可能强化误解的医学隐喻与对临床医生的信任增加有关
Calvin Chandler1, Ali Azarpey, Niels Brinkman
1Author Affiliation: Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin.
Quality management in health care
|March 27, 2024
概括
患者对肌肉骨护理中的医学隐喻的反应表明,即使是误导性的隐喻也可以建立信任. 临床医生应该致力于建立信任的沟通,而不是加强误解.
科学领域:
- 医学沟通 医学沟通
- 患者的体验 患者的体验
- 肌肉骨医学 肌肉骨医学
背景情况:
- 医学隐喻在患者沟通中很常见.
- 了解患者对比喻的反应对于有效的护理至关重要.
研究的目的:
- 评估患者对肌肉骨环境中的医学隐喻的反应.
- 识别影响患者情绪和感知的因素.
- 为了比较对比喻的反应,加强误解与中立的误解.
主要方法:
- 一项涉及肌肉骨专科办公室228名患者的横截面研究.
- 患者对14个随机呈现的隐喻 (4项测试) 的反应进行了评分.
- 统计分析 (双变量测试,多变量回归) 检查了与患者情绪和经验的关联.
主要成果:
- 患者的痛苦或没有帮助的思维与隐喻相关的情绪或经验没有相关性.
- 强化误解的隐喻与更高的沟通有效性,信任和舒适度等级有关.
结论:
- 验证患者理解的隐喻可以培养信任,解释它们的频繁使用,尽管存在潜在的误解.
- 临床医生可以制定策略来建立信任,而不会延续不准确的疾病信仰.
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