Pearlmutter D R, Locke A, Bourdon S, Gaffey G, Tyrrell R
Nurs Clin North Am. 1984 Mar;19(1):173-88.
Focus on the emotional responses and needs of critically ill patients has grown to encompass a focus on their families as well. Moos notes that the family as well as the patient faces a number of adaptive tasks in the crisis of serious illness. These include managing the hospital environment, keeping reasonable emotional balance, negotiating relationships with the treatment staff, preserving self-image, preserving a relationship with the patient, and preparing for an uncertain future. The complexity of these tasks and the coping skills needed to master them speaks to the role of the psychiatric clinical nurse specialist in the acute care setting. This article has highlighted some activities of psychiatric clinical nurse specialists working with families in the acute care setting. Included have been support groups, indirect models, contracting, professional families, VIP/VRP families, families in the intensive care setting, and families in transition from intensive care to floor care. All emphasize the importance and needs of the family as well as the patient during hospitalization in an acute care setting.
对重症患者情感反应和需求的关注已扩展到对其家属的关注。穆斯指出，在重病危机中，家属和患者都面临着许多适应性任务。这些任务包括应对医院环境、保持合理的情绪平衡、与医护人员协商关系、维护自我形象、维持与患者的关系以及为不确定的未来做准备。这些任务的复杂性以及掌握它们所需的应对技巧凸显了精神科临床护理专家在急症护理环境中的作用。本文重点介绍了精神科临床护理专家在急症护理环境中与家属合作开展的一些活动。其中包括支持小组、间接模式、签约、专业家属、贵宾/虚拟现实患者家属、重症监护环境中的家属以及从重症监护过渡到普通护理的家属。所有这些都强调了在急症护理环境中住院期间家属以及患者的重要性和需求。
