Gupta Arjun, Harris Samar, Naina Harris V
University of Texas Southwestern Medical Center, Seay Biomedical Building, 2201 Inwood Road, Dallas, TX, 75390-8562, USA.
J Cancer Educ. 2015 Jun;30(2):395-7. doi: 10.1007/s13187-015-0807-2.
Non-verbal communication is an important component of the physician-patient interaction. Oncology patients face specific emotional and psychological issues requiring additional physician emotional support. Multiple studies in oncology patients have revealed that patients perceive physicians seated during the medical interview to be more compassionate, caring, and likely to spend more time with the patients. These are all associated with improved patient outcomes. Barriers to sitting may be due to those imposed by time, space, and reduced perceived benefit of sitting by the physician. Although a sitting posture alone is unlikely to compensate for poor communication skills, assessing patient preference to physician posture, and following their preference, can be a simple way of improving communication, and thus patient outcomes, especially in oncology patients. The widespread introduction of the electronic medical record (EMR) system over the last decade has added a "third wheel" to the original dyadic physician-patient relationship. Physician posture and eye gaze towards to the EMR and its components has a deleterious effect on communication. Appropriate training and sensitization in this regard should be provided for physicians.
非语言沟通是医患互动的重要组成部分。肿瘤患者面临特定的情感和心理问题，需要医生给予更多情感支持。针对肿瘤患者的多项研究表明，患者认为医生在问诊时坐着会更有同情心、更关怀患者，而且可能会花更多时间与患者交流。这些都与改善患者治疗效果相关。医生不坐着的原因可能是时间、空间的限制，以及医生认为坐着的益处不大。虽然仅仅坐姿本身不太可能弥补沟通技巧的不足，但评估患者对医生姿势的偏好并遵循其偏好，可能是改善沟通从而改善患者治疗效果的一种简单方法，尤其是在肿瘤患者中。在过去十年中，电子病历（EMR）系统的广泛应用给原本二元的医患关系增添了“第三者”。医生对电子病历及其组件的姿势和目光会对沟通产生有害影响。应为医生提供这方面的适当培训并提高其认识。
