识别,解释,行动,学习:教学和交付持续的身体症状的咨询模型
Kate Fryer1, Tom Sanders2, Monica Greco3
1Academic Unit of Primary Medical Care, University of Sheffield, Sheffield, UK.
Patient education and counseling
|July 13, 2023
概括
识别,解释,行动,学习 (REAL) 模型训练临床医生有效地管理持久性身体症状的患者. 这种可教导的模型改善了功能障碍咨询中的沟通和患者结果.
科学领域:
- 医学教育 医学教育
- 临床交流 临床沟通
- 精神病体医学是一种精神病体医学.
背景情况:
- 持续的身体症状 (PPS) 和功能障碍在临床实践中存在复杂的挑战.
- 有效的沟通策略对于管理患有这些疾病的患者至关重要.
- 现有的咨询模式可能无法充分解决PPS和功能障碍的细微差别.
研究的目的:
- 描述扩展咨询模式的教学和交付,即识别,解释,行动,学习 (REAL) 模型.
- 评估REAL模型在一项随机对照试验中对患有持续身体症状的患者的实施.
- 评估模型对临床医生在管理功能障碍方面的有用性.
主要方法:
- 在多重症状研究中对REAL模型的培训和交付进行过程评估 3.
- 利用临床医生和患者采访以及咨询成绩单的分析.
- 采用随机对照试验框架与扩展角色的全科医生 (GP) "症状诊所".
主要成果:
- 七名全科医生接受了REAL模型的培训;六名在面对面或在线症状诊所进行了培训.
- 症状诊所为大约170名患者提供了一系列四次长时间咨询.
- 培训带来了相当大的学习负载,但临床医生在保持忠诚的同时成功地调整了REAL模型.
结论:
- 识别,解释,行动,学习 (REAL) 模型是一种可教的方法,用于持续的身体症状的咨询.
- 它有效地解决了功能障碍中遇到的特定临床沟通问题.
- 真实模型使临床医生能够有益地解释持续的身体症状.
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