通知临床医生睡眠质量差是否会影响患者感知到的同情心? 来自随机对照试验的结果
Sina Ramtin1, Jada Thompson1, David Ring1
1Department of Surgery and Perioperative Care, Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
Sleep medicine
|April 18, 2025
概括
临床医生对肌肉骨患者睡眠质量不佳的认识与感知到的同情心较低有关. 解决睡眠质量问题可能并不比直接讨论心理健康更可接受.
科学领域:
- 肌肉骨健康 肌肉骨健康
- 睡眠科学 睡眠科学
- 患者与医生之间的沟通
背景情况:
- 肌肉骨护理往往忽略了心理因素,如痛苦和没有帮助的思维.
- 围绕心理健康的社会耻辱可能会阻碍患者和临床医生之间的公开讨论.
- 睡眠质量与心理健康密切相关,可以作为另一种讨论主题.
研究的目的:
- 调查临床医生对睡眠质量不佳的认识是否与患者感知到的同理心相关.
- 为了确定与肌肉骨患者睡眠质量下降相关的因素.
- 确定临床医生对睡眠障碍的认识是否导致讨论睡眠质量干预措施.
主要方法:
- 一项随机对照试验,涉及114名肌肉骨患者的睡眠质量差 (匹茨堡睡眠质量指数得分≥3).
- 患者被随机分配到他们的临床医生是否被告知他们的睡眠得分.
- 访问后的评估包括感知同理心 (杰斐逊医生同理心患者感知量表) 和讨论睡眠质量.
主要成果:
- 临床医生的感知同理心较低与临床医生被告知患者的睡眠质量 (p=0.011) 和更大的症状误解 (p=0.04) 有关.
- 较差的睡眠质量与较大的与症状相关的痛苦相关 (p<0.001).
- 临床医生讨论睡眠干预措施与临床医生对睡眠质量的意识没有联系.
结论:
- 临床医生对睡眠质量不佳的认识与适度较低的感知同情心有关.
- 解决睡眠质量问题可能对患者或临床医生来说并不比解决心理健康问题更可接受.
- 临床医生可以将睡眠或心理健康讨论纳入肌肉骨疾病的综合生物心理社会方法.
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