中文版共情沟通编码系统在新生儿监护室护患沟通中的应用

Application of the Chinese version of the Empathic Communication Coding System to nurse-patient communication in NICU

目的 汉化共情沟通编码系统并应用于新生儿监护室护患沟通,了解护患双方共情沟通行为模式.方法 收集新生儿监护室护患沟通的录音,运用汉化的共情沟通编码系统识别和归类患儿父母主动提供的共情机会及分析护理人员对此机会的反应模式.结果 共收集32名护理人员与78名患儿父母的对话,识别91个共情机会—共情反应的对话组合.多数患儿父母倾向于直接表达“挑战”(38.5%)和“情绪”(29.7%)类型的共情机会,其次是“间接”(20.9%)和“进展”(6.6%),极少为“护士引发”(4.4%).护理人员多采取“隐性识别”(27.5%)、“识别但未追问”(23.1%)和“拒绝”(16.5%)的共情回应策略,其中“情绪”型共情机会相对于其他类型能够得到更高层级的共情反应.结论 中文版共情沟通编码系统可用于探索护患双方的共情沟通行为模式,为共情培训提供参考.

Objective To translate the Empathic Communication Coding System(ECCS)into simplified Chinese,and apply in neonatal intensive care unit to understand the pattern of nurse-patient empathic communication.Methods We translated the ECCS into simplified Chinese,then recorded the interactions between nurse and parent in the NICU patient encounters,and identified empa-thic opportunities created by the parent and response patterns of the neonatal nurse to these opportunities by using ECCS-C.Results The encounters between 32 neonatal nurses and 78 parents were recorded,and 91 empathic opportunities-response sequences were identified.Parents most frequently expressed statement of challenge(38.5%)and emotion(29.7%),followed by indirect(20.9%),progress(6.6%),and nurse-elicited(4.4%).Neonatal nurse response to the empathic opportunity was implicated re-cognition(27.5%),acknowledgement without further inquiry(23.1%)and rejection(16.5%).Parent′s statement of emotion received higher level of empathic response from the nurse than the other types.Conclusion The ECCS-C could be utilized to explore the pattern of nurse-parent empathic communication,and provide reference for empathy training.