使用spike协议向患者家属传递死亡消息对其焦虑症状的影响

Q3 Medicine

Evidence Based Care Journal Pub Date : 2020-07-01 DOI:10.22038/EBCJ.2020.45991.2258

Fahimeh Hashemi, S. Mazlom, S. Vaghee, A. Bagheri-Moghaddam

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引用次数: 1

摘要

收到亲人去世的消息会引起极度的焦虑反应。根据环境、患者感知、邀请、知识、同理心和策略(SPIKES)协议发布死亡新闻可以有效缓解这种焦虑。本研究旨在确定使用spike协议向死者家属传递患者死亡消息对其焦虑症状的影响。这项非随机对照干预研究是对伊朗马什哈德伊玛目礼萨医院死亡患者的60个家庭进行的。受试者(即近亲属或近亲属)分为两组，每组30例。在对照组中，护士使用常规方法传达死亡消息。在干预组中，该任务按照SPIKES协议执行。在传递消息后，护士通过填写一份焦虑的视觉症状清单来评估消息接受者的焦虑程度。经Mann-Whitney U检验，干预组焦虑得分均值(31.2±11.7)显著低于对照组(63.4±18.1)(p <0.001)。由于研究结果显示，spike协议降低了坏消息接受者的焦虑水平，因此在伊朗的护士教育和培训课程中应用该协议至关重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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Effect of Using SPIKES Protocol for Delivering Death News to Patient Family Members on Their Anxiety Symptoms

Receiving the news of a loved one’s death can cause extreme anxiety reactions. Breaking death news according to the setting, patient perception, invitation, knowledge, empathy, and strategy (SPIKES) protocol could be effective in alleviating this anxiety. This study aimed to determine the effect of using the SPIKES protocol for delivering the news of patient mortality to the deceased’s family members on their anxiety symptoms. This non-randomized controlled intervention study was carried out on the 60 families of the patients who died in Imam Reza Hospital of Mashhad, Iran. The subjects (i.e., next of kin or close family members) were divided into two groups of 30 cases. In the control group, the nurse conveyed the news of death using her routine method. In the intervention group, this task was performed according to the SPIKES protocol. After delivering the news, the nurse assessed the level of anxiety in the recipient of the news by filling out an inventory of visual symptoms of anxiety. The Mann-Whitney U test showed that the mean anxiety score in the intervention group (31.2±11.7) was significantly lower than that of the control group (63.4±18.1) (p <0.001). Since the findings revealed that the SPIKES protocol reduced the level of anxiety in the recipients of bad news, it is essential to apply this protocol in nurse education and training courses in Iran.

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来源期刊

Evidence Based Care Journal Medicine-Health Policy

CiteScore

2.00

自引率

0.00%

发文量

审稿时长

12 weeks

期刊介绍： The Evidence Based Care Journal (EBCJ) is an international, peer reviewed, scientific journal that seeks to promote the development and exchange of knowledge that is directly relevant to all spheres of patient care. The primary aim is to promote a high standard of clinically related scholarship which advances and supports patient care in practice. The Journal also aims to promote the international exchange of ideas and experience that draws from the different cultures in which practice takes place. Further, EBCJ seeks to enrich insight into clinical needs and the implications for patient care intervention and models of service delivery. Emphasis is placed on clinical practicality of research findings and strength of study design. EBCJ is essential reading for anyone involved in healthcare professions, whether clinicians, researchers, educators, managers, policy makers, or students. Contributions are welcomed from other health professionals on issues that have a direct impact on patient care.