Morelli Emanuela, Mulas Olga, Caocci Giovanni
Hematology and CTMO, Businco Hospital, ARNAS "G. Brotzu", Cagliari, Italy.
Clin Pract Epidemiol Ment Health. 2021 Dec 31;17(1):264-270. doi: 10.2174/1745017902117010264. eCollection 2021.
An effective communication is an integral part of the patient-physician relationship. Lack of a healthy patient-physician relationship leads to a lower level of patient satisfaction, scarce understanding of interventions and poor adherence to treatment regimes. Patients need to be involved in the therapeutic process and the assessment of risks and perspectives of the illness in order to better evaluate their options. Physicians, in turn, must convey and communicate information clearly in order to avoid misunderstandings and consequently poor medical care. The patient-physician relationship in cancer care is extremely delicate due to the complexity of the disease. In cancer diagnosis, the physician must adopt a communicative approach that considers the psychosocial factors, needs and patient's preferences for information,which in turn all contribute to affect clinical outcomes.
This review was conducted using the Preferred Reporting Items for Systematic and Meta-analyses (PRISMA) statement. We included studies on the importance of physician-patient communication in Acute Myeloid Leukaemia and Myelodysplastic Syndrome care. We searched PubMed, Web of Sciences, Scopus, Google scholar for studies published from December 1 , 2020 up to March 1 , 2021. Using MeSH headings, we search for the terms "Physician and patient communication AND Acute Myeloid leukemia" or "Myelodysplastic syndrome" or "Doctor" or "Clinician", as well as variations thereof .
This review examines the progress in communication research between patient and physician and focuses on the impact of communication styles on patient-physician relationshipin hematologic cancers, including Acute Myeloid Leukaemia and Myelodysplastic Syndromes.
有效的沟通是医患关系中不可或缺的一部分。缺乏健康的医患关系会导致患者满意度降低、对治疗干预的理解不足以及对治疗方案的依从性差。患者需要参与治疗过程以及对疾病风险和前景的评估，以便更好地评估自己的选择。反过来，医生必须清晰地传达信息，以避免误解并因此导致医疗护理不佳。由于癌症疾病的复杂性，癌症护理中的医患关系极其微妙。在癌症诊断中，医生必须采用一种考虑心理社会因素、患者需求和对信息偏好的沟通方式，而这些因素反过来都会影响临床结果。
本综述采用系统评价和Meta分析的首选报告项目（PRISMA）声明进行。我们纳入了关于医患沟通在急性髓系白血病和骨髓增生异常综合征护理中的重要性的研究。我们在PubMed、科学网、Scopus、谷歌学术上检索了2020年12月1日至2021年3月1日发表的研究。使用医学主题词，我们搜索了“医患沟通与急性髓系白血病”或“骨髓增生异常综合征”或“医生”或“临床医生”等术语及其变体。
本综述考察了医患沟通研究的进展，并聚焦于沟通方式对血液系统癌症（包括急性髓系白血病和骨髓增生异常综合征）中医患关系的影响。
