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重症监护病房中临床医生的道德困扰与家属满意度

Clinicians' moral distress and family satisfaction in the intensive care unit.

作者信息

Lamiani Giulia, Ciconali Matteo, Argentero Piergiorgio, Vegni Elena

机构信息

Department of Biomedical Sciences, Humanitas University, Milan, Italy.

Department of Health Sciences, University of Milan, Milan, Italy.

出版信息

J Health Psychol. 2020 Oct;25(12):1894-1904. doi: 10.1177/1359105318781935. Epub 2018 Jun 19.

Abstract

This study explored the relationship between clinicians' moral distress and family satisfaction with care in five intensive care units in Italy. A total of 122 clinicians (45 physicians and 77 nurses) and 59 family members completed the Italian and the questionnaire, respectively. Clinicians' moral distress inversely correlated with family satisfaction related to the inclusion in the decision-making process. Specifically, physicians' moral distress inversely correlated with satisfaction regarding the respect shown toward the patient. Nurses' moral distress inversely correlated with satisfaction regarding breathlessness and agitation management, provision of emotional support, understanding of information, and inclusion in the decision-making process.

摘要

本研究探讨了意大利五个重症监护病房中临床医生的道德困扰与家属对护理的满意度之间的关系。共有122名临床医生(45名医生和77名护士)和59名家属分别完成了意大利语版和[具体问卷名称未给出]问卷。临床医生的道德困扰与家属对参与决策过程的满意度呈负相关。具体而言,医生的道德困扰与对患者所表现出的尊重方面的满意度呈负相关。护士的道德困扰与对呼吸困难和躁动管理、提供情感支持、信息理解以及参与决策过程方面的满意度呈负相关。

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