提升急救復甦後家屬對醫療決策溝通滿意度

Improving Medical Decision Communication Satisfaction in Family Members after Resuscitation

急救復甦雖能挽救生命，但病人意識不一定能立即恢復，部分病人可能進入昏迷或半昏迷。此時，醫療團隊需協助家屬了解後續醫療選項，包括撤除維生設備、長期照護或器官捐贈。然而，由於醫師解釋時間不一致，且缺乏溝通輔助工具，家屬對後續醫療決策的內容常感困惑，導致期望與實際狀況落差，進而引發抱怨和滿意度下降。為提升急救復甦後家屬對後續醫療決策溝通滿意度，本單位實施多項改進措施：包括設計管路說明模型、急救復甦後照護手冊，並建立醫療共享決策制度、流程圖與海報等工具。介入前，滿意度評分僅74.2分；措施推行後，顯著提升至94.1分。這些改進有效促進家屬對醫療選擇的理解與參與，增強了醫病溝通的順暢度和滿意度。

Although emergency resuscitation can save lives, the patient may not immediately recover consciousness, and some patients may be comatose or semi-comatose. At this stage, the medical team must help family members understand subsequent medical options, including termination of life support, long-term care, or organ donation. However, inconsistent physician explanation timing and lack of communication aids often cause family members to be confused about subsequent medical decision options, resulting in discrepancies between expectations and reality and leading to dissatisfaction. To enhance communication regarding medical decisions and increase satisfaction among family members following emergency resuscitation, our department implemented several improvement measures. These included designing models to explain medical tubing, creating a postresuscitation care manual, and establishing a shared decision-making system for medical teams. Additionally, we introduced a flowchart and posters to aid in the communication process. Before intervention, the satisfaction score was only 74.2 points; however, after the measures were implemented, this score increased significantly to 94.1 points. These improvements effectively increased medical decision understanding and participation among family members, improving fluency and satisfaction in physician-patient communication.