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亚洲肿瘤学环境中医患家庭沟通的复杂性:患者偏好、家庭偏好、感知和实际沟通之间的一致性和不一致性。

The Complexities of Doctor-Patient-Family Communication in an Asian Oncology Setting: Concordance and Discordance Among Patient Preferences, Family Preferences, and Perceived and Actual Communication.

机构信息

a Department of Social Work , National University of Singapore.

b Lien Centre for Palliative Care , Duke-NUS Graduate Medical School.

出版信息

Health Commun. 2018 Feb;33(2):95-101. doi: 10.1080/10410236.2016.1239303. Epub 2016 Nov 30.

DOI:10.1080/10410236.2016.1239303
PMID:27902889
Abstract

This article reports on a pilot study that examined the complexities of doctor-patient-family communication in an oncology setting in Singapore. Twenty consultation visits were audio-recorded and a postconsultation questionnaire was administered to patients and their accompanying person (AP) to examine their communication preferences. Patients and APs rated physician expertise and message content as highly important; supportive elements of the communication were rated as less important. Patients preferred information concerning their condition, while APs preferred information regarding treatment options. There was discordance between what was perceived by the patient/AP and actual delivery, and within patient-AP dyads. Our findings elucidate some of the complexities in communication preferences in an Asian oncology context that can inform clinical practice.

摘要

这篇文章报道了一项试点研究,该研究考察了新加坡肿瘤学环境中医患家庭沟通的复杂性。对 20 次咨询进行了录音,并对患者及其陪同人员(AP)进行了咨询后问卷调查,以检查他们的沟通偏好。患者和 APs 认为医生的专业知识和信息内容非常重要;沟通的支持性元素则被认为不太重要。患者更喜欢有关自身病情的信息,而 APs 则更喜欢有关治疗选择的信息。患者/AP 感知到的内容与实际传达的内容之间以及患者-AP 二人组内存在差异。我们的研究结果阐明了亚洲肿瘤学背景下沟通偏好的一些复杂性,这些复杂性可以为临床实践提供信息。

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