对精神病学评估的积极方法:一种新的采访技术的随机试验
Alan Schlechter1, Michael Moerdler-Green2, Sondra Zabar2
1NYU Grossman School of Medicine, New York, NY, USA. alan.schlechter@nyulangone.org.
概括
精神病医院住院医生可以学习积极的沟通方法,显著改善患者的关系和参与. 这种新的方法增强了治疗联盟,可能导致更好的治疗结果.
科学领域:
- 精神病学是一个精神病学.
- 医学教育 医学教育
- 沟通技巧培训 培训 沟通技巧培训
背景情况:
- 在精神病学中,治疗关系对于患者参与和治疗成功至关重要.
- 传统的精神病学采访技术可能不会始终促进最佳的患者与临床医生的关系.
- 为精神病医院住院生制定有效的沟通策略是一个持续的教育挑战.
研究的目的:
- 在精神病学面试中评估一种新的沟通策略,即积极的方法.
- 为了确定积极的方法是否可以有效地教授精神病医院的住院医生.
- 评估积极方法对患者和临床医生的关系的影响,使用邦德分数.
主要方法:
- 30名精神病学住院医生被随机分为两组:积极方法培训和传统方法.
- 住院人员对标准化患者进行了采访.
- 债券评分和"积极方法结果测量"被用于评估盲目评级者之间的关系和战略有效性.
主要成果:
- 与传统方法组相比,积极方法组在统计上显示出较高的债券评分 (p=0.05).
- 所有接受了积极方法培训的居民在"积极方法结果测量"中获得了积极的分数.
- 在结果测量中观察到高的inter-rater (0.857) 和intra-rater (1.0) 可靠性.
结论:
- 积极的方法可以教导精神病医院的住院医生,并且可以一致地复制.
- 这种沟通策略与改善患者与临床医生的关系有关,这是治疗参与的关键因素.
- 积极的方法代表了一个潜在的有价值的,低成本的干预措施,以提高精神病治疗的参与度和结果.
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