St. Joseph Hospital, Nashua, Bedford, NH 03110, USA.
Patient Educ Couns. 2009 Jul;76(1):63-70. doi: 10.1016/j.pec.2008.11.010. Epub 2008 Dec 24.
This theoretically based study examined nurse responses to cancer patient expressions of emotion using a videotaped, simulated cancer patient.
This study used an experimental crossover design with a videotaped patient expressing anger, sadness, and neutral emotion to elicit nurse responses. Seventy-four nurses from eight sites participated. Responses were coded using Roter interaction analysis system. Correlations explored relationships between variables that impact communication (age, gender, work experience, trait anxiety, work stress, self-efficacy). Regression models explored the effect of variables on nurse affective responsiveness.
Patient expressions of sadness elicited more affective responses than anger. Expressions of anger or neutral emotion elicited more instrumental behaviors than sadness. Variables such as age, work stress and work experience were significantly correlated. No variables predicted affective responsiveness to patient expressions of anger or sadness.
Nurse communication showed significant variation in response to patient emotional expressions. Understanding the relationships between demographic, personality, and work variables, and identification of new variables that influence nurse-patient communication, has implications for interventional studies.
Over 90% of the participants indicated that the videotape simulation would be a useful method for teaching and practicing communication skills with patients expressing emotions.
本理论研究通过视频模拟癌症患者，考察护士对癌症患者情绪表达的反应。
本研究采用视频模拟患者表达愤怒、悲伤和中性情绪的交叉实验设计，以引发护士的反应。来自 8 个地点的 74 名护士参与了这项研究。使用 Roter 互动分析系统对反应进行编码。相关性分析探索了影响沟通的变量（年龄、性别、工作经验、特质焦虑、工作压力、自我效能）之间的关系。回归模型探讨了变量对护士情感反应的影响。
患者表达悲伤比愤怒引起更多的情感反应。愤怒或中性情绪的表达比悲伤引起更多的工具性行为。年龄、工作压力和工作经验等变量显著相关。没有变量可以预测对患者愤怒或悲伤表达的情感反应。
护士的沟通在对患者情绪表达的反应上存在显著差异。了解人口统计学、个性和工作变量之间的关系，以及确定影响护士-患者沟通的新变量，对干预研究具有重要意义。
超过 90%的参与者表示，录像模拟将是一种教授和练习与表达情绪的患者进行沟通技巧的有用方法。
