Lee Stephanie J, Back Anthony L, Block Susan D, Stewart Susan K
Dana-Farber Cancer Institute, Boston, MA 02115, USA.
Hematology Am Soc Hematol Educ Program. 2002:464-83. doi: 10.1182/asheducation-2002.1.464.
Physician-patient communication encompasses the verbal and nonverbal interactions that form the basis for the doctor-patient relationship. A growing body of research and guidelines development acknowledges that physicians do not have to be born with excellent communication skills, but rather can learn them as they practice the other aspects of medicine. Improvement in physician-patient communication can result in better patient care and help patients adapt to illness and treatment. In addition, knowledge of communication strategies may decrease stress on physicians because delivering bad news, dealing with patients' emotions, and sharing decision making, particularly around issues of informed consent or when medical information is extremely complex, have been recognized by physicians as communication challenges. This paper will provide an overview of research aimed at improving patient outcome through better physician-patient communication and discuss guidelines and practical suggestions immediately applicable to clinical practice.
医患沟通涵盖了构成医患关系基础的言语和非言语互动。越来越多的研究和指南制定工作承认,医生并非天生就具备出色的沟通技巧,而是可以在实践医学其他方面的过程中学习这些技巧。改善医患沟通可带来更好的患者护理,并帮助患者适应疾病和治疗。此外,掌握沟通策略可能会减轻医生的压力,因为传达坏消息、处理患者情绪以及分享决策,尤其是在知情同意问题或医疗信息极其复杂时,已被医生们视为沟通挑战。本文将概述旨在通过改善医患沟通来提高患者治疗效果的研究,并讨论可直接应用于临床实践的指南和实用建议。