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患者向医生披露使用传统和补充医学情况的决定:一项描述性现象学研究

Patient's Decision to Disclose the Use of Traditional and Complementary Medicine to Medical Doctor: A Descriptive Phenomenology Study.

作者信息

Kelak Johny Anak, Cheah Whye Lian, Safii Razitasham

机构信息

Department of Community Medicine and Public Health, Faculty of Medicine and Health Sciences, University Malaysia Sarawak, Sarawak, Malaysia.

出版信息

Evid Based Complement Alternat Med. 2018 Feb 14;2018:4735234. doi: 10.1155/2018/4735234. eCollection 2018.

DOI:10.1155/2018/4735234
PMID:29636778
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5832099/
Abstract

Nondisclosure of traditional and complementary medicine (T&CM) use may cause individual to be at risk of undue harm. This study aimed to explore patient's experience and views on their decision to disclose the use of T&CM to the doctor. An exploratory qualitative study using in-depth interview involving 10 primary care clinics attendees in Kuching was conducted. The results indicated that disclosure of T&CM use will motivate them to get information, increase doctor's awareness, and get support from family and friends for disclosure. Fear of negative relationship and negative response from doctors was a barrier for disclosure. Doctor's interpersonal and communication skills of being involved, treating patients respectfully, listening attentively, respecting privacy, and taking time for the patient were a critical component for disclosure. Intrapersonal trust regarding doctor influences their satisfaction on healthcare. Women are more open and receptive to a health concern and expressing negative emotions and tend to share problems, whereas men always described themselves as healthy, tended to keep their own personal feeling to themselves, and tended to not share. The doctor should consider gender differences in disclosure, their attitude towards T&CM use, and gained patient's trust in the delivery of healthcare services. Good interpersonal and communication skills must be maintained between doctor and patients.

摘要

不透露使用传统和补充医学(T&CM)的情况可能会使个人面临遭受不当伤害的风险。本研究旨在探讨患者在决定向医生透露使用T&CM情况时的经历和观点。我们进行了一项探索性定性研究,采用深入访谈的方式,涉及古晋的10名基层医疗诊所就诊者。结果表明,透露使用T&CM的情况会促使他们获取信息、提高医生的认识,并在透露方面获得家人和朋友的支持。担心与医生关系变差以及医生的负面反应是透露的障碍。医生具备人际交往和沟通技巧,包括尊重患者、认真倾听、尊重隐私以及为患者留出时间,是透露情况的关键因素。对医生的人际信任会影响他们对医疗保健的满意度。女性对健康问题更开放、更愿意表达负面情绪并倾向于分享问题,而男性总是将自己描述为健康的,倾向于保留自己的个人感受,并且倾向于不分享。医生在提供医疗服务时应考虑透露情况中的性别差异、他们对使用T&CM的态度以及赢得患者的信任。医生和患者之间必须保持良好的人际交往和沟通技巧。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d6/5832099/8b57464b4a87/ECAM2018-4735234.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d6/5832099/8b57464b4a87/ECAM2018-4735234.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/05d6/5832099/8b57464b4a87/ECAM2018-4735234.001.jpg

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