在病房巡回期间出现敏感话题:对BEDSIDE-OUTSIDE试验的辅助分析
Sebastian Gross1,2, Christoph Becker1,3,4, Katharina Beck1
1Department of Medical Communication / Psychosomatic Medicine, University Hospital Basel, Basel, Switzerland.
BMJ open
|September 21, 2023
概括
在医疗病房巡视期间讨论敏感健康话题的患者报告说,对护理的满意度较低. 提高医生沟通技巧可以提高患者的满意度和这些人的护理质量.
科学领域:
- 医学沟通 医学沟通
- 患者的满意度 患者的满意度
- 医疗保健的质量 医疗保健的质量
背景情况:
- 在医疗病房巡视期间讨论敏感话题具有挑战性.
- 这些讨论可能会对患者对医疗保健的满意度产生负面影响.
- 之前的研究探讨了病房巡回期间的沟通及其与满意度的联系.
研究的目的:
- 在病房巡视期间调查敏感健康话题与患者满意度之间的相互作用.
- 在涉及敏感话题时分析影响患者满意度的因素.
主要方法:
- 一个多中心随机对照试验数据的二次分析.
- 在干预组中汇集数据进行分析.
- 对病房巡视的录音带进行分析,以寻找敏感主题和沟通元素.
主要成果:
- 919名患者中有474人涉及敏感话题 (例如,医疗不确定性,社会问题).
- 敏感主题的患者报告说,他们对护理的整体满意度较低 (87.7比90.2).
- 患者与医生的不良互动,如分歧,与敏感话题患者的满意度降低有关.
结论:
- 相当一部分住院患者面临敏感的健康问题.
- 较低的患者满意度与敏感话题有关,特别是当医生互动被认为是不令人满意的时候.
- 建议对医生进行沟通技术教育,以改善这些患者的护理.
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