患者和上下文变量有助于患者对全科医生同情心的感知
Sophie Lelorain1, Axel Descamps2, Nicola Grignoli3
1Department of Psychology, Research Center in Health, Aging and Sport Psychology, University of Lausanne, Lausanne, Switzerland.
Patient education and counseling
|July 27, 2025
概括
患者感知到的医生同情心 (PPPE) 是受患者情感技能和咨询频率等因素的影响. 较长的咨询对情绪技能较低的患者有好处,而医生年龄的影响最小.
科学领域:
- 医学社会学 医学社会学
- 一般实践 一般实践
- 患者体验 患者体验
背景情况:
- 患者感知到的医生同情心 (PPPE) 与改善患者结果,护理质量和成本效益有关.
- 以前的研究主要集中在与医生相关的PPE预测因子上.
- 背景因素 (例如,时间限制) 和患者相关因素 (例如,多病症) 也可能影响PPE.
研究的目的:
- 研究患者相关和上下文变量对PPE的影响.
- 探索咨询时间和患者的情绪技能如何影响PPE.PPE.
- 确定与PPE相关的与医生相关的因素.
主要方法:
- 这是一项涉及50名医生和762名患有慢性疾病的成年患者的横截面研究.
- 收集关于医生特征,工作环境,患者疾病和患者报告结果的数据,使用经过验证的问卷 (CARE 规模).
- 进行了多级线性回归分析来评估关联.
主要成果:
- 较高的PPPE得分观察到患者更频繁的咨询 (≥7在12个月) 和较低的在那些有生殖尿路和上胃肠道疾病的患者.
- 较长时间对PPPE咨询的积极影响在情绪技能较低的患者中更为明显.
- 具有高情绪能力的患者在短时间咨询 (5-10分钟) 中也报告了高PPPE;医生年龄与PPPE有轻微的负面关联.
结论:
- 与患者相关的因素,如情感技能和咨询频率,显著影响PPE.
- 背景因素,特别是咨询时间,起着至关重要的作用,特别是对于情绪技能较低的患者.
- 特定的患者群体 (生殖尿道/上部肠道疾病) 和低情绪技能患者可能需要量身定制的方法和更长的咨询时间.
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