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高质量的沟通可以改善老年患者以患者为中心的健康结局:快速综述。

Quality communication can improve patient-centred health outcomes among older patients: a rapid review.

机构信息

Faculty of Graduate Studies, Arab American University, 13 Zababdeh, P.O Box 240, Jenin, Palestine.

出版信息

BMC Health Serv Res. 2023 Aug 22;23(1):886. doi: 10.1186/s12913-023-09869-8.


DOI:10.1186/s12913-023-09869-8
PMID:37608376
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10464255/
Abstract

BACKGROUND: Effective communication is a cornerstone of quality healthcare. Communication helps providers bond with patients, forming therapeutic relationships that benefit patient-centred outcomes. The information exchanged between the provider and patient can help in medical decision-making, such as better self-management. This rapid review investigated the effects of quality and effective communication on patient-centred outcomes among older patients. METHODS: Google Scholar, PubMed, Scopus, CINAHL, and PsycINFO were searched using keywords like "effective communication," "elderly," and "well-being." Studies published between 2000 and 2023 describing or investigating communication strategies between older patients (65 years and above) and providers in various healthcare settings were considered for selection. The quality of selected studies was assessed using the GRADE Tool. RESULTS: The search strategy yielded seven studies. Five studies were qualitative (two phenomenological study, one ethnography, and two grounded theory studies), one was a cross-sectional observational study, and one was an experimental study. The studies investigated the effects of verbal and nonverbal communication strategies between patients and providers on various patient-centred outcomes, such as patient satisfaction, quality of care, quality of life, and physical and mental health. All the studies reported that various verbal and non-verbal communication strategies positively impacted all patient-centred outcomes. CONCLUSION: Although the selected studies supported the positive impact of effective communication with older adults on patient-centred outcomes, they had various methodological setbacks that need to be bridged in the future. Future studies should utilize experimental approaches, generalizable samples, and specific effect size estimates.

摘要

背景:有效的沟通是优质医疗保健的基石。沟通有助于医疗服务提供者与患者建立联系,形成有利于以患者为中心的结果的治疗关系。提供者和患者之间交换的信息可以帮助做出医疗决策,例如更好的自我管理。这项快速综述调查了优质和有效的沟通对老年患者以患者为中心的结果的影响。

方法:使用关键词,如“有效沟通”、“老年人”和“健康”,在 Google Scholar、PubMed、Scopus、CINAHL 和 PsycINFO 上进行搜索。选择描述或调查老年患者(65 岁及以上)和各种医疗保健环境中的提供者之间沟通策略的研究。使用 GRADE 工具评估选定研究的质量。

结果:搜索策略产生了 7 项研究。五项研究是定性的(两项现象学研究、一项民族志研究和两项扎根理论研究),一项是横断面观察性研究,一项是实验研究。这些研究调查了患者和提供者之间的言语和非言语沟通策略对各种以患者为中心的结果的影响,如患者满意度、护理质量、生活质量以及身心健康。所有研究都报告说,各种言语和非言语沟通策略对所有以患者为中心的结果都有积极影响。

结论:尽管选定的研究支持与老年人进行有效沟通对以患者为中心的结果的积极影响,但它们存在各种方法学上的缺陷,需要在未来加以弥补。未来的研究应该采用实验方法、可推广的样本和具体的效应量估计。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6f/10464255/018e84a15ac8/12913_2023_9869_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6f/10464255/018e84a15ac8/12913_2023_9869_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0f6f/10464255/018e84a15ac8/12913_2023_9869_Fig1_HTML.jpg

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本文引用的文献

[1]
A Model for Effective Nonverbal Communication between Nurses and Older Patients: A Grounded Theory Inquiry.

Healthcare (Basel). 2022-10-22

[2]
Impact of satisfaction with physician-patient communication on self-care and adherence in patients with hypertension: cross-sectional study.

BMC Health Serv Res. 2020-11-16

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J Biomed Inform. 2020-12

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J Assoc Physicians India. 2020-6

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BMC Nurs. 2020-6-16

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Syst Rev. 2019-11-15

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Factors Associated With Patient Satisfaction in Outpatient Department of Suva Sub-divisional Health Center, Fiji, 2018: A Mixed Method Study.

Front Public Health. 2019-7-2

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J Med Life. 2018

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J Clin Epidemiol. 2018-2-13

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