Strasser Florian, Palmer J Lynn, Willey Jie, Shen Loren, Shin Ki, Sivesind Debra, Beale Estela, Bruera Eduardo
Department of Palliative Care and Rehabilitation Medicine, The University of Texas M. D. Anderson Cancer Center, Houston, 77030, USA.
J Pain Symptom Manage. 2005 May;29(5):489-97. doi: 10.1016/j.jpainsymman.2004.08.011.
The purpose of this study was to determine the impact of physician sitting versus standing on the patient's preference of physician communication style, and perception of compassion and consult duration. Sixty-nine patients were randomized to watch one of two videos in which the physician was standing and then sitting (video A) or sitting and then standing (video B) during an inpatient consultation. Both video sequences lasted 9.5 minutes. Thirty-five patients (51%) blindly preferred the sitting physician, 16 (23%) preferred the standing, and 18 (26%) had no preference. Patients perceived that their preferred physician was more compassionate and spent more time with the patient when compared with the other physician. There was a strong period effect favoring the second sequence within the video. The patients blinded choice of preference (P = 0.003), perception of compassion (P = 0.0016), and other attributes favored the second sequence seen in the video. The significant period effect suggests that patients prefer the second option presented, notwithstanding a stated preference for a sitting posture (55/68, 81%). Physicians should ask patients for their preference regarding physician sitting or standing as a way to enhance communication.
本研究的目的是确定医生坐着与站着对患者对医生沟通风格的偏好、同情心感知及会诊时长的影响。69名患者被随机分配观看两个视频之一，视频中医生在住院会诊期间先是站着然后坐着（视频A），或者先是坐着然后站着（视频B）。两个视频片段均持续9.5分钟。35名患者（51%）盲目地更喜欢坐着的医生，16名（23%）更喜欢站着的医生，18名（26%）没有偏好。患者认为，与另一位医生相比，他们更喜欢的医生更有同情心，且与患者相处的时间更长。视频中存在强烈的时段效应，有利于第二个片段。患者对偏好的盲目选择（P = 0.003）、同情心感知（P = 0.0016）以及其他属性均有利于视频中第二个片段。显著的时段效应表明，尽管患者表示更喜欢坐着的姿势（55/68，81%），但他们更喜欢呈现的第二个选项。医生应该询问患者对于医生坐着或站着的偏好，以此作为增强沟通的一种方式。
