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沟通培训对医生在患者诊疗过程中表达同理心的影响。

Impact of communication training on physician expression of empathy in patient encounters.

作者信息

Bonvicini Kathleen A, Perlin Michael J, Bylund Carma L, Carroll Gregory, Rouse Ruby A, Goldstein Michael G

机构信息

Institute for Healthcare Communication, 555 Long Wharf Drive, 13th floor, New Haven, CT 06511, United States.

出版信息

Patient Educ Couns. 2009 Apr;75(1):3-10. doi: 10.1016/j.pec.2008.09.007. Epub 2008 Dec 10.

DOI:10.1016/j.pec.2008.09.007
PMID:19081704
Abstract

OBJECTIVE

To examine whether an educational intervention that focused on physician communication training influenced physician empathic expression during patient interactions.

METHODS

This study used a quantitative research method to investigate the influence of communication training on physician-expressed empathy using two measures (global and hierarchical) of physician empathic behavior.

RESULTS

The differences in global empathy scores in the physician training group from baseline to follow-up improved by 37%, and hierarchical scores of physician empathic expression improved by up to 51% from baseline scores for the same group.

CONCLUSIONS

The results strongly supported the hypotheses that training made a significant difference in physician empathic expression during patient interactions demonstrated by both outside observer measures of global ratings and hierarchical ratings of physician empathic behavior.

PRACTICE IMPLICATIONS

These findings have significant implications for program design and development in medical education and professional training with the potential to improve patient outcomes.

摘要

目的

探讨聚焦于医生沟通培训的教育干预措施是否会影响医患互动期间医生的共情表达。

方法

本研究采用定量研究方法,运用医生共情行为的两种测量方式(整体测量和分层测量),调查沟通培训对医生所表达的共情的影响。

结果

医生培训组从基线到随访的整体共情得分差异提高了37%,同一组医生共情表达的分层得分相较于基线得分提高了多达51%。

结论

结果有力地支持了以下假设,即培训在医患互动期间医生的共情表达方面产生了显著差异,这一点通过整体评分的外部观察者测量以及医生共情行为的分层评分均得到了证明。

实践意义

这些发现对医学教育和专业培训中的项目设计与开发具有重要意义,有可能改善患者治疗效果。

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