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由专业家庭支持团队与住院的COVID-19患者亲属进行电话沟通:经验教训。

Telephone communication with relatives of hospitalised COVID-19 patients by a specialised family support team: lessons learned.

作者信息

Ayora Ara, Nogueras Carme, Jimenez-Panes Sonia, Cortinas-Rovira Sergi

机构信息

Member of Scientific Communication Research Group (GRECC), Department of Communication, Pompeu Fabra University, Barcelona, Spain.

Member of Geriatric Department at Germans Trias i Pujol University Hospital in Barcelona, Spain .

出版信息

J Med Ethics Hist Med. 2021 Dec 3;14:18. doi: 10.18502/jmehm.v14i18.8178. eCollection 2021.

Abstract

During March and April 2020, the number of hospital admissions and deaths due to the first wave of COVID-19 peaked. The objective of this study was to analyse the experiences of a team of health professionals in charge of breaking bad news over the telephone to the relatives of patients admitted to the respiratory ward of a large hospital in Barcelona. This was a qualitative research based on semi-structured individual interviews with all the members of the team and a group interview. The interviews were analysed using Condensation of Meaning techniques. Three central themes emerged after analysing the interviews: (1) the call itself, (2) the need for good organisational support both before and during a crisis, and (3) the care that the professionals themselves need. To set up a large-scale operation to break bad news over the phone, some organisational aspects must be considered that go beyond the call itself. All these aspects are interrelated to a large extent, and due attention should be given to proper communication and adequate care practices for both relatives and health workers.

摘要

2020年3月至4月期间,第一波新冠疫情导致的住院人数和死亡人数达到峰值。本研究的目的是分析一组医护人员的经历,他们负责通过电话向巴塞罗那一家大型医院呼吸科病房患者的亲属传达坏消息。这是一项定性研究,基于对该团队所有成员的半结构化个人访谈以及一次小组访谈。访谈采用意义浓缩技术进行分析。分析访谈后出现了三个核心主题:(1)电话沟通本身,(2)危机前和危机期间都需要良好的组织支持,(3)专业人员自身所需的关怀。要开展大规模的电话传达坏消息行动,必须考虑一些超出电话沟通本身的组织方面。所有这些方面在很大程度上相互关联,应适当关注亲属和医护人员的正确沟通及充分关怀措施。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/270d/9038988/404641b1073c/JMEHM-14-18-g001.jpg

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