Dow M G, Verdi M B, Sacco W P
Department of Community Mental Health, University of South Florida. Tampa 33612-3899.
Behav Modif. 1991 Jan;15(1):3-21. doi: 10.1177/01454455910151001.
Psychiatric inpatients were randomly assigned to a medication-related communication skills program or to a control condition that consisted of a medication education program. The medication communication program emphasized learning to ask physicians questions about medications, to describe current problems, and to make relevant requests. Although patients in both groups improved their knowledge of medications, the medication communication skills program had the added impact of teaching patients to ask more questions of a doctor and to engage in longer conversations. Moreover, patients who completed the medication communication program were rated as more assertive, as having acquired more information about a new medication that was prescribed, as having greater social skill, as being more likely to be compliant with medication, and as having greater eye contact. These results suggest that the use of a medication-related communication skills program may be a somewhat novel and effective way to increase patient involvement in treatment and to facilitate the elicitation of information about the prescribed medication regimen.
精神科住院患者被随机分配到一个与药物治疗相关的沟通技能项目组或一个由药物教育项目组成的对照组。药物沟通项目强调学会向医生询问有关药物的问题、描述当前问题并提出相关请求。尽管两组患者的药物知识都有所提高，但药物沟通技能项目还有额外的作用，即教会患者向医生提出更多问题并进行更长时间的交谈。此外，完成药物沟通项目的患者在以下方面得到更高评价：更坚定自信、对新开具的药物获取了更多信息、具备更强的社交技能、更有可能遵医嘱服药以及有更多眼神交流。这些结果表明，使用与药物治疗相关的沟通技能项目可能是一种在一定程度上新颖且有效的方法，可增加患者对治疗的参与度，并促进获取有关规定药物治疗方案的信息。
