患者体验的同理心和自我报告的健康状况之间的关联在一个大型多站点初级保健试验中
Daniel J Mullin1, Benjamin Littenberg2, Gail L Rose3
1Department of Family Medicine and Community Health, UMass Chan Medical School, Worcester, USA.
Patient education and counseling
|November 13, 2025
概括
患者报告的临床医生同情心与初级保健中更好的身体和心理健康有关. 较高的同理心得分与改善的健康结果相关,这表明同理心护理可能会提高患者的福祉.
科学领域:
- 医疗保健服务研究 医疗服务研究
- 以患者为中心的护理
- 行为健康整合行为健康整合
背景情况:
- 整合行为健康和初级保健对于管理慢性疾病至关重要.
- 患者的体验和对护理的看法显著影响健康结果.
- 临床同理心是患者与医疗服务提供者关系的关键组成部分.
研究的目的:
- 研究患者感知到的临床同情心与他们自我报告的身体和心理健康之间的关联.
- 分析实用性试验的数据,检查行为健康和初级保健整合.
主要方法:
- 一项涉及3929名成年患者的大型多站点实用试验的二次分析.
- 使用了咨询和关系同理心 (CARE) 测量和患者报告结果测量信息系统 (PROMIS-29) 调查.
- 在统计模型中对49个实践和患者特征进行了控制.
主要成果:
- 在PROMIS尺度上,较高水平的临床同情感与改善的心理健康 (2.4-3.0分) 和身体健康 (1.9-3.2分) 有显著的关联.
- 在调整了许多潜在的混因素后,这些关联仍然很重要.
- 所有测试的模型都显示出高统计学意义.
结论:
- 患者在初级保健中报告的健康状况与他们对临床医生的同情感的经验有积极的相关性.
- 共感护理是一种有前途的策略,以提高以患者为中心的身体和心理健康结果.
- 需要进一步的研究来确定同情和健康结果之间的因果关系.
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