Academic Clinical Lecturer, Department of Public Health and Primary Care, University of Cambridge.
Br J Community Nurs. 2022 Nov 2;27(11):540-544. doi: 10.12968/bjcn.2022.27.11.540.
Multimorbidity is increasingly common and inevitably results in uncertainties about health, care and the future. Such uncertainties may be experienced by patients, carers and health professionals. Given the ubiquitous presence of uncertainty, all professionals should be prepared to approach and address it in clinical practice. Uncertainty in multimorbidity can rarely be eliminated, and so, must be carefully addressed and communicated; however, there is little evidence on how to approach it. Key areas are: recognising the existence of uncertainty, acknowledging it, and communicating to achieve a shared understanding. Evaluation of what has been discussed, and preparedness to repeat such conversations are also important. Future research should explore optimal communication of uncertainty in multimorbidity.
多发病共存日益常见，不可避免地导致了人们对健康、医疗和未来的不确定性。这些不确定性可能会被患者、护理人员和卫生专业人员所经历。鉴于不确定性无处不在，所有专业人员都应该准备好在临床实践中应对和处理不确定性。多发病共存中的不确定性很少能够被消除，因此，必须谨慎地处理和沟通；然而，关于如何处理不确定性的证据很少。关键领域包括：认识到不确定性的存在，承认不确定性，并进行沟通以达成共识。评估已经讨论的内容，并准备好重复这些对话也很重要。未来的研究应该探索多发病共存中不确定性的最佳沟通方式。
