了解MSK咨询中的沟通差距:弥合患者和医生的观点
Moh'd S Dawod1, Mohammad N Alswerki2, Jehad Feras AlSamhori3
1Orthopedic Surgery Department, Faculty of Medicine, Mutah University, Al-Karak, Jordan.
Musculoskeletal care
|June 18, 2025
概括
肌肉骨护理中的医生与患者沟通缺口显著影响了满意度. 解决这些问题需要更清晰的沟通,患者参与,以及更好的感知对齐,以改善结果.
科学领域:
- 医学沟通 医学沟通
- 肌肉骨系统 (MSK) 护理
- 患者与医生的关系
背景情况:
- 肌肉骨 (MSK) 护理中的沟通缺口会对患者的满意度和结果产生负面影响.
- 现有的研究往往侧重于患者的不满,与医生的看法进行有限的直接比较.
- 了解这两种观点对于识别和解决沟通障碍至关重要.
研究的目的:
- 在门诊肌肉骨咨询期间,确定患者和医生之间沟通的感知差距.
- 在关键的沟通领域分析患者和医生的观点.
- 基于这些感知到的沟通差异来比较满意度水平.
主要方法:
- 在约旦门诊MSK诊所的950名患者和85名医生进行了横截面调查.
- 结构化问卷评估了在定义的患者和医生领域对咨询质量的看法.
- 独立的样本t测试和直接响应匹配被用来识别感知差距.
主要成果:
- 不满意的患者在诊断理解,解释清晰度,参与治疗决策和咨询时间充足性方面报告得分较低.
- 医生在不令人满意的遭遇中感觉到更大的被忙的感觉,患者的混乱,以及对建议的抵制.
- 他们发现了六个主要缺陷:咨询时间,沟通清晰度,患者组织,治疗接受度,共享决策和信任.
结论:
- 在MSK护理中,患者和医生之间存在显著的沟通差距,包括时间,清晰度,决策和信任.
- 医生经常认为沟通是有效的,而患者则报告说他们感到焦急,困惑或被排除在外.
- 改善MSK护理需要提高沟通清晰度,积极参与患者,并关注护理的提供和感知.
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