哪些临床医生对情绪的反应与患者更积极的沟通体验有关?
Kamini Kuchinad1, Jenny Rose Park2, Dingfen Han3
1Department of Rheumatology, Johns Hopkins Medicine, Baltimore, MD, United States.
Patient education and counseling
|March 27, 2024
概括
临床医生明确响应患者的情绪,即使没有同情心,也可能提高沟通评级. 提供信息或建议,而不是中立的反应,与更高的患者满意度有关.
科学领域:
- 医学沟通 医学沟通
- 患者与临床医生的互动
- 在医疗保健中的情绪智能
背景情况:
- 有效的临床医生与患者的沟通对于优质的医疗保健至关重要.
- 了解临床医生如何对患者的情绪做出反应,可以增强人际护理.
- 之前的研究强调了同理心的重要性,但具体的应对策略需要进一步研究.
研究的目的:
- 确定改善临床医生与患者互动的沟通策略.
- 评估临床医生对患者情绪的反应与患者报告的沟通质量之间的关联.
主要方法:
- 对138次临床医生与患者接触的回顾性病例控制研究 (69次高质量,69次低质量护理评级).
- 利用情绪序列的维罗纳编码定义 (VR-CoDES) 来分析患者的情绪表达和临床医生的反应.
- 采用混合效应逻辑回归来评估临床医生的反应类型与患者护理等级之间的关联.
主要成果:
- 明确的临床医生反应限制了进一步的情感沟通,与高护理评级相关 (OR 1.94).
- 允许更多情绪表达的非明确反应与低的护理评级 (OR 0.54) 有关.
- 提供信息/建议与高评分相关 (OR 1.91),而中立/被动反应与低评分相关 (OR 0.59).
结论:
- 患者可能更喜欢临床医生的反应,表明与他们的情绪有联系,而不考虑明确的同情心.
- 研究结果表明,特定的沟通策略,如提供信息,可以积极影响患者对护理的看法.
- 这些见解可以为旨在提高临床医生与患者沟通技能的教育计划提供信息.
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