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青少年和年轻人与胃肠病学家沟通:炎症性肠病的变化 临床沟通
Neda Karimi1,2, Annabelle Lukin3, Alison R Moore4
1South Western Sydney Inflammatory Bowel Disease Research Group, Ingham Institute for Applied Medical Research, Liverpool, Australia.
炎症性肠病 (IBD) 的新成年人和胃肠病学家之间的沟通方式有很大的不同. 需要量身定制的干预措施和指导方针来改善患有慢性疾病的年轻成年人的护理.
科学领域:
- 胃肠病学 胃肠病学
- 患者与医生的沟通 患者与医生的沟通
- 青少年和年轻人的健康
背景情况:
- 患有炎症性肠病 (IBD) 的新兴成年人 (18-25岁) 在管理他们的病情方面面临着独特的挑战.
- 有效的沟通对于在这个人口群体中最佳的IBD管理至关重要.
研究的目的:
- 探索IBD新兴成年人和他们的胃肠病学家之间的沟通变化.
- 在IBD管理咨询期间确定影响沟通动态的因素.
主要方法:
- 对19名IBD新兴成年人和7名胃肠道科医生之间的录音咨询进行了定性分析.
- 检查语言结构和胃肠科医生与患者的角色关系.
主要成果:
- 沟通的变化源于患者参与程度和胃肠科医生沟通风格.
- 胃肠科医生在使用授权策略,评估坚持和分享临床推理方面存在差异.
- 约会时间和沟通技巧 (例如说服与价值校准) 也有所不同.
结论:
- 鉴定到的变异突出了对患有慢性疾病的新兴成年人进行基于证据的干预措施的需要.
- 制定临床医生沟通指南对于改善护理提供至关重要.
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