Kolleck B, Huber A, Breitmann A, Barth I, Kirchgässner R
Alice-Salomon-Fachhochschule Berlin.
Pflege. 1997 Dec;10(6):335-40.
A survey on patients' opinions about and needs for communication is reported. Most patients consider communication as an important part of nursing and recovery. Not only information is demanded, but also a discussion of problems and distress. Nurses are well requested to play a part herein. While most patients indicate that their communication demands are well cared for, there are also deficits. A considerable minority of patients has notable problems with solitude and lack of communication, they want personal help to cope with disease and help for better social integration. Special demands for more communication are indicated by younger patients and by women. Patients who feel severely ill and patients who suffer from pain, depression or fright say they need more communication about their feelings and fears. Frequent, long-term or immobile patients are less convinced that doctors and nurses know what is good for them. Patients with reduced mobility tend to express less interest in communication. A field for improvement may also be found within clinics: Quality of relationships between nurses and patients differ between clinics with a clear impact on quality of nursing and wellbeing of the patients.
本文报告了一项关于患者对沟通的看法和需求的调查。大多数患者认为沟通是护理和康复的重要组成部分。他们不仅需要信息，还需要对问题和困扰进行讨论。人们强烈要求护士在此方面发挥作用。虽然大多数患者表示他们的沟通需求得到了很好的照顾，但仍存在不足。相当一部分患者在独处和缺乏沟通方面存在显著问题，他们希望得到个人帮助来应对疾病，并获得更好地融入社会的帮助。年轻患者和女性对更多沟通有特殊需求。感到病情严重以及患有疼痛、抑郁或恐惧的患者表示，他们需要就自己的感受和恐惧进行更多沟通。频繁就诊、长期患病或行动不便的患者不太相信医生和护士知道什么对他们有益。行动不便的患者往往对沟通表达出较少的兴趣。在诊所内部也可能存在改进空间：不同诊所中护士与患者之间关系的质量存在差异，这对护理质量和患者的幸福感有明显影响。
