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关于"常见"遗传病史问题的思考:是时候检查什么,为什么,以及如何
Margaret Waltz1, Ann Katherine M Foreman2, Courtney Canter3
1Department of Social Medicine, University of North Carolina, Chapel Hill, NC, USA.
Patient education and counseling
|February 10, 2024
概括
遗传学提供者提出敏感的病史问题可能会使患者关系紧张. 重新评估问题的目的和措辞可以改善以患者为中心的护理和信任.
科学领域:
- 医学遗传学 医学遗传学
- 患者与医疗服务提供者之间的沟通
- 医疗保健的不平等 医疗保健的不平等
背景情况:
- 建立治疗关系是以患者为中心的关键.
- 遗传学提供者必须收集详细的病史,用于诊断和治疗计划.
- 了解患者的情绪在敏感的病史记录过程中至关重要.
研究的目的:
- 分析遗传学提供者的历史问题如何影响以患者为中心的护理.
- 在遗传学咨询中识别潜在有问题的问题措辞和内容.
- 探索敏感问题对提供者-患者治疗关系的影响.
主要方法:
- 分析了195个音频记录的遗传学提供者-护理人员对话.
- 提供者的编码与怀孕,祖先,教育和家庭结构有关的问题.
- 识别敏感的历史记录问题和相关的提供者语言.
主要成果:
- 提供者有时会使用关于怀孕和血缘关系的污名化语言.
- 关于护理人员的教育和工作史的问题中,人们注意到缺乏清晰度.
- 提供者对种族,种族,家庭结构和怀孕暴露作出了假设.
结论:
- 常规的遗传学问题和措辞可能会阻碍以患者为中心的护理和信任.
- 需要进一步研究问题措辞如何影响人际关系和患者体验.
- 审查常见遗传学问题的必要性和目的可以提高护理.
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