School of Nursing, Peking University, Beijing, China.
Department of Nursing, China-Japan Friendship Hospital, Beijing, China.
Psych J. 2022 Jun;11(3):359-369. doi: 10.1002/pchj.530. Epub 2022 Mar 14.
Good patient-provider communication and high level of trust can decrease patients' risk perception and promote their acceptability of medical risks.The extent to which communication can be effective may be distinguished by different levels of trust. The present study examined the effect of patient-provider communication and treatment outcome on patients' risk awareness, and explored the moderating effect of trust. This research adopted a paper-based scenario experiment with a 2 (communication: good vs. poor) × 2 (treatment outcome: good vs. poor) between-subjects design. Three hundred sixteen college students were enrolled. They were randomly assigned to four groups and instructed to read more information about the two independent variables. Finally, all participants finished the manipulation check (eight items), affect- and cognition-based trust scales (10 items), and risk awareness scales (eight items) by questionnaire. The results showed the positive interaction effects between communication and treatment outcome on patients' acceptance of uncertainties. Affect- and cognition-based trust had similar moderating mechanisms on the interaction effect of communication and treatment outcome on uncertainty acceptability, and different moderating mechanisms on patient risk perception. In clinical work, we should develop the strategy to improve patien-provider communication and trust to improve patients' acceptability of uncertainty.
良好的医患沟通和高度的信任可以降低患者的风险感知，提高他们对医疗风险的接受程度。沟通的有效性程度可以通过不同程度的信任来区分。本研究考察了医患沟通和治疗效果对患者风险意识的影响，并探讨了信任的调节作用。本研究采用基于纸张的情景实验，采用 2（沟通：良好与不良）×2（治疗效果：良好与不良）的被试间设计。招募了 316 名大学生。他们被随机分配到四个组，并被指示阅读更多关于两个自变量的信息。最后，所有参与者都通过问卷完成了操控检查（八项）、基于情感和认知的信任量表（十项）以及风险感知量表（八项）。结果表明，沟通和治疗效果对患者对不确定性的接受程度存在积极的交互效应。基于情感和认知的信任对沟通和治疗效果对不确定性可接受性的交互效应具有相似的调节机制，对患者风险感知具有不同的调节机制。在临床工作中，我们应该制定改善医患沟通和信任的策略，以提高患者对不确定性的接受程度。
