医患沟通障碍患者的跨专业以患者为中心的沟通干预的效果。
The effects of an interprofessional patient-centered communication intervention for patients with communication disorders.
机构信息
Department of Research, Toronto Rehabilitation Institute, E.W. Bickle Centre for Continuing Care, 130 Dunn Avenue, Toronto, Ontario, M6K 2R7, Canada; Lawrence S. Bloomberg, Faculty of Nursing, University of Toronto, 155 College Street, Toronto, Ontario M5T1P8, Canada.
Revive Speech Therapy, Toronto, Ontario, Canada.
出版信息
Appl Nurs Res. 2018 Feb;39:189-194. doi: 10.1016/j.apnr.2017.11.017. Epub 2017 Nov 15.
PURPOSE OF THE STUDY
This small scale study examined the influence of an interprofessional (IP) evidence based patient-centered communication intervention (PCCI), delivered by trained nurses in collaboration with Speech Language Pathologists, on patient outcomes in an active stroke rehabilitation setting.
DESIGN AND METHODS
The setting constraints imposed the use of a single-group pretest and post-test design to determine the influence of the intervention on patient outcomes. Validated tools measured patient quality of life (QOL), depressive symptoms and satisfaction with care.
RESULTS
Patients (n=34) showed improvement in all outcomes from pretest to post-test, including quality of life, geriatric depressive symptoms, and satisfaction with care.
IMPLICATIONS
The findings indicate that a comprehensive person-centered communication intervention has the potential to enhance patient outcomes at discharge. Challenges to implementing and evaluating evidence-based interventions in practice are highlighted.
研究目的
本小规模研究考察了由经过培训的护士与言语病理学家合作提供的以证据为基础、以患者为中心的跨专业交流干预（PCCI）对活跃性脑卒中康复环境中患者结局的影响。
设计与方法
该设置限制采用单组前后测设计，以确定干预对患者结局的影响。经过验证的工具衡量了患者的生活质量（QOL）、抑郁症状和对护理的满意度。
结果
患者（n=34）在所有结局上均表现出从测试前到测试后的改善，包括生活质量、老年抑郁症状和对护理的满意度。
意义
研究结果表明，综合性以患者为中心的沟通干预有可能增强出院时的患者结局。研究强调了在实践中实施和评估基于证据的干预措施所面临的挑战。
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