慢性疼痛患者和医生的沟通如何影响患者的不确定性:咨询前后的研究
Charee M Thompson1, Manuel D Pulido2, Suma Gangidi3
1Department of Communication, University of Illinois Urbana-Champaign, Champaign, Illinois, USA.
Journal of health communication
|May 14, 2024
概括
医生沟通影响慢性疼痛管理中的患者不确定性. 患者和医生对沟通能力的看法都会影响患者的结果,并减少不确定性.
科学领域:
- 医学沟通 医学沟通
- 疼痛管理 疼痛管理
- 健康心理学 心理健康心理学
背景情况:
- 慢性疼痛存在诊断和管理方面的挑战,原因不明,治疗方法有限.
- 患者的不确定性是慢性疼痛的一个重要因素,加剧了临床环境中的沟通障碍.
研究的目的:
- 研究医生和患者沟通能力对患者不确定性评估和慢性疼痛管理的影响.
- 在慢性疼痛咨询中检查沟通感知与患者结果之间的关系.
主要方法:
- 利用不确定性管理理论和医学沟通能力框架.
- 收集了200名慢性部和脊椎/背部疼痛患者及其医生的咨询前后数据.
- 分析了患者和医生关于沟通和不确定性结果的报告.
主要成果:
- 患者对医生沟通的看法始终预测了咨询后的不确定性结果.
- 医生的自我报告和患者报告的沟通能力与改善的患者不确定性评估相关.
- 医生关于患者沟通能力的报告与患者不确定性降低有关.
结论:
- 无论是医生还是患者的沟通能力,由每个互动者所感知,都会显著影响慢性疼痛护理中的患者不确定性结果.
- 从医生和患者的角度来看,提高沟通能力对于管理患者的不确定性和改善慢性疼痛管理至关重要.
- 在慢性疼痛咨询中,人际沟通动态在患者体验和治疗联盟中发挥着至关重要的作用.
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