Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Adelaide, South Australia, Australia.
Monash School of Medicine, Monash University, Melbourne, Victoria, Australia.
ANZ J Surg. 2022 Jun;92(6):1388-1393. doi: 10.1111/ans.17642. Epub 2022 Mar 30.
Patient centred communication ensures patients are well informed and educated, which is vital to providing the best care possible. By asking questions, patients can better understand their disease and make informed decisions regarding their health journey. We aimed to investigate factors that affect question asking behaviours in surgical outpatient consultations and to determine the typical question-asking by doctors, patients, and their companions.
This is an observational cross-sectional study, where 182 video recordings of surgical consultations in the surgical outpatient setting at The Queen Elizabeth Hospital, Adelaide, South Australia were reviewed.
A total of 3472 questions were asked. Most questions were asked by the surgeon, followed by the patient, and if present, their companion. Pre-surgical consultations resulted in the most questions asked by the patients, compared to post-surgical or follow-up consultations. When companions were present, patients asked more questions in consultants regarding malignant conditions. Interruptions increased the number of questions asked by the patient and their companion. Questions were commonly asked to clarify information given by the surgeon and often regarded the cause of the illness and the timing of the next step in disease management.
Patients are generally interested in their health and ask questions during consultations. Companions have a positive effect on patient question asking behaviour and their presence in surgical consultations should be encouraged. Surgeons should develop strategies to encourage question asking and could review their own behaviours via surgical coaching and video review.
以患者为中心的沟通确保患者充分知情并接受教育，这对于提供最佳护理至关重要。通过提问，患者可以更好地了解自己的疾病，并就自己的健康之旅做出明智的决策。我们旨在调查影响外科门诊咨询中提问行为的因素，并确定医生、患者及其同伴的典型提问方式。
这是一项观察性横断面研究，对南澳大利亚阿德莱德伊丽莎白女王医院外科门诊的 182 个外科咨询视频记录进行了回顾。
共提出了 3472 个问题。大多数问题是由外科医生提出的，其次是患者，如果有同伴在场，也是由他们提出的。与术后或随访咨询相比，术前咨询中患者提出的问题最多。当有同伴在场时，患者会针对恶性疾病向顾问提出更多问题。中断会增加患者及其同伴提问的数量。问题通常是为了澄清外科医生提供的信息，并且经常涉及疾病的原因和疾病管理的下一步的时间安排。
患者通常对自己的健康状况感兴趣，并在咨询期间提出问题。同伴对患者提问行为有积极影响，应鼓励他们参加外科咨询。外科医生应制定鼓励提问的策略，他们可以通过外科指导和视频审查来审查自己的行为。
