在患有和没有慢性疼痛的患者之间,患者与医生的关系中的沟通和同理心
John C Licciardone1, Claire N Middleton1, Amin Aboutaj1
1University of North Texas Health Science Center, Fort Worth, TX, USA.
Journal of osteopathic medicine
|October 2, 2024
概括
慢性疼痛患者报告医生沟通和同情度较低. 这突显了持续疼痛患者的关怀中的关键差距,强调了改善患者与医生的互动的必要性.
科学领域:
- 医学沟通 医学沟通
- 疼痛管理 疼痛管理
- 患者与医生的关系
背景情况:
- 慢性疼痛显著影响患者与医生的关系.
- 了解沟通和同情的差异对于有效的疼痛管理至关重要.
研究的目的:
- 为了比较慢性疼痛患者和无疼痛患者之间的医生沟通和同理心.
- 评估医生沟通和整体医生同情心的四个关键方面.
主要方法:
- 一项横截面研究将387名慢性疼痛患者与387名无疼痛对照进行了匹配.
- 用于根据11个变量进行匹配,使用了倾向分数.
- 沟通行为问卷 (CBQ) 和咨询与关系同理心 (CARE) 测量评估结果.
主要成果:
- 慢性疼痛患者在所有评估的方面报告医生沟通明显较差.
- 与对照组相比,慢性疼痛患者也报告了较低的医生同情心.
- 所有观察到的差异都是临床相关的.
结论:
- 患有慢性疼痛的患者经历了医生沟通和同情心的减少.
- 需要进一步进行纵向研究,以确定慢性疼痛与沟通/同情力学之间的因果关系.
相关概念视频
Techniques of therapeutic communication I: Active Listening, Sharing Observations, Validation, and Using Touch
4.7K
The history of therapeutic communication can be traced back to Florence Nightingale, who emphasized the importance of developing trusting relationships with patients. She taught that the presence of nurses with patients results in therapeutic healing.
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
Therapeutic communication is not the same as social interaction. Social interaction has no goal or purpose and consists of casual information sharing, whereas therapeutic communication has a plan or purpose for the conversation. Therapeutic...
4.7K
Therapeutic Communication
4.4K
Communication is a lifelong learning process. Through therapeutic communication, nurses can collect relevant assessment data, provide education and counseling, and interact during nursing interventions. Sending and receiving messages occur through verbal and nonverbal communication techniques and can happen separately or simultaneously.
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
Verbal communication depends on language or a prescribed way of using words so that people can share information effectively. The critical aspects of verbal...
4.4K
Barriers to Effective Communication II
3.6K
The barriers to effective communication also include cultural barriers, semantic barriers, gender barriers, and time constraints.
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
Cultural barriers:
Differences in values, beliefs, religion, knowledge, and tradition can significantly impact communication. Awareness of nonverbal cues is critical, especially when conversing with a patient from a different culture. What appears appropriate in one culture may be inappropriate in another.
Semantic barriers:
As a result of their tendency to use...
3.6K
Analgesia and Pain Management
547
Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
547
Communication
5.5K
Sharing information, concepts, and emotions to foster mutual understanding is communication. The sender, recipient, and transaction must be considered in this manner. The sender is the person who shares the message, the recipient is the person who receives and understands the message, and the transaction is the method used to deliver the message and the variables that affect the communication's context and surroundings. The nurse-client connection is built on therapeutic communication.
5.5K
Techniques of Therapeutic Communication II: Focusing, Paraphrasing, and Summarizing
7.8K
Focusing involves centering a conversation on a message's critical elements or concepts. Focusing is valuable if the talk is vague or patients begin to repeat themselves. Sometimes, when patients are asked about their symptoms, they may go off-topic and try to tell their entire life story. Respectfully, the nurse should bring the conversation back into focus.
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
This therapeutic technique can also be used when a patient brings up pertinent information during a health-related conversation. The...
7.8K


