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神经肌肉疾病患者死亡后的心理病例讨论会:为参与的医护人员提供情感支持的来源

Psychological Case Conference Following the Death of a Patient With Neuromuscular Disease: A Source of Emotional Support for Participating Medical Staff.

作者信息

Fujino Haruo, Matsumura Tsuyoshi, Saito Toshio, Fujimura Harutoshi, Imura Osamu

机构信息

Department of Special Needs Education, Oita University, Oita, Japan.

Graduate School of Human Sciences, Osaka University, Osaka, Japan.

出版信息

J Patient Exp. 2020 Oct;7(5):713-716. doi: 10.1177/2374373519892413. Epub 2019 Dec 4.

DOI:10.1177/2374373519892413
PMID:33294606
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7705834/
Abstract

Healthcare professionals involved in the treatment and care of patients with intractable diseases, such as muscular dystrophy, increasingly encounter situations that can elicit emotional distress for them as well as the patients. Therefore, medical professionals also need support. This article describes a psychological case conference of multidisciplinary professionals involved in the treatment of a deceased patient with Duchenne muscular dystrophy. The conference aimed to support medical professionals in reflecting on and sharing their thoughts, feelings, and conflicts. Such a practice could support medical professionals in reflecting patients' thoughts and sharing their personal experiences with other staff members, which may alleviate emotional and personal conflicts. Reflecting on their interactions and dealings with patients serves this supportive function. Psychological case conferences for medical staff may serve as an opportunity for participants to feel emotionally supported and may perhaps help prevent burnout.

摘要

参与治疗和护理诸如肌肉萎缩症等疑难病症患者的医护人员,越来越多地遇到会给他们自己以及患者都带来情绪困扰的情况。因此,医疗专业人员也需要支持。本文描述了一个多学科专业人员针对一名已故杜氏肌营养不良症患者治疗情况召开的心理案例研讨会。该研讨会旨在支持医疗专业人员反思并分享他们的想法、感受和冲突。这样的做法可以帮助医疗专业人员反思患者的想法,并与其他工作人员分享他们的个人经历,这可能会缓解情绪和个人冲突。反思他们与患者的互动和交往具有这种支持作用。为医护人员举办的心理案例研讨会可能为参与者提供一个获得情感支持的机会,或许还有助于防止职业倦怠。

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本文引用的文献

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Impact of a complex chronic care patient case conference on quality and utilization.复杂慢性病患者病例会议对质量和利用的影响。
Transl Behav Med. 2018 May 23;8(3):366-374. doi: 10.1093/tbm/ibx082.
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Interprofessional case conference: impact on learner outcomes.跨专业病例讨论会:对学习者成果的影响。
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Experiences of Canadian oncologists with difficult patient deaths and coping strategies used.加拿大肿瘤学家在处理患者艰难死亡情况时的经历及所采用的应对策略。
Curr Oncol. 2017 Aug;24(4):e277-e284. doi: 10.3747/co.24.3527. Epub 2017 Aug 31.
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The experiences of patients with Duchenne muscular dystrophy in facing and learning about their clinical conditions.杜氏肌营养不良症患者面对并了解自身临床状况的经历。
Int J Qual Stud Health Well-being. 2016 Oct 5;11:32045. doi: 10.3402/qhw.v11.32045. eCollection 2016.
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How Physicians Support Mothers of Children with Duchenne Muscular Dystrophy.医生如何支持杜氏肌营养不良症患儿的母亲。
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