Hu WenGang, Song YaJun, Zhong Xiao, Feng JiaYu, Wang PingXian, Huang ChiBing
Department of Urology, Second Affiliated Hospital, Third Military Medical University, Chongqing, People's Republic of China.
Patient Prefer Adherence. 2016 Dec 13;10:2519-2529. doi: 10.2147/PPA.S123468. eCollection 2016.
Effective doctor-patient communication is essential for establishing a successful doctor-patient relationship and implementing high-quality health care. In this study, a novel urinary system-simulating physical model was designed and fabricated, and its content validity for improving doctor-patient communication was examined by conducting a randomized controlled trial in which this system was compared with photographs. A total of 240 inpatients were randomly selected and assigned to six doctors for treatment. After primary diagnosis and treatment had been determined, these patients were randomly divided into the experimental group and the control group. Patients in the experimental group participated in model-based doctor-patient communication, whereas control group patients received picture-based communication. Within 30 min after this communication, a Demographic Information Survey Scale and a Medical Interview Satisfaction Scale (MISS) were distributed to investigate patients' demographic characteristics and their assessments of total satisfaction, distress relief, communication comfort, rapport, and compliance intent. The study results demonstrated that the individual groups were comparable with respect to demographic variables but that relative to patients in the picture-based communication group, patients in the model-based communication group had significantly higher total satisfaction scores and higher ratings for distress relief, communication comfort, rapport, and compliance intent. These results indicate that the physical model is more effective than the pictures at improving doctor-patient communication and patient outcomes. The application of the physical model in doctor-patient communication is helpful and valuable and therefore merits widespread clinical popularization.
有效的医患沟通对于建立成功的医患关系和实施高质量的医疗保健至关重要。在本研究中，设计并制作了一种新型的泌尿系统模拟物理模型，并通过进行一项随机对照试验来检验其在改善医患沟通方面的内容效度，该试验将该系统与照片进行了比较。总共随机选择了240名住院患者并分配给6名医生进行治疗。在确定初步诊断和治疗方案后，这些患者被随机分为实验组和对照组。实验组患者参与基于模型的医患沟通，而对照组患者接受基于图片的沟通。在此次沟通后的30分钟内，发放了一份人口统计学信息调查问卷和一份医疗访谈满意度量表（MISS），以调查患者的人口统计学特征以及他们对总体满意度、痛苦缓解、沟通舒适度、融洽关系和依从意愿的评估。研究结果表明，各小组在人口统计学变量方面具有可比性，但与基于图片沟通组的患者相比，基于模型沟通组的患者在总体满意度得分以及痛苦缓解、沟通舒适度、融洽关系和依从意愿的评分方面显著更高。这些结果表明，在改善医患沟通和患者治疗效果方面，物理模型比图片更有效。物理模型在医患沟通中的应用是有益且有价值的，因此值得在临床上广泛推广。
