O'Hearn Amanda
University of Rochester Medical Center, Rochester, NY 14642, USA.
Fam Med. 2006 Nov-Dec;38(10):712-6.
The quality of communication between physician and patient is a major contributor to patient satisfaction and treatment adherence. Deaf patients who use American Sign Language experience significant communication barriers in most medical settings. This study investigated factors impacting deaf patients' satisfaction with prenatal care and prenatal care disparities between deaf and hearing women.
Questionnaires modified from Omar and Schiffman's prenatal satisfaction measure were administered to 23 deaf and 32 hearing women.
Deaf women were less satisfied than hearing women with physician communication and less satisfied with overall care. Deaf women's expectations about provision of interpreter services being met or exceeded was significantly associated with overall satisfaction. Hearing women had more prenatal care appointments and reported receiving more information from their doctors.
Maximizing communication effectiveness with deaf patients results in better prenatal care and improved patient satisfaction. Good communication includes conveying concern and making efforts to ensure that whatever communication methods used are effective.
医患之间的沟通质量是影响患者满意度和治疗依从性的主要因素。使用美国手语的聋人患者在大多数医疗环境中都面临着显著的沟通障碍。本研究调查了影响聋人患者对产前护理满意度的因素以及聋人与听力正常女性在产前护理方面的差异。
采用从奥马尔和希夫曼的产前满意度测量表改编而来的问卷，对23名聋人女性和32名听力正常的女性进行了调查。
与听力正常的女性相比，聋人女性对医生沟通的满意度较低，对整体护理的满意度也较低。聋人女性对提供的口译服务达到或超过预期的期望与总体满意度显著相关。听力正常的女性进行产前检查的次数更多，并且报告从医生那里获得了更多信息。
与聋人患者最大化沟通效果可带来更好的产前护理并提高患者满意度。良好的沟通包括表达关心并努力确保所使用的任何沟通方式都是有效的。
