"What Bothers You the Most?" initial responses from patients receiving palliative care consultation
"What Bothers You the Most?" initial responses from patients receiving palliative care consultation
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DOI：
10.1177/1049909107310138
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发表时间：
2008-04-01
影响因子：
1.9
通讯作者：
Fridd, Charlotte
中科院分区：
文献类型：
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作者：
Shah, Mindy;Quill, Timothy;Fridd, Charlotte
本调查的目的是描述住院姑息治疗患者如何回答“你最烦恼的是什么？”“在初步协商时。对初次访谈（n = 286）期间常规记录的第一人称回答进行了回顾性描述性内容分析。回答分为7个主要类别：身体痛苦（44%）;情感，精神，存在或非特异性痛苦（16%）;关系（15%）对死亡过程和死亡的担忧（15%）;功能和正常状态的丧失（12%）关于位置的痛苦（11%）;和医疗提供者或治疗的痛苦（9%）。15%的答复无法进行可靠的分类。尽管我们的许多患者由于疾病而无法回答开放式问题，但那些回答的患者都有广泛的担忧，这些担忧为临床优先级提供了起点。有必要进一步研究在初步咨询时使用这些简单问题的情况。
The purpose of this investigation is to describe how hospitalized palliative care patients respond to the question "What bothers you the most?" at the time of initial consultation. A retrospective descriptive content analysis of first person responses routinely recorded during initial interview (n = 286) was carried Out. Responses were grouped in 7 major categories: physical distress (44%); emotional, spiritual, existential, or nonspecific distress (16%); relationships (15%) concerns about the dying process and death (15%); loss of function and normalcy (12%) distress about location (11%):, and distress with medical providers or treatment (9%). Fifteen percent of responses were unable to be reliably categorized. Although many of our patients were not able to answer open-ended questions because of illness, those who did shared a wide range of concerns that provided a starting point for clinical prioritization. Further research into the use of such simple questions at time of initial consultation is warranted.