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外科重症监护病房中家庭对姑息治疗及沟通的认知

Family Perceptions of Palliative Care and Communication in the Surgical Intensive Care Unit.

作者信息

Paré Kristina, Grudziak Joanna, Lavin Kyle, Sten May-Britt, Huegerich Anneka, Umble Karl, Twer Emma, Reid Trista

机构信息

Gillings School of Public Health, The University of North Carolina, Chapel Hill, NC, USA.

Department of Surgery, The University of North Carolina, Chapel Hill, NC, USA.

出版信息

J Patient Exp. 2021 Jul 14;8:23743735211033095. doi: 10.1177/23743735211033095. eCollection 2021.

Abstract

Few data exist on palliative care for trauma and acute care surgery patients. This pilot study evaluated family perceptions and experiences around palliative care in a surgical intensive care unit (SICU) via mixed methods interviews conducted from February 1, 2020, to March 5, 2020, with 5 families of patients in the SICU. Families emphasized the importance of clear, honest communication, and inclusiveness in decision-making. Many interviewees were unable to recall whether goals-of-care discussions had occurred, and most lacked understanding of the patients' illnesses. This study highlights the significance of frequent communication and goals-of-care discussions in the SICU.

摘要

关于创伤和急性护理手术患者的姑息治疗,现有数据很少。这项试点研究通过2020年2月1日至2020年3月5日对外科重症监护病房(SICU)的5名患者家属进行的混合方法访谈,评估了家属对姑息治疗的看法和经历。家属强调了决策中清晰、诚实沟通和包容性的重要性。许多受访者无法回忆起是否进行过护理目标讨论,并且大多数人对患者的病情缺乏了解。这项研究强调了在SICU中频繁沟通和护理目标讨论的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8e6c/8283220/ecbf8d6ee35d/10.1177_23743735211033095-fig1.jpg

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