Fook L, Morgan R, Sharma P, Adekoke A, Turnbull C J
Department of Geriatric Medicine, Arrowepark Hospital, Upton Road, Wirral, Merseyside L69 5PE, UK.
Postgrad Med J. 2000 Feb;76(892):92-5. doi: 10.1136/pmj.76.892.92.
The study was designed to assess the impact of hearing impairment on communication between older hospital patients and medical staff and to see whether intervention to improve hearing influences perceived communication. Structured interviews were held with 200 mentally alert elderly hospital in-patients before and after the introduction of voice amplifiers and acetate cards depicting a hearing problem. Prior to intervention 22% of patients rated communication with their doctor as poor or unsatisfactory. Following intervention there was a significant improvement (Chi-square p=0.006), with only 6% of patients reporting communication with their doctor as poor or unsatisfactory. Most of the patients who felt communication was unsatisfactory could not hear what was being said. We conclude that simple measures can improve the number of older patients hearing what their doctor says and improve their perception of communication with the hospital doctor.
该研究旨在评估听力障碍对老年住院患者与医护人员之间沟通的影响,并观察改善听力的干预措施是否会影响患者对沟通的感受。在引入语音放大器和描绘听力问题的醋酸纤维卡片前后,对200名精神状态良好的老年住院患者进行了结构化访谈。干预前,22%的患者对与医生的沟通评价为差或不满意。干预后有显著改善(卡方检验p = 0.006),只有6%的患者报告与医生的沟通为差或不满意。大多数认为沟通不满意的患者听不清所说内容。我们得出结论,简单的措施可以提高老年患者听清医生讲话的人数,并改善他们对与医院医生沟通的感受。