@article {Curtis200, author = {Curtis, J.R.和Engelberg, R.A.和Nielsen, E.L.和Au, D.H.和Patrick, D.L.医患沟通},标题={严重慢性阻塞性肺病患者的临终关怀},体积={24}={2},页面= {200 - 205}= {2004},doi ={10.1183 / 09031936.04.00010104},出版商={欧洲呼吸学会},文摘={以来很少慢性阻塞性肺病(COPD)患者与医生讨论治疗的偏好对临终关怀,188bet官网地址本研究的目的是确定重度慢性阻塞性肺病患者和他们的医生之间关于临终护理沟通的哪些特定领域，以及患者如何评价这种沟通的质量。本研究共纳入了115例氧依赖型慢性阻塞性肺病患者，分别在三家医院的肺诊所和一家氧气输送公司确诊。一份包含17个项目的沟通质量问卷(QOC)与其他测量方法一起被应用于患者，包括对护理的满意度。病人报告说，大多数医生不讨论病人还能活多久，死亡可能是什么样子，病人的精神状况。病人对医生在倾听和回答问题方面评价很高。得分相对较低的领域包括讨论预后、死亡可能是什么样子以及灵性/宗教。患者对医生整体沟通和治疗沟通的评估与QOC密切相关。患者对护理的总体满意度也与QOC显著相关。 In conclusion, this study identifies areas of communication that physicians do not address and areas that patients rate poorly, including talking about prognosis, dying and spirituality. These areas may provide targets for interventions to improve communication about end-of-life care for patients with chronic obstructive pulmonary disease. Future studies should determine the responsiveness of these items to interventions, and the effect such interventions have on patient satisfaction and quality of care. This study was supported by a Career Investigator Award from the American Lung Association and the American Lung Association of Washington (J.R. Curtis).}, issn = {0903-1936}, URL = {//www.qdcxjkg.com/content/24/2/200}, eprint = {//www.qdcxjkg.com/content/24/2/200.full.pdf}, journal = {European Respiratory Journal} }