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[新生儿重症监护病房中的沟通:家长与医护人员观点之比较]

[Communication in the neonatal intensive therapy unit: the opinions of parents and of medical personnel compared].

作者信息

Cuttini M, Romito P, Del Santo M, Chiandotto V, Dalla Barba B, Frigieri G, Zanini R

机构信息

I.R.C.C.S. Burlo Garofolo di Trieste, Italia.

出版信息

Pediatr Med Chir. 1994 Jul-Aug;16(4):325-9.

PMID:7816690
Abstract

Within the framework of an European international project, the issue of parents-staff communication in Neonatal Intensive Care Units was explored. 5 Italian unit participated in the project. 80 mothers and 62 fathers of singleton, not malformed, very low birthweight babies were interviewed during the fourth week of their baby's life, while the views of the health personnel (60 doctors and 106 nurses) were collected through an anonymous, self-administered questionnaire. Most of the staff feels that parents should be informed completely about their baby's conditions and prognosis, while the actual practices about transmission of information are reported differently according to professional status: more nurses than doctors feel that the information is not as complete as it should be. Uncertainty of prognosis is the most commonly quoted reason for restricting the information. Parents, on the other hand, are generally satisfied about the information received, although some of them complain about the style of communication, and especially the need to ask repeatedly in order to be informed. These results show some of the gaps existing in communication both within the staff and with parents, and suggest possible ways of improvement.

摘要

在一个欧洲国际项目的框架内,探讨了新生儿重症监护病房中家长与医护人员沟通的问题。5个意大利单位参与了该项目。在婴儿出生后的第四周,对80名单胎、无畸形、极低出生体重婴儿的母亲和62名父亲进行了访谈,同时通过一份匿名的自填问卷收集了医护人员(60名医生和106名护士)的意见。大多数工作人员认为应该让家长全面了解其婴儿的病情和预后,而关于信息传递的实际做法,根据专业身份的不同有不同的报告:认为信息不够完整的护士比医生多。预后的不确定性是限制信息传递的最常见原因。另一方面,家长们总体上对所收到的信息感到满意,尽管他们中的一些人抱怨沟通方式,特别是需要反复询问才能得到信息。这些结果显示了工作人员内部以及与家长沟通中存在的一些差距,并提出了可能的改进方法。

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