理解并应对重症监护病房中的“棘手”家庭。
Understanding and addressing a 'difficult' family in ICU.
作者信息
Metaxa Victoria, Nacul Flavio E, Morris Anna Conway
机构信息
Department of Critical Care, King's College Hospital NHS Foundation Trust, London, UK.
Centre for Education, Faculty of Life Sciences & Medicine, King's College London, Strand, London, WC2R 2LS, UK.
出版信息
Crit Care. 2025 Jan 13;29(1):22. doi: 10.1186/s13054-024-05244-z.
Abstract
Conflicts between ICU staff and patient/relatives are common and are a source of additional stress in an already tense environment. These conflicts vary from disagreements to serious controversies, which may lead to legal process or even violence. Unsuccessful communication is recognised as a common denominator for such disagreements. Both conflict prevention and conflict management/resolution rely on understanding and addressing the main reasons behind it. Using a case-example, we propose a 'mentalisation-based' approach to family meetings may improve communication and decrease conflict.
摘要
重症监护室（ICU）工作人员与患者/家属之间的冲突很常见，并且是本就紧张的环境中额外压力的来源。这些冲突从意见不合到严重争议不等，可能会导致法律程序甚至暴力行为。沟通不畅被认为是此类分歧的一个共同因素。预防冲突以及管理/解决冲突都依赖于理解并解决其背后的主要原因。通过一个案例，我们提出一种基于心理化的家庭会议方法可能会改善沟通并减少冲突。
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