School of Behavioural Sciences and Psychology, Health Psychology Research, College of Management Academic Studies, Rishon Letzion, Israel.
Scand J Caring Sci. 2021 Mar;35(1):123-133. doi: 10.1111/scs.12826. Epub 2020 Feb 18.
Hospital readmissions due to illness among geriatric patients result in human suffering and psychological trauma. Resilience in chronic illness protects geriatric patients from outcomes of trauma leads to psychological and physical well-being and enables bouncing back to life. While communication has been linked to improved health outcomes, little is known about communication pathways in the context of postdischarge resilience.
To explore the role of communication pathways that acute-care clinicians used with geriatric patients in postdischarge resilience.
Participants were ten geriatric patients who were readmitted several times in the past year. Twenty narrative interviews were conducted, one upon discharge and the other a month thereafter. Data for each phase of interviews were analysed using methods of selection mechanisms and Bricolage.
The ethics committee approved the study. Participants signed an informed-consent form for participation and publication.
Communication in acute care that enhanced health literacy, perceived control and reflection, contributed to higher comprehensibility and manageability during the hospitalisation and postdischarge meaningfulness postdischarge, contributing resilience. Participants who experienced other forms of communication demonstrated anxiety and helplessness with lingering psychological trauma postdischarge.
Acute care may provide clinicians with opportunities to alleviate the suffering of geriatric patients and contribute to their postdischarge resilience. The suggested T.E.R model delineates communication pathways to fuel the trajectory from psychological trauma to postdischarge resilience in practice.
老年患者因疾病导致的住院后再次入院，会给他们带来身体和心理上的痛苦。慢性病患者的韧性可以保护他们免受创伤后果的影响，从而促进他们的身心健康，并使他们能够重新振作起来。虽然沟通已被证明可以改善健康结果，但在出院后韧性的背景下，人们对沟通途径知之甚少。
探讨急性护理临床医生在出院后韧性方面与老年患者沟通的途径。
参与者是 10 名在过去一年中多次住院的老年患者。进行了 20 次叙述性访谈，一次是在出院时，另一次是在一个月后。使用选择机制和拼凑法分析每个访谈阶段的数据。
伦理委员会批准了该研究。参与者签署了参与和发表的知情同意书。
急性护理中的沟通提高了健康素养、感知控制和反思，有助于提高住院期间和出院后理解和管理的意义，从而提高出院后的韧性。经历过其他沟通形式的患者在出院后表现出焦虑和无助，心理创伤挥之不去。
急性护理为临床医生提供了减轻老年患者痛苦和促进他们出院后韧性的机会。建议的 T.E.R 模型描述了沟通途径，以推动从心理创伤到出院后韧性的轨迹。
