探索患者的声音
Phillip Cox1, Shannon L Mihalko1, Suzanne C Danhauer2
1Wake Forest University.
用自己的语言表达个人立场的糖尿病管理人员更有可能坚持治疗计划. 了解患者沟通可以改善医疗保健提供者对糖尿病自我管理的支持.
科学领域:
- 医学沟通 医学沟通
- 行为科学 行为科学
- 内分泌学 在内分泌学.
背景情况:
- 糖尿病自我管理需要显著的行为修改.
- 患者的观点对于有效的医疗保健至关重要,但往往是间接沟通的.
- 医疗保健提供者需要工具来更好地了解患者在糖尿病护理中的经验.
研究的目的:
- 分析那些坚持治疗和不坚持治疗的糖尿病患者之间的语言差异.
- 识别与糖尿病自我管理相关的特定语言模式.
- 为了提高医疗保健提供者对患者观点的理解.
主要方法:
- 对108名糖尿病患者的深入电话采访进行了多维分析.
- 根据性别,种族和糖化血红蛋白 (A1C) 水平进行分层招募.
- 对参与者成绩单进行定量分析,以比较附属 (A1C <7%) 和非附属 (A1C >7%) 群体之间的语言特征.
主要成果:
- 十个语言特征显示了附属和非附属群体之间的频率差异显著.
- 坚持的个人使用更多的语言特征来表达个人立场.
- 个人立场的表达与坚持团体中更强烈的代理意识有关.
结论:
- 语言分析揭示了糖尿病自我管理中的不同的沟通模式.
- 更多地使用个人立场语言与更好的治疗坚持相关.
- 了解这些语言线索可以改善患者提供者沟通和糖尿病护理结果.
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