Institute of Health and Care Sciences and Centre for Person-Centred Care, Sahlgrenska Academy at the University of Gothenburg, Gothenburg, Sweden.
The Vascular Department, Sahlgrenska University Hospital, Gothenburg, Sweden.
J Clin Nurs. 2018 Jul;27(13-14):2904-2916. doi: 10.1111/jocn.14312. Epub 2018 May 30.
To describe preoperative communication after a person-centred intervention in nurses' consultations with patients undergoing surgery for colorectal cancer.
Patients all over the world scheduled for surgery are referred to preoperative consultations with healthcare professionals. The goal is to assess the risk of perioperative complications, improving quality of care and enabling patients to be prepared for surgery and recovery. A person-centred intervention was developed, which consisted of an interactive written patient education material and person-centred communication.
An explorative quantitative and qualitative study based on 18 audio-taped transcriptions.
Eighteen patients preoperative nursing consultations at three Swedish hospitals were analysed quantitatively regarding structure: words, time, phases, questions, discursive space, and qualitatively: topics and how the person-centred communication appeared in the consultations.
The median time for consultations was 27 min (range 13-64 min). The nurses used two-thirds of the discursive space in the consultations with the patients. The patient education material was used as a support to structure the consultation and discuss sensitive and difficult issues. Seven topics were discussed during the consultation. Two different approaches to communication were identified: Talking with the patient versus Talking to the patient. Talking with the patient (seen as person-centred communication) was defined as: listening to the narrative and confirming each other, raising difficult topics, seeing each other as persons, building on strengths and resources, preparing for surgery and asking open questions.
Ways of communicating influence how the preoperative consultation develops. Talking with the patient could be seen as person-centred communication in the preoperative care, and when using this approach, the intervention purpose of person-centred communication was met.
Education in person-centred communication is important for nurses to improve their skills in performing preoperative consultations.
描述在以人为中心的干预措施之后，护士与接受结直肠手术的患者进行咨询时的术前沟通。
全世界接受手术的患者都被转介到术前咨询，与医疗保健专业人员进行咨询。目的是评估围手术期并发症的风险，提高护理质量，并使患者能够为手术和康复做好准备。开发了一种以人为中心的干预措施，包括互动式书面患者教育材料和以人为中心的沟通。
基于 18 个录音转录本的探索性定量和定性研究。
在瑞典的三家医院中，对 18 名患者术前护理咨询进行了定量分析，分析了结构：词汇、时间、阶段、问题、话语空间，并进行了定性分析：主题以及以人为中心的沟通在咨询中的表现。
咨询的中位数时间为 27 分钟（范围 13-64 分钟）。护士在与患者的咨询中使用了三分之二的话语空间。患者教育材料被用作结构咨询和讨论敏感和困难问题的支持。在咨询中讨论了七个主题。确定了两种不同的沟通方法：与患者交谈与与患者交谈。与患者交谈（被视为以人为中心的沟通）被定义为：倾听叙述并相互确认、提出困难的话题、将彼此视为个体、利用优势和资源、为手术做准备并提出开放式问题。
沟通方式会影响术前咨询的发展。与患者交谈可以被视为术前护理中的以人为中心的沟通，并且当使用这种方法时，达到了以人为中心的沟通的干预目的。
教育以人为中心的沟通对护士提高进行术前咨询的技能非常重要。
