关于即将到来的痛苦手术的不确定性应该如何传达? 一项关于高度不确定的疼痛预测的实验研究
Anastasiia Myronenko1, Pien van der Velde1, Suzanne M J C Derksen1
1Health, Medical and Neuropsychology Unit, Leiden University, Leiden, the Netherlands.
Patient education and counseling
|October 23, 2023
概括
间接地传达关于医疗疼痛的不确定性,引用他人的经验,可能会改善患者的结果和信任. 直接的不确定性陈述可以提高疼痛感知和降低信任.
科学领域:
- 心理学 心理学 心理学
- 疼痛管理 疼痛管理
- 医学沟通 医学沟通
背景情况:
- 不确定性是医疗程序的固有因素,特别是那些涉及疼痛的医疗程序.
- 对这种不确定性的有效沟通对于患者的福祉至关重要.
研究的目的:
- 调查不同的不确定性沟通策略如何影响疼痛感知.
- 在疼痛预测背景下比较直接与间接的不确定性陈述.
主要方法:
- 健康的参与者 (n=30) 从假设的医生那里得到了不确定的疼痛预测.
- 预测包括直接的不确定性 ('我不知道'),社会预测 ('差异很大') 和范围预测 ('不痛苦到非常痛苦').
- 然后,参与者接受了校准的疼痛刺激.
主要成果:
- 直接的不确定性陈述导致最强烈的疼痛 (适度刺激),最低的期望和最低的信任.
- 与直接的不确定性相比,社会预测导致了更有利的结果.
- 在各种疾病之间没有观察到焦虑的显著差异.
结论:
- 不确定性的间接沟通,特别是社会预测,可能会优化疼痛经历.
- 使用间接语言可以增强患者的信任和他们了解情况的感觉.
- 研究结果表明,间接沟通对患者和健康结果有好处.
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