在一般实践中对情感问题的参与:对全科医生咨询的专题分析
Louis Nerurkar1, Iris van der Scheer1, Fiona Stevenson2
1University College London, Research Department for Primary Care Research and Population Health, London, UK.
BJGP open
|November 8, 2023
概括
一般医生 (GPs) 以动态和灵活的方式与患者的情绪问题进行接触,使用诊断和治疗方法. 了解这种动态的沟通可以改善患者的护理和减少痛苦.
科学领域:
- 一般实践一般实践
- 心理社会医学 心理社会医学
- 在医疗保健领域的沟通
背景情况:
- 情感上的关注是生物心理社会护理模式的组成部分.
- 之前的研究表明,患者对情绪问题的参与是可变的.
- 改善沟通与减少情绪困扰有关.
研究的目的:
- 分析一般医生在例行咨询期间如何解决情绪问题.
- 了解医生与患者之间关于情绪健康的沟通细微差别.
主要方法:
- 从互联网资源利用 (HaRI) 数据库中对231个GP咨询的二次分析.
- 使用NVivo软件对录音进行主题分析.
- 识别和编码情绪问题 (情绪低落,焦虑,心理社会压力).
主要成果:
- 在整个咨询过程中,与情感关注的接触是动态的.
- 一般医生在诊断和治疗方面都会解决情绪问题.
- 治疗性倾听和对话补充了诊断方法.
结论:
- 认识到情绪关注的动态性质是有效的医生与患者沟通的关键.
- 灵活,以患者为中心的对情绪问题的参与可以改善护理.
- 对共同理解的进一步研究可以减少患者的情绪痛苦.
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