Alleyne S I, Gregg R, Grell K, Cruickshank J K, Morrison E Y
University of the West Indies, Jamaica.
West Indian Med J. 1991 Jun;40(2):60-4.
Ambulant and hospitalized patients with diabetes mellitus were interviewed by two trained interviewers to obtain information about their knowledge of the illness and the communication they had received about it. Sixty to seventy per cent of patients claimed that no explanation about the illness was given to them at the time of diagnosis. This poor communication occurred in both public and private medical services. Fifty-seven per cent of the patients scored no more than the 50th percentile on the knowledge rating score, reflecting that patients' knowledge of the illness was in general poor. The hospitalized patients did learn about the illness while there, but still claimed that they learnt nothing. These data are examined in the context of the nature of the doctor-patient communication style and effect. Jamaican diabetic patients need to be better informed about their illness; despite short patient-physician contact time, an effort to explain the nature of the illness at the time of diagnosis would be worthwhile. This will need subsequent assessment and reinforcement by involving a team approach.
两名经过培训的访谈者对糖尿病门诊患者和住院患者进行了访谈，以获取他们对该疾病的了解情况以及他们所接受的关于该疾病的信息。60%至70%的患者称，在确诊时没有人向他们解释该疾病。这种沟通不畅在公立和私立医疗服务中都存在。57%的患者在知识评分中得分不超过第50百分位，这表明患者对该疾病的了解总体较差。住院患者在住院期间确实了解了该疾病，但仍称他们什么也没学到。这些数据在医患沟通方式和效果的背景下进行了研究。牙买加糖尿病患者需要更好地了解自己的病情；尽管医患接触时间较短，但在确诊时努力解释疾病的性质是值得的。这将需要通过团队协作进行后续评估和强化。
