Konstantynowicz Jerzy, Marcinowicz Ludmiła, Abramowicz Paweł, Abramowicz Magdalena
Department of Pediatrics and Developmental Disorders, Ludwik Zamenhof Children's Hospital, Medical University of Bialystok, Waszyngtona Street 17, 15-274, Białystok, Poland.
Department of Family Medicine and Community Nursing, Medical University of Bialystok, Białystok, Poland.
Matern Child Health J. 2016 Aug;20(8):1745-52. doi: 10.1007/s10995-016-1978-0.
Objectives The aim of this study was to determine how pediatric patients and their parents perceive health care during hospital stays, what are their expectations of doctor behaviors, and which components of care do they consider to be the most important. Methods A qualitative descriptive study was carried out using the open interview technique. Twenty-six parents and 22 children undergoing hospital treatment participated. Results Our analysis identified two major themes: (1) doctor verbal and non-verbal behaviors, which included informing and explaining, conversations on topics other than the illness, tone of voice and other behaviors; and (2) perceived strategies used by doctors. This category included claims of doctors' intentional use of medical jargon to avoid addressing parental questions directly. Parents admitted that they did not understand medical vocabulary, but they also thought they might understand more of the medical issues if the doctor spoke using terms comprehensible to them. Conlcusions Our study shows the importance of interpersonal relationship affecting patient perception of quality of pediatric care. Parents of pediatric patients perceive that doctors behave in ways that deflect parents' questions and avoid providing them with medical information. Such behaviors include doctors excusing themselves by saying they are busy and using medical jargon. Medical students and doctors should be trained to communicate effectively with patients and their parents and develop skills to convey information in a simple and comprehensible way.
目的 本研究旨在确定儿科患者及其父母在住院期间如何看待医疗保健，他们对医生行为有哪些期望，以及他们认为护理的哪些组成部分最重要。方法 采用开放式访谈技术进行定性描述性研究。26名接受住院治疗的患儿父母和22名患儿参与了研究。结果 我们的分析确定了两个主要主题：（1）医生的言语和非言语行为，包括告知和解释、关于疾病以外话题的交谈、语气和其他行为；（2）医生使用的感知策略。这一类别包括医生故意使用医学术语以避免直接回答家长问题的说法。家长承认他们不理解医学词汇，但他们也认为如果医生用他们能理解的术语说话，他们可能会更多地理解医学问题。结论 我们的研究表明人际关系对儿科护理质量患者认知的重要性。儿科患者的父母认为医生的行为方式会转移父母的问题并避免向他们提供医疗信息。这些行为包括医生以忙碌为由推脱以及使用医学术语。医学生和医生应接受培训，以便与患者及其父母进行有效沟通，并培养以简单易懂的方式传达信息的技能。
