MD, PhD student, Department of General Practice, University of Oslo, Oslo, Norway.
MD, PhD, Senior Researcher, and Professor of General Practice, Department of General Practice, University of Oslo, Oslo, Norway.
Scand J Prim Health Care. 2022 Jun;40(2):190-196. doi: 10.1080/02813432.2022.2076396. Epub 2022 May 19.
To study the feasibility of a structured conversation tool (ICIT) in Norwegian general practice.
A structured conversation tool with elements from Cognitive Behavioral Therapy (CBT) was developed for use at the encounter in general practice to increase patient's self-coping ability and the GPs management and sick leave assessment in patients with MUPS. Eight GPs received training and used the ICIT on 49 patients with MUPS. The physicians were gathered into two focus groups. The interviews were recorded on tape, transcribed, and analyzed with systematic text condensation.
The aim of our study was to examine any benefit and the feasibility of the ICIT in general practice.
The physicians found the ICIT helpful to sort out, clarify and concretize the patients' issues. They felt less fatigued as patients took on a greater responsibility for their own recovery and reported a greater satisfaction and better management with the patients. A salutogenic approach gave the physicians greater insight into their patients' lives and their issues, opening for new treatment options and aiding in recovery. By focusing on the patient's potential capabilities despite their medical condition, some physicians experienced that patients on sick leave returned to work quicker.
The GPs in this study reported that the ICIT was helpful in consultations with patients due to unspecific medical conditions and facilitated a sense of competence for the physician. KEY POINTSGPs need communication skill training for integrated treatment and sick leave assessment for patients with Medically Unexplained Physical Symptoms (MUPS).•The GPs experienced that the structured conversation tool was beneficial in structuring, clarifying, and substantiating the patient's problems.•The GPs experienced a greater insight into their patients and their issues, opening new treatment options and aiding in recovery.•The GPs experienced patients' quicker recovery and returns to work by starting immediate treatment using the conversation tool.
研究挪威一般实践中结构化对话工具（ICIT）的可行性。
为了在一般实践中增加患者的自我应对能力以及 GP 管理和病假评估，开发了一种具有认知行为疗法（CBT）元素的结构化对话工具，用于医患交流。8 名 GP 接受了培训并在 49 名 MUPS 患者中使用了 ICIT。医生们被分成两个焦点小组。采访被录音、转录，并通过系统文本浓缩进行分析。
我们的研究旨在检查 ICIT 在一般实践中的任何益处和可行性。
医生们发现 ICIT 有助于整理、澄清和具体化患者的问题。患者对自己的康复承担更大的责任，医生们感到疲劳程度降低，报告满意度提高，对患者的管理也更好。一种健康促进方法让医生更深入地了解患者的生活和问题，为新的治疗方案提供了机会，并有助于康复。通过关注患者在患病情况下的潜在能力，一些医生发现请病假的患者更快地返回工作岗位。
参与本研究的全科医生报告说，由于医疗状况不明，ICIT 在与患者的咨询中很有帮助，并为医生提供了一种能力感。关键点：全科医生需要进行沟通技巧培训，以便对患有“医学无法解释的身体症状”（MUPS）的患者进行综合治疗和病假评估。•医生们体验到结构化对话工具在结构化、澄清和证实患者问题方面是有益的。•医生们对患者及其问题有了更深入的了解，开辟了新的治疗选择，有助于康复。•医生们通过使用对话工具立即开始治疗，体验到患者更快的康复和返回工作。
