Cu Rejnö Åsa, Berg Linda K
Department of Medicine, Stroke Unit, Skaraborg Hospital Skövde, Skövde, Sweden.
Department of Health Sciences, University West, Trollhättan, Sweden.
Indian J Palliat Care. 2019 Jan-Mar;25(1):9-17. doi: 10.4103/IJPC.IJPC_117_18.
The aim of this study was to illuminate the communication and its meaning in unexpected sudden death with stroke as example, as experienced by stroke team members and next of kin.
The study has a qualitative design. Secondary analysis of data from four previous interview studies with stroke team members; physicians, registered nurses, and enrolled nurses from the stroke units (SU) and next of kin of patients who had died due to acute stroke during hospital stay were utilized.
Communication is revealed as the foundation for care and caring with the overarching theme foundation for dignified encounters in care built-up by six themes illuminating the meaning of communication in unexpected sudden death by stroke.
Communication shown as the foundation for dignified encounters in care as experienced by stroke team members and next of kin enables the patient to come forth as a unique person and uphold absolute dignity in care. Acknowledging the next of kin's familiarity with the severely ill patient will contribute to personalizing the patient and in this way be the ground for a person centeredness in care despite the patients' inability to defend their own interests. Through knowledge about the patient as a person, the foundation for dignified care is given, expressed through respect for the patient's will and desires and derived through conversations between carers and next of kin.
本研究旨在以中风为例，阐明中风团队成员和近亲所经历的意外猝死中的沟通及其意义。
本研究采用质性设计。对之前四项针对中风团队成员（来自中风单元的医生、注册护士和在编护士）以及在住院期间因急性中风死亡患者的近亲进行访谈研究的数据进行二次分析。
沟通被揭示为护理和关怀的基础，其总体主题为护理中尊严相遇的基础，由六个主题构成，这些主题阐明了中风导致的意外猝死中沟通的意义。
中风团队成员和近亲所经历的沟通被视为护理中尊严相遇的基础，这使患者能够展现为独特的个体，并在护理中维护绝对尊严。承认近亲对重症患者的熟悉程度将有助于使患者个体化，从而成为以患者为中心的护理基础，尽管患者无法维护自身利益。通过了解患者作为个体的情况，奠定了尊严护理的基础，这体现在对患者意愿和愿望的尊重上，并通过护理人员与近亲之间的对话得以实现。
