For all participants, the predominant conversational focus was on physical care. Linear mixed effects models indicated that combined participant emotional talk showed a small systematic decrease over time; however, the results for all domains indicated variability unexplained by time or speaker effects.

CONCLUSIONS

Home hospice conversations are predominantly focused on physical care. Systematic change in communication versus responsiveness to the dynamic effects of patient death and family response over time are discussed.

PRACTICE IMPLICATIONS

Communication strategies already in use by hospice nurses could be leveraged and expanded upon to better facilitate family competence and confidence.

摘要

目的

首先,描述家庭临终关怀护士访视癌症患者-照护者二人组的沟通情况。其次,评估在访视过程中,与护理领域相关的沟通变化。

方法

这是一项多地点前瞻性观察性纵向研究,对家庭临终关怀访视进行了录音(N=537 次访视;101 对患者-照护者二人组;58 名护士)。使用 Roter 互动分析系统对沟通进行编码,以描述内容和过程。根据 RIAS 类别,从扬声器的角度计算出代表三个护理领域(身体、心理社会/日常生活和情感)的对话,并对其进行分析,以评估随时间推移的沟通变化。

结果

平均而言,护士发言占总发言的 54%,照护者占 29%,患者占 17%。对于所有参与者,主要的对话焦点是身体护理。线性混合效应模型表明,所有参与者的情感谈话总体上呈系统地随时间减少;然而,所有领域的结果都表明,时间或扬声器效应无法解释其中的变异性。

结论

家庭临终关怀对话主要集中在身体护理上。讨论了与患者死亡和家庭反应的动态效应相关的沟通变化的系统变化,以及对其的响应。

实践意义

临终关怀护士已经在使用的沟通策略可以被利用和扩展,以更好地促进家庭的能力和信心。

相似文献

1
Communication among cancer patients, caregivers, and hospice nurses: Content, process and change over time.癌症患者、护理人员和临终关怀护士之间的沟通:内容、过程和随时间的变化。
Patient Educ Couns. 2018 Mar;101(3):414-421. doi: 10.1016/j.pec.2017.09.013. Epub 2017 Sep 22.
2
Communication of emotion in home hospice cancer care: Implications for spouse caregiver depression into bereavement.居家安宁疗护中情感的沟通:对丧亲之配偶照顾者抑郁的影响。
Psychooncology. 2019 May;28(5):1102-1109. doi: 10.1002/pon.5064. Epub 2019 Apr 5.
3
Communication behaviors and patient and caregiver emotional concerns: a description of home hospice communication.沟通行为与患者及照顾者的情感关切:居家临终关怀沟通的描述
Oncol Nurs Forum. 2014 May;41(3):311-21. doi: 10.1188/14.ONF.311-321.
4
Nursing Support of Home Hospice Caregivers on the Day of Patient Death.患者死亡当日居家临终关怀护理人员的护理支持
Oncol Nurs Forum. 2017 Jul 1;44(4):457-464. doi: 10.1188/17.ONF.457-464.
5
Caregiver, patient, and nurse visit communication patterns in cancer home hospice.癌症居家临终关怀中的照顾者、患者和护士的访问沟通模式。
Psychooncology. 2017 Dec;26(12):2285-2293. doi: 10.1002/pon.4361. Epub 2017 Feb 10.
6
Positive emotion communication: Fostering well-being at end of life.积极情绪沟通:促进临终关怀的幸福感。
Patient Educ Couns. 2018 Apr;101(4):631-638. doi: 10.1016/j.pec.2017.11.018. Epub 2017 Nov 28.
7
Hospice nurse communication with patients with cancer and their family caregivers.临终关怀护士与癌症患者及其家属照顾者的沟通。
J Palliat Med. 2012 Mar;15(3):262-8. doi: 10.1089/jpm.2011.0287. Epub 2012 Feb 17.
8
Measuring Communication Similarity Between Hospice Nurses and Cancer Caregivers Using Latent Semantic Analysis.使用潜在语义分析测量临终关怀护士和癌症护理者之间的沟通相似度。
Cancer Nurs. 2020 Nov/Dec;43(6):506-513. doi: 10.1097/NCC.0000000000000729.
9
Caregiver Activation and Home Hospice Nurse Communication in Advanced Cancer Care.晚期癌症护理中的照护者激活与居家临终关怀护士沟通
Cancer Nurs. 2017 Sep/Oct;40(5):E38-E50. doi: 10.1097/NCC.0000000000000429.
10
"I just need to know they are going to do what they say they're going to do with my mom." Understanding hospice expectations from the patient, caregiver and admission nurse perspective.“我只需要知道他们会按照他们对我妈妈说的去做。”从患者、护理人员和入院护士的角度了解临终关怀的期望。
Patient Educ Couns. 2018 Nov;101(11):2025-2030. doi: 10.1016/j.pec.2018.08.005. Epub 2018 Aug 4.

引用本文的文献

1
Perspectives of nurses and patients on the misplacement of supportive care information for type 2 diabetes mellitus: a qualitative study in China.护士与患者对2型糖尿病支持性护理信息错位的看法:一项中国的定性研究
BMC Nurs. 2025 Feb 3;24(1):123. doi: 10.1186/s12912-025-02783-w.
2
Nursing activities for health promotion in palliative home care: an integrative review.姑息家庭护理中促进健康的护理活动:一项综合综述。
Palliat Care Soc Pract. 2024 Mar 13;18:26323524241235191. doi: 10.1177/26323524241235191. eCollection 2024.
3
Self-driven solutions and resilience adapted by people with drug-resistant tuberculosis and their caregivers in Bengaluru and Hyderabad, India: a qualitative study.印度班加罗尔和海得拉巴耐多药结核病患者及其照护者采用的自主驱动解决方案和适应能力:一项定性研究
Lancet Reg Health Southeast Asia. 2024 Feb 21;22:100372. doi: 10.1016/j.lansea.2024.100372. eCollection 2024 Mar.
4
Cancer caregivers at the end-of-life: How much me vs. how much we?临终癌症患者的照料者:“自我”与“集体”的比重该如何权衡?
PEC Innov. 2023 Jul 25;3:100193. doi: 10.1016/j.pecinn.2023.100193. eCollection 2023 Dec 15.
5
Close but Not Close Enough: How Distance Caregiving is Associated with Hospice Family Caregiver Hospice Communication Experiences.近在咫尺却又不够近:远程照护与临终关怀家庭照护者的临终关怀沟通体验之间的关联
Health Commun. 2024 Mar;39(3):482-492. doi: 10.1080/10410236.2023.2170199. Epub 2023 Jan 22.
6
Treatment decision conversations, symptoms, and functional status in older adults with advanced cancer: An exploratory study utilizing mixed methods.老年晚期癌症患者的治疗决策对话、症状和功能状态:一项利用混合方法的探索性研究。
J Geriatr Oncol. 2023 Mar;14(2):101414. doi: 10.1016/j.jgo.2022.12.002. Epub 2022 Dec 9.
7
Identification of psychological stressors in cancer patients based on a computer decision support nursing system.基于计算机决策支持护理系统识别癌症患者的心理应激源。
Am J Transl Res. 2022 Oct 15;14(10):6953-6963. eCollection 2022.
8
Exploring the Impact of Language Concordance on Cancer Communication.探讨语言一致性对癌症沟通的影响。
JCO Oncol Pract. 2022 Nov;18(11):e1885-e1898. doi: 10.1200/OP.22.00040. Epub 2022 Sep 16.
9
Analyzing Factors Associated with the Behavior-Change Stage of Colorectal Cancer Screening.分析与结直肠癌筛查行为改变阶段相关的因素。
Healthcare (Basel). 2022 Aug 8;10(8):1492. doi: 10.3390/healthcare10081492.
10
Family Members' Perceptions of Caregiver-Centered Communication with Hospice Interdisciplinary Teams: Relationship to Caregiver Wellbeing.家庭成员对临终关怀跨学科团队以照顾者为中心的沟通的看法:与照顾者幸福感的关系。
J Palliat Care. 2023 Jul;38(3):299-306. doi: 10.1177/08258597221113725. Epub 2022 Jul 25.

本文引用的文献

1
"A True Human Interaction": Comparison of Family Caregiver and Hospice Nurse Perspectives On Needs of Family Hospice Caregivers.“真实的人际互动”:家庭照顾者与临终关怀护士对家庭临终关怀照顾者需求的观点比较
J Hosp Palliat Nurs. 2014 Jul;16(5):282-290. doi: 10.1097/NJH.0000000000000066.
2
A National Strategy For Palliative Care.国家舒缓疗护策略
Health Aff (Millwood). 2017 Jul 1;36(7):1265-1273. doi: 10.1377/hlthaff.2017.0164.
3
Nursing Support of Home Hospice Caregivers on the Day of Patient Death.患者死亡当日居家临终关怀护理人员的护理支持
Oncol Nurs Forum. 2017 Jul 1;44(4):457-464. doi: 10.1188/17.ONF.457-464.
4
Comparing the Palliative Care Needs of Those With Cancer to Those With Common Non-Cancer Serious Illness.比较癌症患者与常见非癌症重症患者的姑息治疗需求。
J Pain Symptom Manage. 2017 Jun;53(6):1079-1084.e1. doi: 10.1016/j.jpainsymman.2017.02.014. Epub 2017 Apr 27.
5
Including personal development in palliative care education to address death anxiety.
Int J Palliat Nurs. 2017 Jan 2;23(1):36-45. doi: 10.12968/ijpn.2017.23.1.36.
6
Language Analysis as a Window to Bereaved Parents' Emotions During a Parent-Physician Bereavement Meeting.语言分析:作为丧亲父母与医生举行丧亲会议期间其情感的一扇窗口
J Lang Soc Psychol. 2015 Mar;34(2):181-199. doi: 10.1177/0261927X14555549. Epub 2014 Oct 30.
7
Exploring the communication of oncologists, patients and family members in cancer consultations: development and application of a coding system capturing family-relevant behaviours (KINcode).探索肿瘤学家、患者及其家庭成员在癌症会诊中的沟通:一种捕捉与家庭相关行为的编码系统(KINcode)的开发与应用
Psychooncology. 2016 Jul;25(7):787-94. doi: 10.1002/pon.4003. Epub 2015 Oct 30.
8
A multimethod analysis of shared decision-making in hospice interdisciplinary team meetings including family caregivers.一项包括家庭护理人员在内的临终关怀跨学科团队会议中共同决策的多方法分析。
Palliat Med. 2016 Mar;30(3):270-8. doi: 10.1177/0269216315601545. Epub 2015 Aug 17.
9
Does Diagnosis Make a Difference? Comparing Hospice Care Satisfaction in Matched Cohorts of Heart Failure and Cancer Caregivers.诊断是否会产生影响?比较心力衰竭和癌症患者照顾者匹配队列中的临终关怀满意度。
J Palliat Med. 2015 Dec;18(12):1008-14. doi: 10.1089/jpm.2015.0078. Epub 2015 Aug 14.
10
Limited time perspective increases the value of calm.有限的时间视角会增加冷静的价值。
Emotion. 2016 Feb;16(1):52-62. doi: 10.1037/emo0000094. Epub 2015 Jul 27.