沟通学者评估的沟通有效性是否与患者对临床医生的同情感知相关?
Haley Ponce1, Rafael Cordero1, Jacinta Tran2
1Department of Surgery and Perioperative Care, Dell Medical School-The University of Texas at Austin, Austin, TX, USA.
Journal of patient experience
|February 24, 2025
概括
在第二项研究中,临床医生沟通有效性评级与患者感知到的同情心没有相关性. 这凸显了更好地衡量患者体验因素的必要性.
科学领域:
- 医学沟通 医学沟通
- 患者体验研究 研究研究
- 临床心理学 临床心理学
背景情况:
- 之前的研究发现,沟通学者对临床医生的沟通有效性和患者感知到的同情心的评分之间没有相关性.
- 这种缺乏关联可能会影响患者的体验,需要进一步调查.
研究的目的:
- 用不同的评分工具重新评估临床医生沟通有效性和患者感知的同理心之间的关联.
- 在临床接触中识别与患者感知同理心相关的因素.
主要方法:
- 108次视频记录的临床访问被3名训练有素的观察员使用通信质量分析对沟通质量进行了评分.
- 患者完成了验证的测量,评估临床医生感知到的同情心,疼痛适应,健康焦虑和抑郁症状.
- 负双项回归分析被用来识别与临床医生感知同理心相关的因素.
主要成果:
- 没有任何因素,包括独立评价的沟通有效性,与临床医生感知的同理心有显著的关联.
- 疼痛适应是唯一接近显著性的因素 (P = .08) 与临床医生感知的同理心相关.
- 这些发现与之前的研究一致,表明沟通有效性和感知到的同情心之间缺乏相关性.
结论:
- 即使使用不同的评分工具,沟通有效性和患者感知到的同情心之间始终缺乏相关性,这也强调了患者体验的复杂性.
- 有效的患者-临床医生沟通仍然至关重要,但需要进一步的研究来确定影响患者感知和体验的特定可修改因素.
- 为提高医疗保健质量,开发改进的评估患者与临床医生的互动和患者报告结果的措施至关重要.
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