Giroldi Esther, Veldhuijzen Wemke, Bareman Frits, Bueving Herman, van der Weijden Trudy, van der Vleuten Cees, Muris Jean
Universiteit Maastricht, Maastricht.
Ned Tijdschr Geneeskd. 2016;160:D184.
Consultations with talkative patients present a challenge to doctors. It is difficult to gather all the necessary information within the available time, without damaging the doctor-patient relationship. Based on the listed existing literature and doctors' experiences, we present ten tips for gathering information from talkative patients in an effective manner whilst maintaining a good therapeutic alliance. In consultations with talkative patients, it is important to explore the cause of patients' talkativeness and to adapt one's communication approach accordingly.- Familiar communication strategies such as 'summarizing' can still be applied. When taking this route, a more directive communication approach--e.g. by means of a 'closed-ended summary'--can prevent the patient interrupting the doctor or departing from his subject. There are strategies aimed at avoiding a damaging effect to the doctor-patient relationship when applying this approach: don't be overly directive, make the patient co-responsible for efficient time management in the consultation, and make use of empathic interrupting and humour.
与健谈的患者进行会诊对医生来说是一项挑战。要在有限的时间内收集到所有必要信息，同时又不损害医患关系，这并非易事。基于现有的文献记载以及医生们的经验，我们给出十条建议，以便在保持良好治疗关系的同时，有效地从健谈的患者那里获取信息。在与健谈的患者会诊时，探究患者健谈的原因并相应调整沟通方式很重要。诸如“总结”等常见的沟通策略仍可应用。采用这种方法时，更具指导性的沟通方式——例如通过“封闭式总结”——可以防止患者打断医生或偏离主题。在应用这种方法时，有一些策略可避免对医患关系产生不良影响：不要过于专断，让患者共同为会诊中的高效时间管理负责，并运用共情式打断和幽默技巧。
