对象关系在医生患者关系中的作用 在初级保健环境中
John H Porcerelli1, Laura A Richardson2, Steven K Huprich1
1University of Detroit Mercy, Detroit, Michigan.
The Journal of nervous and mental disease
|August 29, 2024
概括
患者的早期记忆,反映了对象关系,大大预测了他们对医生与患者关系的看法. 这凸显了了解患者心理的重要性,以改善医疗保健互动.
科学领域:
- 心理学 心理学 心理学
- 医学社会学 医学社会学
- 医疗保健通讯 医疗保健通讯
背景情况:
- 强大的医生与患者关系对于有效的医疗保健服务和改善患者的结果至关重要.
- 了解影响这种关系的心理因素对于提高护理质量至关重要.
- 患者的内部工作模型,或对象关系,可能在塑造他们与医生的互动中发挥作用.
研究的目的:
- 调查患者对象关系与医生与患者关系的质量之间的关联.
- 确定对象关系的特定方面是否预测医生与患者接触的患者评级质量.
- 探索影响患者和医生对医疗体验评价的因素.
主要方法:
- 初级保健患者 (n=72) 和医生 (n=21) 参与其中.
- 用社会认知和对象关系-全球方法 (SCORS-G) 收集和分析患者的早期记忆.
- 患者和医生独立评价了他们的医疗体验的质量.
主要成果:
- 对象关系,特别是SCORS-G 认知结构和自我因素,显著预测了患者评级的医生与患者关系质量.
- 这些对象关系仍然具有预测性,即使考虑到心理痛苦,体化和医生培训水平.
- 患者教育,心理困扰和医生培训水平预测了医生评级的体验质量.
结论:
- 患者对象关系是他们对医生与患者关系的看法的一个重要因素.
- 患者和医生评级之间的差异可能会受到患者的对象关系的影响.
- 这些研究结果表明,可以采用心理评估来改善医生与病人关系的质量.
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