Fogarty L A, Curbow B A, Wingard J R, McDonnell K, Somerfield M R
Department of Health Policy and Management, Johns Hopkins University School of Hygiene and Public Health, Baltimore, MD 21205, USA.
J Clin Oncol. 1999 Jan;17(1):371-9. doi: 10.1200/JCO.1999.17.1.371.
To use a standardized videotape stimulus to assess the effect of physician compassion on viewers' anxiety, information recall, treatment decisions, and assessment of physician characteristics.
One hundred twenty-three healthy female breast cancer survivors and 87 women without cancer were recruited for this study. A randomized pretest/posttest control group design with a standardized videotape intervention was used. Participants completed the State-Trait Anxiety Inventory (STAI), an information recall test, a compassion rating, and physician attribute rating scales.
Women who saw an "enhanced compassion" videotape rated the physician as warmer and more caring, sensitive, and compassionate than did women who watched the "standard" videotape. Women who saw the enhanced compassion videotape were significantly less anxious after watching it than the women in the other group. Nevertheless, information recall was relatively low for both groups, and enhanced compassion did not influence patient decisions. Those who saw the enhanced compassion videotape rated the doctor significantly higher on other positive attributes, such as wanting what was best for the patient and encouraging the patient's questions and involvement in decisions.
The enhanced compassion segment was short, simple, and effective in decreasing viewers' anxiety. Further research is needed to translate these findings to the clinical setting, where reducing patient anxiety is a therapeutic goal.
使用标准化录像带刺激来评估医生的同情心对观众焦虑、信息回忆、治疗决策以及医生特征评估的影响。
本研究招募了123名健康的女性乳腺癌幸存者和87名未患癌症的女性。采用标准化录像带干预的随机前测/后测对照组设计。参与者完成了状态-特质焦虑量表（STAI）、一项信息回忆测试、同情心评分以及医生属性评分量表。
观看“增强同情心”录像带的女性比观看“标准”录像带的女性对医生的评价更热情、更体贴、更敏感且更有同情心。观看增强同情心录像带的女性在观看后焦虑程度明显低于另一组女性。然而，两组的信息回忆率都相对较低，增强同情心并未影响患者的决策。观看增强同情心录像带的人在其他积极属性方面对医生的评价明显更高，比如希望为患者提供最好的治疗以及鼓励患者提问并参与决策。
增强同情心部分简短、简单且能有效降低观众的焦虑。需要进一步研究将这些发现应用于临床环境，在临床环境中减轻患者焦虑是一个治疗目标。
