在初级保健访问期间与慢性疼痛患者一起探索表达性写作
Cassandra C Sundaram1, David G Thoele2, Mary F Henningfield3
1Department of Family Medicine and Community Health, University of Wisconsin School of Medicine and Public Health, Madison, Wisconsin, sunda063@umn.edu.
WMJ : official publication of the State Medical Society of Wisconsin
|September 16, 2024
概括
像三分钟精神改造 (3MMM) 这样的表达性写作可以改善慢性疼痛患者和他们的临床医生之间的沟通和联系,培养信任和积极的医疗保健体验.
科学领域:
- 主要护理医学 医疗保健
- 健康心理学 心理健康心理学
- 患者与临床医生的沟通
背景情况:
- 慢性疼痛患者经常经历临床医生的丧和忽视,导致医疗保健体验不佳.
- 临床医生寻求有效的方法来与治疗慢性疼痛的患者进行接触和联系.
- 富有表达力的写作可以在医疗访问期间增强患者和临床医生的沟通和联系.
研究的目的:
- 评估三分钟精神改造 (3MMM) 表达式写作活动的可行性和影响.
- 探索患者和医生在初级保健机构中使用3MMM的经验.
- 识别在慢性疼痛管理中使用表达性书写的好处和障碍.
主要方法:
- 三分钟精神改造 (3MMM) 活动与15名慢性疼痛患者和5名家庭医学医生一起实施.
- 数据通过访问前和后的调查以及与患者和医生进行的个人采访来收集.
- 定性分析确定了与患者医生体验相关的关键主题.
主要成果:
- 患者和医生都报告了3MMM活动的积极经验.
- 关键主题包括加强沟通,个人洞察力,亲密,舒适和相互学习.
- 实施的主要障碍是时间限制和医生买入.
结论:
- 3MMM表达式写作练习显示,它有望改善慢性疼痛患者和临床医生之间的关系,沟通和信任.
- 整合这些活动可能会导致更积极和更有效的医疗保健互动.
- 需要进一步的研究来克服实施障碍,并优化其在临床实践中的使用.
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