Krippeit Lorena, Belzer Florian, Martens-Le Bouar Heike, Mall Volker, Barth Michael
Center for Pediatrics and Adolescent Medicine of the University Medical Center Freiburg, Germany.
Center for Pediatrics and Adolescent Medicine of the University Medical Center Freiburg, Germany.
Patient Educ Couns. 2014 Nov;97(2):188-94. doi: 10.1016/j.pec.2014.07.032. Epub 2014 Aug 7.
To examine whether, and if so, how psychosocial topics are discussed between parents and pediatricians.
Thirty well-child visits at eight pediatricians' practices in southwest Germany were video recorded. Conversations were analyzed.
Although psychosocial topics were frequently touched upon, they were rarely thoroughly explored. Pediatricians pursued a rather reserved conversation style. Especially when parents withdraw and psychosocial stressors are less baby-related, pediatricians hardly explore the psychosocial situation.
In summary, the pediatrician's conversation style, the nature of the stressors and the parents' openness are paramount in determining the depth of psychosocial exploration.
In order to ensure a good and fair quality of care to all parents, pediatricians should be provided with tailored communicative skills training allowing them to create a climate in which parents may open up and build trust toward their pediatrician.
探讨父母与儿科医生之间是否会讨论心理社会话题，若会讨论，又是如何进行讨论的。
对德国西南部八家儿科诊所的30次健康儿童问诊进行了视频记录，并对对话进行了分析。
尽管心理社会话题经常被提及，但很少得到深入探讨。儿科医生的谈话风格较为保守。尤其是当父母回避且心理社会压力源与婴儿关联较小时，儿科医生几乎不会探究心理社会状况。
总之，儿科医生的谈话风格、压力源的性质以及父母的开放性对于决定心理社会探索的深度至关重要。
为了确保为所有父母提供优质且公平的护理，应为儿科医生提供量身定制的沟通技巧培训，使他们能够营造一种氛围，让父母可以敞开心扉并对儿科医生建立信任。
