van Netten Jaap J, Francis Anthony, Morphet Ashley, Fortington Lauren V, Postema Klaas, Williams Anita
1 Ziekenhuisgroep Twente, Almelo and Hengelo, The Netherlands.
2 National Centre for Prosthetics and Orthotics, Department of Rehabilitation, Nutrition and Sport, School of Allied Health, College of Science, Health and Engineering, La Trobe University, Melbourne, VIC, Australia.
Prosthet Orthot Int. 2017 Apr;41(2):201-204. doi: 10.1177/0309364616650080. Epub 2016 Jul 9.
Clients' acceptance and adherence with orthoses can be influenced by a clinician's communication skills. In this clinical note, we describe two communication techniques, in the context of therapeutic footwear.
Person-centred communication involves engaging with and listening to the attitudes of the client towards their condition, as well as discussing acceptance and expectations, in a structured consultation. Building a relationship is crucial and requires clients to feel heard and understood. An important influence on the acceptance and adherence is that a client makes a conscious decision to receive their device. This active receipt can be facilitated through shared decision making, wherein clinicians give clear, relevant and meaningful examples, based on clinical evidence, and ensure this is understood.
Two communication techniques for clinicians providing therapeutic footwear are described. These can be adapted for use with provision of other assistive technologies to improve client acceptance and adherence. Clinical relevance Small changes in how clinicians communicate to their clients in daily practice can have a big influence on the subsequent acceptance and adherence with therapeutic footwear and indeed other prescribed assistive technologies.
临床医生的沟通技巧会影响患者对矫形器的接受程度和依从性。在本临床记录中，我们在治疗性鞋具的背景下描述两种沟通技巧。
以患者为中心的沟通包括在结构化咨询中与患者互动并倾听他们对自身病情的态度，以及讨论接受程度和期望。建立关系至关重要，需要让患者感到被倾听和理解。对接受程度和依从性的一个重要影响是患者做出接受其器械的有意识决定。通过共同决策可以促进这种主动接受，临床医生在此过程中根据临床证据给出清晰、相关且有意义的示例，并确保患者理解。
描述了为提供治疗性鞋具的临床医生的两种沟通技巧。这些技巧可适用于提供其他辅助技术，以提高患者的接受程度和依从性。临床相关性：临床医生在日常实践中与患者沟通方式的微小变化，会对随后患者对治疗性鞋具以及其他规定辅助技术的接受程度和依从性产生重大影响。
