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加强沟通与患者护理:反向听诊器技术。

Enhancing Communication and Patient Care: The Reverse Stethoscope Technique.

作者信息

Sharma Radhika, Nuthulaganti Swetha R, Maharaj Ravindra P

机构信息

Internal Medicine, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

Internal Medicine: Geriatrics and Palliative Care, University of Florida College of Medicine - Jacksonville, Jacksonville, USA.

出版信息

Cureus. 2022 Feb 9;14(2):e22069. doi: 10.7759/cureus.22069. eCollection 2022 Feb.

DOI:10.7759/cureus.22069
PMID:35295348
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8916929/
Abstract

Patients with hearing loss have increased difficulties while navigating communication, especially complex conversations that take place in healthcare settings. Patients with hearing disabilities may often find themselves in noisy reception areas or busy emergency departments where their confidentiality is compromised for the sake of communication, resulting in suboptimal care. The reverse stethoscope technique is a tool that healthcare professionals can use to enhance communications to optimize patient care and maintain confidentiality. We describe a case of an 83-year-old male with bilateral hearing loss whose hearing disability became a major obstacle in his access to healthcare in the inpatient setting. With the help of the reverse stethoscope technique, the patient was able to understand his hospital course, diagnosis, and treatment options and was able to actively participate in making an informed decision.

摘要

听力损失患者在沟通中会遇到更多困难,尤其是在医疗环境中进行的复杂对话。听力残疾患者常常发现自己身处嘈杂的候诊区或繁忙的急诊科,为了沟通而牺牲了他们的隐私,导致护理效果不佳。反向听诊器技术是一种医疗专业人员可以用来加强沟通以优化患者护理并维护隐私的工具。我们描述了一例83岁双侧听力损失男性患者的病例,其听力残疾在住院环境中成为他获得医疗服务的主要障碍。在反向听诊器技术的帮助下,患者能够理解自己的住院过程、诊断和治疗选择,并能够积极参与做出明智的决定。

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The reverse stethoscope technique: a rapid intervention for old age hearing loss.反向听诊器技术:一种治疗老年听力损失的快速干预方法。
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本文引用的文献

1
Covid-19: face masks can be devastating for people with hearing loss but alternatives are available.新冠疫情:口罩对听力受损者可能造成极大困扰,但有其他替代方案。
BMJ. 2020 Aug 26;370:m3326. doi: 10.1136/bmj.m3326.
2
Face masks can be devastating for people with hearing loss.口罩对听力受损者可能是灾难性的。
BMJ. 2020 Jul 9;370:m2683. doi: 10.1136/bmj.m2683.
3
A Lancet Commission to address the global burden of hearing loss.一个旨在应对全球听力损失负担的柳叶刀委员会。
Lancet. 2019 May 25;393(10186):2106-2108. doi: 10.1016/S0140-6736(19)30484-2. Epub 2019 Feb 28.
4
Impact of Hearing Loss on Patient-Provider Communication Among Hospitalized Patients: A Systematic Review.听力损失对住院患者医患沟通的影响:一项系统评价
Am J Med Qual. 2019 May/Jun;34(3):284-292. doi: 10.1177/1062860618798926. Epub 2018 Sep 9.
5
Tackling hearing loss to improve the care of older adults.应对听力损失以改善老年人护理。
BMJ. 2018 Jan 18;360:k21. doi: 10.1136/bmj.k21.
6
Hearing loss is associated with poorer ratings of patient-physician communication and healthcare quality.听力损失与患者与医生沟通及医疗质量的较差评分相关。
J Am Geriatr Soc. 2014 Nov;62(11):2207-9. doi: 10.1111/jgs.13113.
7
Communicating with deaf people. Stethoscope is a hearing aid.与聋人交流。听诊器是一种助听器。
BMJ. 2010 Oct 26;341:c5985. doi: 10.1136/bmj.c5985.
8
Communicating in a healthcare setting with people who have hearing loss.在医疗环境中与听力受损者进行沟通。
BMJ. 2010 Sep 29;341:c4672. doi: 10.1136/bmj.c4672.