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患者家属对与医生沟通的自我效能感。

Family caregivers' perceived communication self-efficacy with physicians.

机构信息

Department of Communication Studies, California State University, Los Angeles, CA.

Health Communication and Primary Care Research, Department of Family Medicine, Ohio University, Heritage College of Osteopathic Medicine, Athens, OH.

出版信息

Palliat Support Care. 2021 Oct;19(5):540-546. doi: 10.1017/S1478951520001236.

Abstract

OBJECTIVE

Family-centered health care requires successful communication between patient, family caregivers, and healthcare providers. Among all providers, physicians are most likely to interact with caregivers. Using the Family Caregiver Communication Typology, this study examined perceived communication self-efficacy with physicians among four types of caregivers: Manager, Partner, Carrier, and Lone.

METHOD

A cross-sectional online survey included the Family Communication Typology Tool, Communication Perceived Self-Efficacy Scale, the Caregiver Quality of Life-Revised Index, and the Generalized Anxiety Disorder (GAD-2) questionnaire.

RESULTS

An online survey of 220 family caregivers currently caring for an adult family member revealed significant differences in communication self-efficacy among family caregiver communication types, revealing that Partner caregivers have the highest perceived communication self-efficacy, and that for some caregiver types, higher perceived communication self-efficacy is associated with certain quality of life dimensions.

SIGNIFICANCE OF RESULTS

Differences in communication self-efficacy with physicians among the four caregiver communication types (Manager, Partner, Carrier, and Lone) provide further evidence that the typology represents variance in caregiver communication abilities. Development of future medical curricula targeting communication skill training should include an overview of the typology and communication strategies as these may increase effective communication between physicians and caregivers.

摘要

目的

以家庭为中心的医疗保健需要患者、家庭照顾者和医疗保健提供者之间的成功沟通。在所有提供者中,医生最有可能与照顾者互动。本研究使用家庭照顾者沟通分类法,检查了四种类型的照顾者(经理、伙伴、载体和孤独者)对与医生沟通的感知自我效能感:经理、伙伴、载体和孤独者。

方法

一项横断面在线调查包括家庭沟通分类工具、沟通感知自我效能感量表、照顾者生活质量修订指数和广泛性焦虑障碍(GAD-2)问卷。

结果

对目前正在照顾成年家庭成员的 220 名家庭照顾者进行的在线调查显示,家庭照顾者沟通类型之间的沟通自我效能感存在显著差异,这表明伙伴照顾者的感知沟通自我效能感最高,对于某些照顾者类型,较高的感知沟通自我效能感与某些生活质量维度相关。

结果的意义

四种照顾者沟通类型(经理、伙伴、载体和孤独者)之间与医生沟通的自我效能感存在差异,这进一步证明了分类法代表了照顾者沟通能力的差异。未来以沟通技能培训为目标的医学课程的发展应包括对分类法和沟通策略的概述,因为这可能会增加医生和照顾者之间的有效沟通。

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