Communication principles and practices for making shared decisions about renal replacement therapy: a review of the literature.
Communication principles and practices for making shared decisions about renal replacement therapy: a review of the literature.
复制标题
关于肾脏替代治疗共同决策的沟通原则和实践：文献综述。
DOI：
10.1097/mnh.0000000000000731
复制
发表时间：
2021-09-01
影响因子：
3.2
通讯作者：
Fiscella KA
中科院分区：
文献类型：
--
作者：
Saeed F;Shah AY;Allen RJ;Epstein RM;Fiscella KA
概述肾脏替代治疗（RRT）选择（尤其是保守肾脏管理（CKM））的沟通和以人为本的决策所需的技能。关于共享RRT决策的沟通和决策技能的研究仍处于起步阶段。我们改编了其他领域的文献，如初级保健和肿瘤学，以制定有效的RRT决策。我们回顾七个关键技能：（1）宣布决策的必要性（2）议程设置（3）教育患者关于RRT的选择（4）讨论问题（5）激发患者的偏好（6）对情绪做出反应并表现出同情心，以及（7）最终投资。我们还提供了例句，围绕RRT选择（包括CKM）构建对话。
To provide an overview of the skill set required for communication and person-centered decision making for renal replacement therapy (RRT) choices, especially conservative kidney management (CKM). Research on communication and decision-making skills for shared RRT decision making is still in infancy. We adapt literature from other fields such as primary care and oncology for effective RRT decision making. We review seven key skills: (1) Announcing the need for decision making (2) Agenda Setting (3) Educating patients about RRT options (4) Discussing prognoses (5) Eliciting patient preferences (6) Responding to emotions and showing empathy, and (7) Investing in the end. We also provide example sentences to frame the conversations around RRT choices including CKM.