患者如何指导治疗:关于患者辅导评分系统的发展和可靠性的试点研究
Elizabeth Li1, James McCollum2, David Kealy3
1Research Department of Clinical, Educational and Health Psychology, University College London & Anna Freud Centre, London.
American journal of psychotherapy
|September 26, 2025
概括
这项研究引入了患者辅导评级系统 (PCRS),以衡量患者在治疗中的辅导. PCRS表现出良好的可靠性,支持其在未来的心理治疗研究中使用.
科学领域:
- 心理治疗研究 心理治疗研究
- 临床心理学 临床心理学
- 在治疗中的沟通.
背景情况:
- 患者指导,患者发起的沟通,对于理解治疗动态至关重要.
- 由于劳动密集的评估方法,对患者指导的实证研究有限.
研究的目的:
- 引入患者辅导评分系统 (PCRS) 来评估患者辅导.
- 评估PCRS在测量信息和方向指导方面的可靠性.
主要方法:
- 七名评级人员将PCRS应用于22个心理治疗会话段.
- 分段被评为信息辅导和方向辅导,使用0-4级.
主要成果:
- 信息指导实现了0.86 (优秀) 的评级者间可靠性.
- 导向教练实现了0.68 (中等到良好) 的评分器间可靠性.
结论:
- PCRS提供了一种结构化的方法来评估患者指导.
- 这个系统有助于在心理治疗中实证地研究患者的指导.
相关概念视频
Nursing Process for Patient and Caregiver Teaching I: Assessment and Diagnosis
2.3K
The nursing process provides a clinical decision-making framework for patients and families to establish and implement a personalized care plan. Since part of the nurse's duties is to teach patients, the steps of the nursing process are the most effective way to approach instruction. The nursing process and the teaching-learning process are inextricably linked.
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
It is critical to determine the patient's learning needs during the assessment. Determination of learning needs compounds data...
2.3K
Modeling in Therapy
356
Modeling, a key technique in therapy, uses observational learning to help clients acquire and practice new skills by watching therapists demonstrate desired behaviors. This approach, rooted in Albert Bandura's concept of vicarious learning, plays a significant role in therapeutic interventions for various psychological conditions, including social anxiety, ADHD, and depression.
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
Participant Modeling
Participant modeling involves therapists demonstrating calm and effective behaviors in...
356
Elements Crucial for Effective Psychotherapy
301
Research has highlighted several critical factors that influence the effectiveness of psychotherapy, such as the therapeutic alliance, the therapist, and the client.
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
The Therapeutic Alliance
The therapeutic alliance refers to the relationship between the therapist and the client. The alliance strengthens when the therapist and the client engage in a nurturing, supportive, trusting, empathetic, and respectful relationship, improving therapeutic outcomes. Therapists must monitor this relationship...
301
Guidelines for Writing Outcome
3.6K
When developing expected outcomes for a patient care plan, the nurse should adhere to the following recommendations:
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
Patient outcomes reflect the patient's response to the goal rather than what the nurse aims to achieve. Terminology should be observable and measurable to avoid the reader's interpretation. The desired outcome should be realistic and achievable in the designated care timeframe. Expected outcomes should align with adjunctive therapies. The outcome should enhance care...
3.6K
Nursing Process for Patient and Caregiver Teaching III: Evaluation and Documentation
2.4K
Evaluation of the teaching process enables the nurse to determine if the patient's learning needs were met and if training was effective. If the expected outcomes are not met, the care plan is revised, and additional education or reinforcement is provided. Nurses can ask questions after the session or obtain feedback to assess the patient's understanding of the topic.
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
Nurses can use several methods to evaluate patient outcomes. For example, oral questions can assess cognitive learning,...
2.4K
Dysrhythmias VII: Nursing Management of Dysrhythmias
308
Nursing management of dysrhythmias involves the following:AssessmentSubjective Assessment:The initial step involves gathering patient-reported symptoms such as dizziness, palpitations, and chest discomfort. It is crucial to collect a detailed history, including previous heart conditions, current medication use, and lifestyle factors like caffeine and alcohol consumption.Objective Assessment:This involves observing clinical signs such as jugular venous distention, cool and pale skin, and...
308

