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COVID-19:关于家庭成员与医疗保健专业人员之间沟通的经验教训——一项关于 COVID-19 重症监护病房住院患者的密切家属如何体验与医疗保健专业人员沟通和协作的定性研究。

COVID-19: Lessons Learned About Communication Between Family Members and Healthcare Professionals-A Qualitative Study on How Close Family Members of Patients Hospitalized in Intensive Care Unit With COVID-19 Experienced Communication and Collaboration With Healthcare Professionals.

机构信息

The Heart Centre, 53146Copenhagen University Hospital, Rigshospitalet, Copenhagen, Denmark.

出版信息

Inquiry. 2021 Jan-Dec;58:469580211060005. doi: 10.1177/00469580211060005.

Abstract

Family members to patients admitted to intensive care units in general experience a psychological crisis with elevated levels of needs in support, information, assurance, and proximity. During COVID-19, this has been made more difficult as visiting restrictions prevent proximity and cause less access to communication with healthcare professionals. This study aims to explore and understand how communication with healthcare professionals was experienced by family members to patients admitted to intensive care units with COVID-19. To gain knowledge about this, 12 qualitative interviews with family members of patients hospitalized with COVID-19 were conducted. Adopting Reflexive Methodology, the interpretation is carried out following 4 levels, where the empirically grounded themes are analyzed and discussed using Habermas's theoretical concept of communication. The analysis brought forward 2 interconnected themes about how family members experienced the communication with the healthcare professionals during their loved one's hospitalization with COVID-19: The Structure and Form of the Communication and The Contents of the Communication. The study concludes that the family members experienced large variation in the ways that healthcare professionals communicated with them. This variation in communication goes for the when, how, what, and who-all adding to the level of uncertainty. The analyses show that the family members need more fixed patterns for the communication, more continuity in terms of who they speak to, and that they wish that the communication be conducted in a way that is true, right, and truthful.

摘要

家属在入住重症监护病房时通常会经历一场心理危机,他们在支持、信息、保证和亲近感方面的需求会增加。在 COVID-19 期间,由于探视限制阻碍了亲近感,减少了与医护人员沟通的机会,这使得情况变得更加困难。本研究旨在探讨和了解 COVID-19 患者家属与重症监护病房医护人员的沟通体验。为了了解这一点,对 12 名 COVID-19 住院患者的家属进行了定性访谈。采用反思性方法论,在解释过程中遵循 4 个层次,使用哈贝马斯的沟通理论概念分析和讨论经验主义基础的主题。分析提出了两个相互关联的主题,即家属在 COVID-19 住院期间与医护人员沟通的体验:沟通的结构和形式以及沟通的内容。研究得出结论,家属在医护人员与他们沟通的方式上经历了很大的差异。这种沟通方式的变化体现在沟通的时间、方式、内容和对象,所有这些都增加了不确定性的程度。分析表明,家属需要更固定的沟通模式,更持续的沟通对象,希望沟通方式真实、正确和诚实。

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