候诊室中张贴的咨询期间关闭手机提醒的效果：一项前后对照研究。

Effect of a printed reminder in the waiting room to turn off mobile phones during consultation: a before and after study.

作者信息

Reveiz Ludovic, de Aguiar Sylvia

机构信息

Edificio de Consultorios Clínica Reina Sofía, Department of General Practice, Av Calle 127 # 21 - 60 cons 221, Bogota, Colombia.

出版信息

BMC Fam Pract. 2009 Mar 23;10:21. doi: 10.1186/1471-2296-10-21.

DOI:10.1186/1471-2296-10-21

PMID:19309512

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2666646/

Abstract

BACKGROUND

Telephone interruptions during consultations are one cause of work-related stress amongst general practitioners. Many health care centers recommend that patients turn off any mobile phones to avoid interruptions to the discussion with the physicians.

METHODS

The purpose of this before and after study was to determine whether a printed reminder for turning off the mobile phone in the waiting room is helpful in decreasing the number of interruptions during consultation. A visual phone off sign utilizing the International "No" symbol of a diagonal line through a circle, along with a "please turn off your phone during consultation" reminder was used in the waiting room in the "after" period.

RESULTS

A significant difference was found in the proportion of patients receiving or making a call during the consultation (8.8% vs. 13.5%, RR = 0.66; 95%CI 0.46-0.94; p = 0.021) and in the total number of calls (10.4% vs. 17.3%, RR = 0.60; 95%CI 0.44-0.83, p = 0.003) between the exposed and the non-exposed groups. However, no significant differences were found in the total time or the median time spent talking during consultation. The duration of the calls had median times of 20.5 seconds and 22.3 seconds in the exposed and the non-exposed groups respectively. Women from both groups who received a call during consultation answered significantly more when compared to men (70% vs. 52%; p = 0.05);

CONCLUSION

Our findings suggest that a printed reminder in the waiting room is helpful in decreasing the number of interruptions by mobile phone during consultation in our settings. The study provides the basis for further quantitative and qualitative research on this topic.

摘要

背景

会诊期间的电话干扰是全科医生工作压力的一个原因。许多医疗中心建议患者关闭手机，以避免打断与医生的讨论。

方法

这项前后对照研究的目的是确定在候诊室张贴关闭手机的书面提醒是否有助于减少会诊期间的干扰次数。在“后”阶段，候诊室使用了一个带有国际“禁止”符号（一个穿过圆圈的对角线）的视觉手机关闭标志，以及一条“会诊期间请关闭手机”的提醒信息。

结果

在暴露组和非暴露组之间，会诊期间接听或拨打电话的患者比例（8.8%对13.5%，RR = 0.66；95%CI 0.46 - 0.94；p = 0.021）以及通话总数（10.4%对17.3%，RR = 0.60；95%CI 0.44 - 0.83，p = 0.003）存在显著差异。然而，在会诊期间的总时长或谈话的中位时长方面未发现显著差异。暴露组和非暴露组的通话时长中位时间分别为20.5秒和22.3秒。两组中会诊期间接到电话的女性接听电话的比例显著高于男性（70%对52%；p = 0.05）。