Bultman D C, Svarstad B L
School of Pharmacy, University of Wisconsin-Madison, 425 N. Charter Street, Madison, WI 53706-1515, USA.
Patient Educ Couns. 2000 May;40(2):173-85. doi: 10.1016/s0738-3991(99)00083-x.
The goals of this study were to examine how physician communication style impacts client beliefs and medication taking behavior during treatment for depression. The study uses a communication framework and prospective design to examine physician communication and client beliefs as treatment is initiated and again 2 months later. Two telephone interviews were conducted with 100 clients enrolled from 23 community pharmacies. Clients report that physician communication styles vary. In follow-up, 25% of the clients were not satisfied with their medication and 82% reported missing doses or stopping treatment earlier than recommended. Path analysis showed that physician initial communication style positively influences client knowledge and initial beliefs about the medication. Clients with more positive beliefs about the treatment are more likely to see the physician in follow-up and are more satisfied with treatment after attempting medication use. Physician follow-up communication style and client satisfaction are both predictive of better medication adherence.
本研究的目的是探讨医生的沟通方式如何影响抑郁症治疗期间患者的信念和服药行为。该研究采用一种沟通框架和前瞻性设计，在治疗开始时以及两个月后再次对医生沟通和患者信念进行研究。对从23家社区药房招募的100名患者进行了两次电话访谈。患者报告称医生的沟通方式各不相同。在随访中，25%的患者对其药物治疗不满意，82%的患者报告有漏服药物或比建议时间更早停药的情况。路径分析表明，医生最初的沟通方式对患者关于药物的知识和初始信念有积极影响。对治疗抱有更积极信念的患者更有可能在随访中就诊，并且在尝试用药后对治疗更满意。医生的随访沟通方式和患者满意度均能预测更好的药物依从性。
