在患有和没有严重疾病的成年人中,患者与临床医生的沟通的看法
Carine Davila1,2, Sarah Nouri3, Stephanie H Chan4,5
1Division of Palliative Care and Geriatric Medicine, Department of Medicine, Massachusetts General Hospital and Harvard Medical School, Boston.
JAMA network open
|March 10, 2025
概括
患有严重疾病的成年人报告说,患者与临床医生的沟通情况更差,包括对下一步行动感到不确定,害怕说出来. 这些发现凸显了严重疾病患者在医疗保健体验中的差异.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 患者体验 患者体验
- 临床交流 临床沟通
背景情况:
- 在医疗保健中,高质量的患者-临床医生沟通是必不可少的.
- 在患有严重疾病的患者中,沟通效率可能会下降.
- 了解这些差异对于改善护理至关重要.
研究的目的:
- 调查患者与临床医生的沟通经验中的差异.
- 为了比较患有和没有严重疾病的成年人之间的经验.
主要方法:
- 一项以人口为基础的横截面调查与美国全国代表性样本进行.
- 参与者根据严重疾病状况进行分类.
- 多变量逻辑回归分析了严重疾病和沟通经历之间的关联.
主要成果:
- 患有严重疾病的成年人更有可能报告负面的沟通经历.
- 这些包括对下一步的不确定性 (AOR, 2.30) 和害怕说话 (AOR, 2.18).
- 患有严重疾病的患者还报告说,他们感到被人低 (AOR, 1.90) 和受到不公平对待 (AOR, 3.26).
结论:
- 患有严重疾病的成年人面临着较差的患者-临床医生沟通.
- 需要进一步的研究来开发干预措施.
- 改善沟通对于这种患者群体至关重要.
相关概念视频
Therapeutic Communication
4.1K
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...
4.1K
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
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
Classification of Illness
7.3K
The meaning of illness is individualized to each person who experiences an alteration in health. In contrast, disease is a medical term indicating a pathological change in the structure and function of the body or mind. It is a condition that has specific symptoms and boundaries.
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
An illness is a response to a disease in which the person's level of functioning is changed compared with a previous level. The general classification of illness includes acute and chronic.
Acute illness is severe...
7.3K
Communication
5.4K
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.
5.4K
Role of Communication in the Nursing Process I: Assessment and Diagnosis
3.2K
The nursing process uses scientific reasoning, problem-solving, and critical thinking to guide nurses in providing patients with appropriate care. This process is a systematic approach to recognize, avoid, and treat current or potential health issues while promoting the patient's well-being.
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
The nursing process considers the patient's emotional and physical well-being. The process can be repeated or stopped at any point if judged essential. Assessment is the first step in the nursing...
3.2K


