临床医生中断和患者评级的临床医生同情心在专业访问
S Ryan Pierson1, Ryan Lam, Marielle Ngoue
1From the Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas, Austin, TX.
临床医生经常打断患者,缩短症状描述,但不会减少感知到的同情心. 除了积极倾听之外,其他因素也可能影响患者在肌肉骨护理方面的体验.
科学领域:
- 医学沟通 医学沟通
- 患者体验 患者体验
- 肌肉骨系统 (MSK) 护理
背景情况:
- 在患者描述问题时,临床医师的中断可能会导致患者感到不被倾听.
- 有效的沟通对于医疗保健机构的患者满意度和理解至关重要.
研究的目的:
- 调查与肌肉骨 (MSK) 专科访问中感知到的临床医生同情心相关的因素.
- 分析患者症状描述的持续时间和临床医生中断的时间.
- 确定临床医师中断和患者报告的结果之间的关系.
主要方法:
- 194个成年人MSK专科访问的音频/视频成绩单的分析.
- 测量临床医生感知的同理心,症状持续时间和第一次中断的时间.
- 两变量和多变量分析以确定相关因素.
主要成果:
- 74%的访问包括至少一个临床医生中断.
- 临床中断与较短的患者症状描述持续时间 (中位数为139秒) 相关.
- 更大的临床医生感知同理心与增加的疼痛适应相关.
结论:
- 虽然临床医生的中断缩短了患者的解释,但它们似乎并没有减少感知到的同情心.
- 除了积极倾听和避免中断之外的因素可能会显著影响患者和临床医生的关系以及患者的整体体验.
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