哪些患者和外科医生的特征与外科医生在门诊时的压力体验有关？
Which patient and surgeon characteristics are associated with surgeon experience of stress during an office visit?
作者信息
Crijns Tom, Al Salman Aresh, Bashour Laura, Ring David, Teunis Teun
机构信息
Dell Medical School, The University of Texas at Austin, Austin, TX, USA.
University of Pittsburgh Medical Center, Pittsburgh, PA, USA.
出版信息
PEC Innov. 2022 Apr 22;1:100043. doi: 10.1016/j.pecinn.2022.100043. eCollection 2022 Dec.
OBJECTIVE
To determine clinician and patient factors associated with the surgeon feelings of stress, futility, inadequacy, and frustration during an office visit.
METHODS
A survey-based experiment presented clinical vignettes with randomized patient factors (such as symptom intensity, the number of prior consultations, and involvement in a legal dispute) and feeling behind schedule in order to determine which are most related to surgeon ratings of stress, futility, inadequacy, and frustration on 11-point Likert scales.
RESULTS
Higher surgeon stress levels were independently associated with women patients, multiple prior consultations, a legal dispute, disproportionate symptom intensity, and being an hour behind in the office. The findings were similar for feelings of futility, inadequacy, and frustration.
CONCLUSION
Patient factors potentially indicative of mental and social health opportunities are associated with greater surgeon-rated stress and frustration.
INNOVATION
Trainings for surgeon self-awareness and effective communication can transform stressful or adversarial interactions into an effective part of helping patients get and stay healthy by diagnosing and addressing psychosocial aspects of the illness.
LEVEL OF EVIDENCE
N/a.
目的
确定在门诊就诊期间与外科医生的压力、徒劳感、不足感和挫败感相关的临床医生和患者因素。
方法
一项基于调查的实验展示了带有随机患者因素（如症状强度、先前就诊次数以及卷入法律纠纷情况）的临床病例，并设置了感觉落后于日程安排的情景，以确定哪些因素与外科医生在11点李克特量表上对压力、徒劳感、不足感和挫败感的评分最为相关。
结果
外科医生较高的压力水平独立地与女性患者、多次先前就诊、法律纠纷、不成比例的症状强度以及在门诊落后一小时相关。对于徒劳感、不足感和挫败感，研究结果相似。
结论
潜在表明心理和社会健康问题的患者因素与外科医生评分更高的压力和挫败感相关。
创新点
针对外科医生自我意识和有效沟通的培训可以通过诊断和解决疾病的心理社会方面问题，将压力大或对抗性的互动转变为帮助患者获得并保持健康的有效环节。
证据水平
无。
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