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医护人员与急性照护环境中 COVID-19 感染之老年病患间以病患为中心的沟通:来自中国武汉的发现。

Person-Centered Communication Between Health Care Professionals and COVID-19-Infected Older Adults in Acute Care Settings: Findings From Wuhan, China.

机构信息

Second Military Medical University, School of Nursing, Shanghai, China.

Cerebral Vascular Disease Center, Changhai Hospital affiliated to Second Military Medical University, China.

出版信息

J Gerontol B Psychol Sci Soc Sci. 2021 Mar 14;76(4):e225-e229. doi: 10.1093/geronb/gbaa190.

Abstract

OBJECTIVES

The current study aims to explore person-centered communication between health care professionals and COVID-19-infected older patients in acute care settings.

METHODS

The current qualitative study explored the communication between professionals and COVID-19-infected older adults in the acute care setting through 2 rounds of interviews with physicians and nurses who provided direct care and treatment for COVID-19-infected older patients in Wuhan, China. We explored the possibilities and significance of facilitating effective communication despite multiple challenges in the pandemic. Conventional content analysis was adopted to analyze the rich data collected from our participants.

RESULTS

It is possible and necessary to initiate and sustain person-centered communication despite multiple challenges brought by the pandemic. The achievement of person-centered communication can play significant roles in addressing challenges, building mutual trust, improving quality of care and relationships, and promoting treatment adherence and patients' psychological well-being.

DISCUSSION

It is challenging for health care professionals to provide care for COVID-19-infected older adults, especially for those with cognitive and sensory impairment, in acute care settings. Facilitating person-centered communication is a significant strategy in responding to the pandemic crisis and a core element of person-centered care.

摘要

目的

本研究旨在探讨急性护理环境中医疗保健专业人员与 COVID-19 感染老年患者之间的以患者为中心的沟通。

方法

本定性研究通过对中国武汉为 COVID-19 感染老年患者提供直接护理和治疗的医生和护士进行两轮访谈,探讨了专业人员与 COVID-19 感染老年成人之间在急性护理环境中的沟通。我们探讨了在大流行带来的多重挑战下促进有效沟通的可能性和意义。采用常规内容分析对从参与者那里收集的丰富数据进行分析。

结果

尽管大流行带来了多重挑战,但启动和维持以患者为中心的沟通是可能且必要的。实现以患者为中心的沟通可以在应对挑战、建立互信、提高护理质量和关系以及促进治疗依从性和患者心理健康方面发挥重要作用。

讨论

在急性护理环境中,医疗保健专业人员为 COVID-19 感染的老年患者提供护理具有挑战性,特别是对于那些认知和感觉受损的患者。促进以患者为中心的沟通是应对大流行危机的重要策略,也是以患者为中心护理的核心要素。

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