小儿骨科中感知到的医生同理心：一项横断面研究。
Perceived Physician Empathy in Pediatric Orthopedics: A Cross-Sectional Study.
作者信息
Singleton Ian M, Garfinkel Rachel J, Malone Jason B, Temkit M'Hamed H, Belthur Mohan V
机构信息
San Francisco Orthopaedic Residency Program, San Francisco, CA, USA.
Department of Orthopedic Surgery, Henry Ford Health System, Detroit, MI, USA.
出版信息
J Patient Exp. 2022 Apr 7;9:23743735221092607. doi: 10.1177/23743735221092607. eCollection 2022.
Empathy is the cornerstone of the patient-physician relationship and is consistently ranked by patients as one of the most important factors in the quality of their care. In this paper we examine the degree to which perceived physician empathy is associated with the characteristics of the caregiver (parent or legal guardian) and physician in pediatric orthopedic surgery. This was a cross-sectional survey study of 200 English-speaking caregivers of pediatric patients at a large children's hospital. The Consultation and Relational Empathy (CARE) Measure was used to measure perceived physician empathy. Only if the caregiver felt carefully listened to by the physician (-value < 0.001), and if the physician showed respect for what the caregiver had to say (-value = 0.007) were statistically significant and positively associated with perceived physician empathy. The most significant determinant of perceived physician empathy is whether the caregiver felt listened to during the encounter. Other factors such as caregiver demographics, health literacy, self-rated mental health, wait time, and time spent with the physician do not significantly affect perceived physician empathy.
同理心是医患关系的基石，并且一直被患者列为其护理质量中最重要的因素之一。在本文中，我们研究了在小儿骨科手术中，感知到的医生同理心与照顾者（父母或法定监护人）及医生的特征之间的关联程度。这是一项对一家大型儿童医院200名说英语的小儿患者照顾者进行的横断面调查研究。使用咨询与关系同理心（CARE）量表来测量感知到的医生同理心。只有当照顾者感到医生认真倾听了他们的意见（p值<0.001），并且医生对照顾者所说的话表示尊重（p值 = 0.007）时，才与感知到的医生同理心在统计学上具有显著的正相关。感知到的医生同理心最重要的决定因素是照顾者在就诊期间是否感到被倾听。其他因素，如照顾者的人口统计学特征、健康素养、自评心理健康状况、等待时间以及与医生相处的时间，对感知到的医生同理心没有显著影响。
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