Mast Marianne Schmid
University of Neuchatel, Department of Work and Organizational Psychology, Rue de la Maladiere 23, CH-2000 Neuchâtel, Switzerland.
Patient Educ Couns. 2007 Aug;67(3):315-8. doi: 10.1016/j.pec.2007.03.005. Epub 2007 May 2.
The goal of this paper is to show that nonverbal aspects in the physician-patient interaction play an important role. Interpersonal judgment relies mostly on nonverbal and appearance cues of the social interaction partner. This is also true for the physician-patient interaction. Moreover, physicians and patients tend to mirror some of their nonverbal behavior and complement each other on other aspects of their nonverbal behavior. Nonverbal cues emitted by the patient can contain important information for the doctor to use for treatment and diagnosis decisions.
The way the physician behaves nonverbally affects patient outcomes, such as, for instance, patient satisfaction. Affilliative nonverbal behavior (e.g., eye gaze and proximity) of the physician is related to higher patient satisfaction. However, how different physician nonverbal behaviors are related to patient satisfaction also depends on personal attributes of the physician such as gender, for instance.
Physician training could profit from incorporating knowledge about physician and patient nonverbal behavior.
本文旨在表明医患互动中的非语言方面起着重要作用。人际判断主要依赖于社会互动伙伴的非语言和外表线索。医患互动也是如此。此外,医生和患者倾向于模仿彼此的一些非语言行为,并在非语言行为的其他方面相互补充。患者发出的非语言线索可以包含重要信息,供医生用于治疗和诊断决策。
医生的非语言行为方式会影响患者的治疗结果,例如患者满意度。医生的亲和性非语言行为(如目光接触和接近程度)与较高的患者满意度相关。然而,不同的医生非语言行为与患者满意度之间的关系也取决于医生的个人属性,例如性别。
医生培训可以从纳入有关医生和患者非语言行为的知识中受益。