Faculty of Health Sciences, University of Beira Interior, Covilhã, Portugal.
Centre for Research in Health Technologies and Services (CINTESIS), Porto, Portugal.
Fam Pract. 2021 Sep 25;38(5):606-611. doi: 10.1093/fampra/cmab005.
Empathy is the capacity to understand and resonate with the experiences of other people. Patient enablement is the degree to which a patient feels strengthened in terms of being able to deal with, understand and manage their disease.
Secondary cross-sectional analysis of existing data from 2 independent datasets (456 primary health care patients), with the application of two validated questionnaires, Jefferson Scale of Patient Perceptions of Physician Empathy (JSPPPE) and Patient Enablement Instrument (PEI).
Evaluate medical empathy and patients' enablement after consultation with their family doctors and to verify if there was an association between these two concepts.
The median value of JSPPPE-VP score was 6.60 (interquartile range 1.00) and of PEI/ICC score was of 1.83 (interquartile range 0.67). Regarding empathy (JSPPPE-VP), patients taking chronic medication had a slight but significantly higher median score than patients not taking them (6.70 versus 6.60, P = 0.049), although regression modelling did not confirm any relevant predictor of JSPPPE-VP score. Regarding enablement (PEI/ICC), we found significantly higher scores on younger patients, as well as, on more educated and professionally active ones (P < 0.001). Multivariable linear regression and Poisson regression modelling confirmed such variables as statistically significant potential predictors.
A significant positive association was found between empathy score (JSPPPE-VP) and enablement score (PEI/ICC), when adjusted to sociodemographic cofactors. On this linear regression model, age category and educational level were also significantly associated with empathy score, with the same pattern found on bivariate analysis.
同理心是理解和共鸣他人经历的能力。患者赋权是指患者在应对、理解和管理自身疾病方面感到更强大的程度。
对来自两个独立数据集（456 名初级保健患者）的现有数据进行二次横断面分析，应用两个经过验证的问卷，即杰斐逊医生感知患者同理心量表（JSPPPE）和患者赋权量表（PEI）。
评估患者在接受家庭医生就诊后的医学同理心和患者赋权程度，并验证这两个概念之间是否存在关联。
JSPPPE-VP 评分中位数为 6.60（四分位距 1.00），PEI/ICC 评分为 1.83（四分位距 0.67）。关于同理心（JSPPPE-VP），服用慢性药物的患者的中位数评分略高于未服用者（6.70 与 6.60，P = 0.049），尽管回归模型并未确认 JSPPPE-VP 评分的任何相关预测因素。关于赋权（PEI/ICC），我们发现年轻患者、受教育程度更高和职业活跃的患者的评分显著更高（P < 0.001）。多变量线性回归和泊松回归模型证实了这些变量是统计学上有意义的潜在预测因素。
在调整社会人口学共变量后，发现同理心评分（JSPPPE-VP）与赋权评分（PEI/ICC）之间存在显著正相关。在该线性回归模型中，年龄类别和教育水平也与同理心评分显著相关，与双变量分析中发现的模式相同。
