Talen Mary R, Muller-Held Christine F, Eshleman Kate Grampp, Stephens Lorraine
Northwestern Department of Family Medicine, Family and Community Medicine Residency Program, Northwestern Feinberg School of Medicine, Chicago, Illinois, USA.
Fam Syst Health. 2011 Sep;29(3):171-83. doi: 10.1037/a0024399.
In research on doctor-patient communication, the patient role in the communication process has received little attention. The dynamic interactions of shared decision making and partnership styles which involve active patient communication are becoming a growing area of focus in doctor-patient communication. However, patients rarely know what makes "good communication" with medical providers and even fewer have received coaching in this type of communication. In this study, 180 patients were randomly assigned to either an intervention group using a written communication tool to facilitate doctor-patient communication or to standard care. The goal of this intervention was to assist patients in becoming more effective communicators with their physicians. The physicians and patients both rated the quality of the communication after the office visit based on the patients' knowledge of their health concerns, organizational skills and questions, and attitudes of ownership and partnership. The results supported that patients in the intervention group had significantly better communication with their doctors than patients in the standard care condition. Physicians also rated patients who were in the intervention group as having better overall communication and organizational skills, and a more positive attitude during the office visit. This study supports that helping patients structure their communication using a written format can facilitate doctor-patient communication. Patients can become more adept at describing their health concerns, organizing their needs and questions, and being proactive, which can have a positive effect on the quality of the doctor-patient communication during outpatient office visits. (PsycINFO Database Record (c) 2011 APA, all rights reserved).
在医患沟通研究中，患者在沟通过程中的角色很少受到关注。涉及患者积极沟通的共同决策和伙伴关系风格的动态互动，正成为医患沟通中一个日益受到关注的领域。然而，患者很少知道与医疗服务提供者进行“良好沟通”的要素，甚至更少有人接受过此类沟通的指导。在本研究中，180名患者被随机分配到使用书面沟通工具促进医患沟通的干预组或接受标准护理。该干预的目标是帮助患者成为与医生沟通更有效的人。医患双方在门诊就诊后，根据患者对自身健康问题的了解、组织能力和问题，以及主人翁意识和伙伴关系的态度，对沟通质量进行评分。结果表明，干预组的患者与医生的沟通明显优于接受标准护理的患者。医生也对干预组的患者给予了更高的评价，认为他们在门诊就诊期间整体沟通和组织能力更好，态度更积极。本研究支持，帮助患者以书面形式组织沟通可以促进医患沟通。患者可以更熟练地描述自己的健康问题，整理自己的需求和问题，并积极主动，这可以对门诊就诊期间的医患沟通质量产生积极影响。（《心理学文摘数据库记录》（c）2011美国心理学会，保留所有权利）
