Gerken Adrienne T, Öngür Dost, Kim Soo Jin, Ren Boyu, Idiculla Thomaskutty, Stoklosa Joseph
Department of Psychiatry and Human Behavior, Thomas Jefferson University Hospital, 33 South 9th St., Suite 210, Philadelphia, PA, USA.
McLean Hospital, Belmont, MA, USA.
Community Ment Health J. 2025 Feb;61(2):394-400. doi: 10.1007/s10597-024-01398-w. Epub 2024 Dec 7.
This study examined the impact of Patient-Centered Communication (PCC), Open Dialogue-inspired changes to rounding practices and culture, on patient perceptions of care on an inpatient psychotic disorders unit. A retrospective cohort analysis was conducted based on medical records, restraint and seclusion records, and hospital Perceptions of Care (PoC) surveys. The analysis compared data from 6-month periods before and after implementation of PCC to quantify whether the implementation of PCC was associated with more positive care ratings. There were trends toward improvement suggestive of an effect on patients' perception that their care was adequately explained, that they felt involved in care, that they felt respected, and that they were supported during hospitalization, although improvements did not achieve statistical significance. Greater improvement was observed for teams that incorporated a greater number of interventions. Dialogic practice-inspired changes on an acute inpatient unit may improve patient perceptions of inclusion and respect in their care.
本研究考察了以患者为中心的沟通（PCC），即受开放对话启发对查房实践和文化所做的改变，对住院精神障碍病房患者护理认知的影响。基于病历、约束和隔离记录以及医院护理认知（PoC）调查进行了一项回顾性队列分析。该分析比较了PCC实施前后6个月期间的数据，以量化PCC的实施是否与更积极的护理评分相关。虽未达到统计学显著性，但有改善趋势，表明对患者关于其护理得到充分解释、感觉参与护理、感觉受到尊重以及在住院期间得到支持的认知有影响。对于纳入更多干预措施的团队，观察到了更大程度的改善。急性住院病房中受对话实践启发的改变可能会改善患者对护理中包容和尊重的认知。
