在同一个页面上:预测胃肠科医生-患者错位在炎症性肠道疾病的预测者
Neda Karimi1, Alison R Moore2, Ashleigh Jones3
1Institute for Communication in Health Care, Australian National University, Canberra, Australia; Faculty of Medicine & Health, The University of New South Wales, Sydney, Australia.
Patient education and counseling
|November 5, 2024
概括
在36%的咨询中,炎症性肠病 (IBD) 护理的错位发生了. 通过保持主题并解释理由来改善沟通,可以提高患者与医生的协调.
科学领域:
- 胃肠病学 胃肠病学
- 卫生沟通健康沟通
- 患者体验 患者体验
背景情况:
- 有效的沟通对于管理慢性疾病,如炎症性肠病 (IBD) 至关重要.
- 了解医生与患者的协调是优化IBD护理和患者结果的关键.
- 之前的研究还没有完全量化错位,也没有在IBD咨询中确定特定的沟通预测因素.
研究的目的:
- 为了确定胃肠科医生和IBD患者之间的错位的流行率和程度.
- 在咨询期间识别与医生和患者错位相关的沟通特征.
- 为改善IBD护理中的沟通提供有针对性的干预信息.
主要方法:
- 一种混合方法的方法,结合了定性和定量分析.
- 分析与胃肠科医生和IBD患者的咨询和咨询后访谈.
- 通过采访数据和咨询的语言分析量化医生-病人错位.
主要成果:
- 在涉及69名患者和7名胃肠科医生的36%的咨询中,对护理的感知发生了显著的错位.
- 错位的关键预测因素包括错过了澄清患者担忧或解释临床推理的机会.
- 语言分析确定了与对齐或不对齐相关的特定沟通模式.
结论:
- 保持专注于一个主题,直到患者准备过渡,改善了对齐.
- 在问题和解释中使用相关信息可以提高医生和患者之间的理解.
- 干预措施应侧重于改善对患者问题的讨论和临床医生的推理,适用于健康促进.
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