Cheong Y, Stones R W
Academic Unit of Reproductive and Developmental Medicine, School of Medicine and Biomedical Sciences, Sheffield, UK.
Minerva Ginecol. 2007 Dec;59(6):613-8.
Many women with chronic pelvic pain (CPP) turn out not to have any identifiable pathology despite having undergone multiple investigations. There is no consensus as to the best management for women in this group. Although a multidisciplinary approach to diagnosis and care has been advocated as best practice, it is costly and not practical in most units in the United Kingdom, and many other countries. Clinicians need to be aware of the importance of attitude and medical consultation as factors influencing patients' outcome from investigation and treatment. While consulting styles reflect the individual personality of the doctor, we need to be aware of our own underlying attitudes and how these might enter into the dynamics of the consultation. Some patients may want to have open, non-directive consultations, some more directive consultation styles. It is, therefore, essential for the physicians to identify patients' expectations or preferences and then try to meet them, in order to attain "concordance" in communication. In this chapter, we will examine some studies that relate to the doctor-patient relationship in women with CPP.
许多患有慢性盆腔疼痛（CPP）的女性尽管已经接受了多项检查，但结果却未发现任何可识别的病理状况。对于这组女性的最佳治疗方案，目前尚无共识。尽管多学科诊断和护理方法被倡导为最佳实践，但在英国以及许多其他国家的大多数医疗单位中，这种方法成本高昂且不切实际。临床医生需要意识到态度和医疗咨询作为影响患者检查和治疗结果的因素的重要性。虽然咨询风格反映了医生的个人性格，但我们需要了解自己潜在的态度以及这些态度可能如何影响咨询的动态过程。一些患者可能希望进行开放式、非指导性的咨询，而另一些患者则更喜欢指导性的咨询风格。因此，医生必须识别患者的期望或偏好，然后努力满足这些期望或偏好，以便在沟通中达成“一致”。在本章中，我们将研究一些与CPP女性患者医患关系相关的研究。
