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乌干达儿科就诊中照顾者的期待和沟通意愿的定性研究。

A qualitative study of caregivers' expectations and communication desires during medical consultation for sick children in Uganda.

机构信息

School of Medicine, Makerere University College of Health Sciences, Kampala, Uganda.

出版信息

Patient Educ Couns. 2011 Aug;84(2):217-22. doi: 10.1016/j.pec.2010.07.015. Epub 2010 Aug 23.

DOI:10.1016/j.pec.2010.07.015
PMID:20739136
Abstract

OBJECTIVE

Little data exist on patients' expectations and communication desires during medical consultation in Non-Western settings. We conducted a qualitative study to compare expectations and communication desires of sick children's caregivers at Mulago Hospital, Uganda, to those of patients in Western countries.

METHODS

Three Focus Group Interviews and three Key Informant Interviews were conducted with 24 caregivers of sick children in Mulago Hospital Kampala, Uganda. An interview guide adapted from the Calgary-Cambridge Guide was used to conduct focus group and Key Informant Interviews. Two investigators worked independently to review transcripts and analyse them for content and emerging themes.

RESULTS

Caregivers of sick children in Mulago Hospital expect attending doctors to build a relationship with them, by demonstrating the verbal and nonverbal skills outlined in the CCG including maintaining eye contact, using appropriate gestures and voice during communication, and being nonjudgmental.

CONCLUSION

The communication needs and expectations of caregivers of sick children in Mulago Hospital are similar to those of patients and caregivers in Western countries.

PRACTICE IMPLICATIONS

The CCG can be used as a training guide to enhance the communication skills of current and future doctors in Mulago Hospital.

摘要

目的

在非西方环境下,关于患者在医疗咨询期间的期望和沟通意愿的相关数据较少。我们开展了一项定性研究,旨在比较乌干达穆拉戈医院患者照顾者的期望和沟通意愿与西方国家患者的期望和沟通意愿。

方法

在乌干达坎帕拉的穆拉戈医院,我们对 24 名患病儿童的照顾者进行了 3 次焦点小组访谈和 3 次关键知情人访谈。我们使用了改编自卡尔加里-剑桥指南的访谈指南来进行焦点小组和关键知情人访谈。两名调查员独立审查转录本,并对其内容和出现的主题进行分析。

结果

穆拉戈医院患病儿童的照顾者希望主治医生通过展示 CCG 中概述的言语和非言语技能与他们建立关系,这些技能包括保持眼神交流、在沟通时使用适当的手势和声音,以及不进行评判。

结论

穆拉戈医院患病儿童的照顾者的沟通需求和期望与西方国家的患者和照顾者相似。

实践意义

CCG 可以用作培训指南,以提高穆拉戈医院现有和未来医生的沟通技巧。

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