Dept. of Medicine, University Hospital, 80000 Amiens, France.
Dept. of Medicine, University Hospital, 80000 Amiens, France.
Patient Educ Couns. 2020 Sep;103(9):1866-1867. doi: 10.1016/j.pec.2020.03.024. Epub 2020 Apr 4.
We must humbly acknowledge that the healthcare system is less and less about empathy despite interacting with patients is a prerequisite for care: shared decision making is the cornerstone for compliance to treatment and therefore its -effectiveness. Empathy is not about tricks, it is about "client-centred therapy" a term coined by Carl Rogers. The key is "reflective listening". Simply summarize what the patient said by using his own words rather than paraphrasing and without digressing to other subjects. This reinforces patients' own expressions of problems, recognition of concerns, complaints and, values and reveals potential misunderstanding of patient's concerns. New technologies can help to understand patient's experiences as a program for professionals caring for inflammatory bowel diseases: they receive on their a smartphone daily recurring messages such as "You have ten minutes to go to the toilet" and must send a photo of a lavatory door within few minutes.
我们必须谦虚地承认,尽管与患者互动是护理的前提,但医疗保健系统越来越缺乏同理心:共同决策是遵守治疗的基石,因此也是其有效性的基石。同理心不是什么技巧,而是卡尔·罗杰斯(Carl Rogers)创造的“以客户为中心的疗法”的一部分。关键是“反思性倾听”。只需使用患者自己的话总结他所说的内容,而不是释义,也不要偏离到其他主题。这加强了患者对问题、关注点、投诉和价值观的表达,同时也揭示了对患者关注点的潜在误解。新技术可以帮助理解患者的体验,例如为炎症性肠病患者护理的专业人员提供的程序:他们每天在智能手机上收到类似“您还有十分钟去洗手间”的重复消息,并且必须在几分钟内发送洗手间门的照片。