验证非语言线索来评估医生在远程医疗中的同情心:德尔菲研究
Annisa Ristya Rahmanti1,2, Hsuan-Chia Yang3,4,5,6, Chih-Wei Huang3,4,7
1Department of Health Policy and Management, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Medical education online
|May 8, 2025
概括
关键的非语言线索,如面部表情,眼神接触和语气,对于医生在远程医疗中的同理心至关重要. 这项研究确定了九个必要的线索,以改善虚拟医生与患者的互动和健康结果.
科学领域:
- 医疗信息学 医疗信息学
- 沟通研究 沟通研究
- 人与计算机的交互
背景情况:
- 非语言沟通在医生与患者的互动中至关重要,但由于有限的语言线索,在远程医疗中具有挑战性.
- 在虚拟环境中评估医生同情需要理解特定的非语言信号.
- 现有的远程医疗中非语言线索的框架有限.
研究的目的:
- 在远程医疗咨询中识别和验证评估医生同情心的关键非语言线索.
- 在专家之间就这些线索的重要性,有效性和可靠性建立共识.
- 为开发工具提供基础,以增强虚拟医生与患者的沟通.
主要方法:
- 一项为期三轮的Delphi研究,从2022年6月到11月,涉及37名专家 (学者,医疗保健专业人员,研究人员,患者).
- 专家评估了潜在的非语言线索的重要性,有效性和可靠性.
- 统计分析包括肯德尔的W和威尔科克森的签名等级测试,以评估协议和稳定性.
主要成果:
- 最终确定了九个关键的非语言线索:面部表情,眼神接触,语气,微笑,点头,身体姿势,手势,距离和环境线索.
- 面部表情,眼神接触和语气被确定为最重要的线索.
- 对于重要性 (W=0.739),有效性 (W=0.689) 和可靠性 (W=0.452) 发现了强大的专家间一致.
结论:
- 特定的非语言线索显著影响医生对远程医疗的同情评估.
- 面部表情,眼神接触和语音对于有效的虚拟互动至关重要.
- 经过验证的线索清单可以为技术的开发提供信息,以改善远程医疗通信和患者的治疗结果.
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