Roter Debra L, Frankel Richard M, Hall Judith A, Sluyter David
Department of Health Policy and Management, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD 21205, USA.
J Gen Intern Med. 2006 Jan;21 Suppl 1(Suppl 1):S28-34. doi: 10.1111/j.1525-1497.2006.00306.x.
Relationship-centered care reflects both knowing and feeling: the knowledge that physician and patient bring from their respective domains of expertise, and the physician's and patient's experience, expression, and perception of emotions during the medical encounter. These processes are conveyed and reciprocated in the care process through verbal and nonverbal communication. We suggest that the emotional context of care is especially related to nonverbal communication and that emotion-related communication skills, including sending and receiving nonverbal messages and emotional self-awareness, are critical elements of high-quality care. Although nonverbal behavior has received far less study than other care processes, the current review argues that it holds significance for the therapeutic relationship and influences important outcomes including satisfaction, adherence, and clinical outcomes of care.
医生和患者从各自专业领域带来的知识，以及医生和患者在医疗过程中的情感体验、表达和感知。这些过程在护理过程中通过言语和非言语交流得以传递和回应。我们认为护理的情感背景尤其与非言语交流相关，且与情感相关的交流技巧，包括发送和接收非言语信息以及情感自我意识，是高质量护理的关键要素。尽管与其他护理过程相比，对非言语行为的研究要少得多，但当前的综述认为它对治疗关系具有重要意义，并会影响包括满意度、依从性和护理临床结果在内的重要结局。
