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[与昏迷患者交流?——全身麻醉、复苏及昏迷治疗期间的治疗性沟通]

[Talking to Unconscious? - Therapeutic Communication During General Anaesthesia, Resuscitation and Therapy of Coma].

作者信息

Zech Nina, Hansen Ernil

出版信息

Anasthesiol Intensivmed Notfallmed Schmerzther. 2024 Oct;59(10):610-615. doi: 10.1055/a-2046-4466. Epub 2024 Oct 11.

Abstract

There are numerous reports from patients concerning perceptions during deep unconsciousness, be it general anaesthesia, cardiopulmonary resuscitation or intensive care and coma treatment. These experiences can cause considerable traumatisation. The most stressful experience is apparently not feeling pain, but the lack of communication, i.e. being recognised and being able to express oneself. Although there are already indications of positive effects of positive communication during general anaesthesia, these findings have not yet markedly changed the way we deal with the unconscious.

摘要

有许多患者报告了在深度昏迷期间的感受,无论是全身麻醉、心肺复苏还是重症监护和昏迷治疗期间。这些经历可能会造成相当大的创伤。最让人感到压力的经历显然不是感觉不到疼痛,而是缺乏沟通,即不被认可和无法表达自己。尽管已经有迹象表明全身麻醉期间积极沟通有积极效果,但这些发现尚未显著改变我们对待昏迷患者的方式。

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