Nichols Helen M, Dababnah Sarah, Berger Zackary, Long Caroline, Sacco Paul
University of Maryland School of Social Work, Baltimore, MD, USA.
Department of Medicine, The Johns Hopkins University, Baltimore, MD, USA.
J Patient Exp. 2021 Sep 27;8:23743735211033116. doi: 10.1177/23743735211033116. eCollection 2021.
Patient-centered communication (PCC) is critical to the delivery of quality health care services. Although numerous health outcomes have been connected to patient-provider communication, there is limited research that has explored the processes and pathways between communication and health. Research among young adults (ages 26-39 years) is even more scarce, despite findings that health communication does vary with age. This cross-sectional study used data from the 2014 Health Interview National Trends Survey to explore the relationship between PCC, patient trust, patient satisfaction, social support, self-care skills, and emotional well-being among young adults aged 26 to 39 years. Our results showed that income, history of depression diagnosis, PCC, patient trust, social support, and patient self-efficacy (self-care skills) were all significantly related to emotional well-being. These findings suggest the need to explore the means through which communication can impact emotional well-being, specifically among young adults who are in poor health or have a history of depression. Future research should also include longitudinal studies, in order to determine causality and directionality among constructs.
以患者为中心的沟通(PCC)对于提供高质量的医疗服务至关重要。尽管众多健康结果已与医患沟通相关联,但探索沟通与健康之间的过程和途径的研究有限。尽管有研究发现健康沟通会随年龄而变化,但针对年轻人(26至39岁)的研究更为稀少。这项横断面研究使用了2014年健康访谈全国趋势调查的数据,以探讨26至39岁年轻人中PCC、患者信任、患者满意度、社会支持、自我护理技能和情绪健康之间的关系。我们的结果表明,收入、抑郁症诊断史、PCC、患者信任、社会支持和患者自我效能感(自我护理技能)均与情绪健康显著相关。这些发现表明,有必要探索沟通影响情绪健康的方式,特别是在健康状况不佳或有抑郁症病史的年轻人中。未来的研究还应包括纵向研究,以确定各构念之间的因果关系和方向性。