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重症监护病房中的临终关怀以及护士在与家属沟通中的角色。

End-of-life Care in the Intesive Care Unit and Nursing Roles in Communicating with Families.

作者信息

Tzenalis Anastasios, Papaemmanuel Helen, Kipourgos George, Elesnitsalis George

机构信息

University of Patras, Patra, Greece.

General Hospital of Thessaloniki Papageorgiou, Thessaloniki, Greece.

出版信息

J Crit Care Med (Targu Mures). 2023 May 8;9(2):116-121. doi: 10.2478/jccm-2023-0013. eCollection 2023 Apr.

Abstract

INTRODUCTION

Professionals in Intensive Care Units face death, shifting their role from therapists to caregivers in end-of-life management. The nursing attitude and response to death has been shown to affect the quality of palliative care and end-of-life services that are interrelated services.

AIM OF THE STUDY

The aim of this research was to evaluate the professional attitude of nurses towards the care of the families of critically ill patients in the ICU, leading to the emergence of specific attitudes, relating them to their demographic and professional characteristics, with the aim of drawing conclusions for the improvement of quality in end-of-life care.

MATERIAL AND METHODS

The sample of the study was 81 nurses from a large tertiary hospital. Participants completed the "Nurse Activities for Communicating with Families" (NACF) questionnaire. The questions are about ways in which nurses can help the patient's family during the patient's stay in the ICU.

RESULTS

The results revealed that the nurses took actions related to the information and psychological support of the patient's family. On the contrary, they did not focus on the spiritual / religious needs of the patient and the needs of the family based on their cultural background.

CONCLUSIONS

The professional treatment of staff is characterized by compassion and empathy, but it is necessary to train them on important issues related to diversity, including the religious, spiritual values and beliefs of patients and their relatives.

摘要

引言

重症监护病房的专业人员面临着死亡,他们在临终管理中的角色从治疗师转变为照顾者。护理人员对死亡的态度和反应已被证明会影响姑息治疗的质量以及临终服务,而这两种服务是相互关联的。

研究目的

本研究的目的是评估护士对重症监护病房中重症患者家属护理的专业态度,找出具体态度,并将其与护士的人口统计学和专业特征相关联,旨在得出改善临终护理质量的结论。

材料与方法

研究样本为一家大型三级医院的81名护士。参与者完成了“护士与家属沟通活动”(NACF)问卷。问题涉及护士在患者入住重症监护病房期间帮助患者家属的方式。

结果

结果显示,护士采取了与为患者家属提供信息和心理支持相关的行动。相反,他们没有关注患者的精神/宗教需求以及基于其文化背景的家属需求。

结论

工作人员的专业护理以同情和同理心为特征,但有必要对他们进行与多样性相关的重要问题培训,包括患者及其亲属的宗教、精神价值观和信仰。

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Management Strategies in the Intensive Care Unit to Improve Psychosocial Outcomes.重症监护病房中改善心理社会结局的管理策略。
Crit Care Nurs Clin North Am. 2019 Dec;31(4):537-545. doi: 10.1016/j.cnc.2019.07.009. Epub 2019 Sep 21.
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Quality of dying and death in the ICU. The euroQ2 project.ICU 中的临终和死亡质量。EuroQ2 项目。
J Crit Care. 2018 Apr;44:376-382. doi: 10.1016/j.jcrc.2017.12.015. Epub 2017 Dec 26.

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