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從加護病房家屬觀點探究重症病情告知的經驗
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從加護病房家屬觀點探究重症病情告知的經驗
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Journal Article
從加護病房家屬觀點探究重症病情告知的經驗
2020
Overview
背景：病情告知是減少醫病認知落差的重要步驟，且能減輕家屬心理壓力。現階段研究仍缺乏家屬對重症病情告知經驗及需求之探討。目的：瞭解重症家屬病情告知經驗及過程需求。方法：採描述現象學，立意取樣5位加護病房疾病嚴重度≥20分的病人家屬進行深度訪談。以Giorgi現象學分析法，利用Nvivo 11分析歸納資料。結果：整體經驗包含四大主題：（一）訊息聽了無法懂，希望疑問詳細解、（二）無助找尋為解答，期望護理來幫忙、（三）託付專業卻無奈，渴望醫療多些愛、（四）重重難關多牽絆，盼望見解來割斷。結論／實務應用：病情告知著重傳遞結果，家屬無法理解病情變化原因。本研究建議醫療專業人員應體認家屬認知程度，並顧及其情緒反應，納入家屬需求及期待，以病人為中心提供個別化告知。
