Parkin Tracey, de Looy Anne, Farrand Paul
School of Health Professions, Plymouth University, Plymouth, UK.
School of Health Professions, Plymouth University, Plymouth, UK.
Patient Educ Couns. 2014 Aug;96(2):144-50. doi: 10.1016/j.pec.2014.04.019. Epub 2014 May 12.
To examine the relationship between professional expression of empathy and agreement about decisions made in the consultation.
Consultations between 86 individuals with diabetes and four dieticians were audio-recorded. Immediately following consultations patients and dieticians independently reported decisions made in a booklet. Audio-recordings were coded directly for empathy using an amended version of the empathic communication coding system (ECCS).
Empathy correlated significantly with patient and professional agreement about decisions made in the consultation (τ=.283, p=.0005). Multiple regression analysis indicates that for each dietician the greater the empathy the higher the level of agreement about decisions (p<.0005). Professional empathic response to patients statements of challenge was a significant factor in increasing agreement about decisions (p=.008).
Results support the hypothesis that greater professional empathy will result in greater agreement about decisions made in consultations.
Findings have implications for empathy training and provide guidance on the communication skills needed to support expression of empathy. Patient and professional agreement about decisions made provides a simple marker of effectiveness and highlights the importance of empathy as a seminal component of professional communication skills during a patient consultation.
探讨共情的专业表达与会诊中决策共识之间的关系。
对86名糖尿病患者与4名营养师之间的会诊进行录音。会诊结束后，患者和营养师立即独立在一本小册子中记录所做出的决策。使用共情沟通编码系统（ECCS）的修订版，直接对录音进行共情编码。
共情与患者和专业人员在会诊中所做决策的共识显著相关（τ = 0.283，p = 0.0005）。多元回归分析表明，对于每位营养师而言，共情程度越高，决策共识水平越高（p < 0.0005）。专业人员对患者提出质疑的陈述做出的共情反应是提高决策共识的一个重要因素（p = 0.008）。
结果支持以下假设，即更高的专业共情将导致会诊中做出的决策达成更高的共识。
研究结果对共情培训具有启示意义，并为支持共情表达所需的沟通技巧提供指导。患者和专业人员对所做决策达成的共识提供了一个简单的有效性指标，并突出了共情作为患者会诊期间专业沟通技巧核心组成部分的重要性。
