新生儿医生在向父母传递严重消息时对信息框架的看法:一项随机交叉研究
Hannah Stümer1, Fiona A Wocheslander1, Florian Hammerle2
1Division of Neonatology, Centre for Paediatric and Adolescent Medicine, University Medical Centre of the Johannes Gutenberg-University Mainz, Mainz, Germany.
Archives of disease in childhood. Fetal and neonatal edition
|February 24, 2026
概括
新生儿医生在与家长讨论严重新闻时,绝大多数人更喜欢乐观的预后框架. 这种框架增强了对父母准备和医生同情心的看法,尽管它没有改变对预后的认知评估.
科学领域:
- 新生儿医学 新生儿医学
- 医学沟通 医学沟通
- 临床心理学 临床心理学
背景情况:
- 向父母传递关于新生儿结果的严消息是一项挑战.
- 预测框架,即信息呈现的方式,可以影响人们的看法.
- 了解医生对框架的偏好对于有效的沟通至关重要.
研究的目的:
- 调查新生儿医生对乐观与悲观的预后框架的偏好.
- 评估框架对父母准备,医生专业性和同情心的影响.
主要方法:
- 一个多中心,双盲,随机交叉研究.
- 新生儿医生观看了具有相同预后数据但不同的框架 (乐观与悲观) 的脚本视频.
- 评估了框架偏好,家长的准备,医生属性和沟通挑战.
主要成果:
- 86%的医生更喜欢乐观的框架.
- 乐观的框架导致了父母更高的准备和更好的医生评估 (专业性,同情心).
- 框架并没有显著改变对预后严重性或对生存/无损伤的乐观情绪的看法.
结论:
- 新生儿医生对乐观的预后框架有强烈的偏好.
- 框架效应似乎主要是情感的,影响情绪反应而不是认知评估.
- 这突显了新生儿预后沟通中隐含的偏见.
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