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虐待行为与医患关系的关联:系统评价。

The association between abusive behaviour and physician-patient relations: a systematic review.

机构信息

Department of Orthopedics, Taizhou Hospital of Zhejiang Province Affiliated to Zhejiang University, Linhai 317000, PR China.

School of Public Health, The University of Hong Kong Li Ka Shing Faculty of Medicine, Hong Kong, PR China.

出版信息

Public Health. 2023 Nov;224:26-31. doi: 10.1016/j.puhe.2023.08.008. Epub 2023 Sep 11.

Abstract

OBJECTIVE

This systematic review aims to explore the association between abusive behaviour and physician-patient relations in healthcare settings.

STUDY DESIGN

Systematic review.

METHODS

We searched for related studies on databases such as PubMed, Embase, and the Cochrane library, without restrictions on language, from inception until July 15, 2022. The risk of bias and the methodological quality was evaluated using the Newcastle-Ottawa Scale and Risk of Bias in Non-randomised Studies of Interventions tool.

RESULTS

Ten studies were included in this systematic review, the participants of which were physicians and patients. The research from all the studies highlighted the detrimental effects of abusive behaviour on the relationship between physicians and patients, regardless of who the abusers were.

CONCLUSIONS

Abusive behaviour in a clinical setting has a negative influence on the physician-patient relationship, whoever the perpetrator might be. The research sheds light on the importance of teaching communication skills to physicians and training them to manage conflicts and aggressive behaviours in healthcare settings.

摘要

目的

本系统评价旨在探讨医疗环境中虐待行为与医患关系之间的关联。

研究设计

系统评价。

方法

我们在 PubMed、Embase 和 Cochrane 图书馆等数据库中搜索相关研究,无语言限制,检索时间截至 2022 年 7 月 15 日。使用纽卡斯尔-渥太华量表和非随机干预研究的偏倚风险工具评估偏倚风险和方法学质量。

结果

本系统评价纳入了 10 项研究,参与者为医生和患者。所有研究都强调了虐待行为对医患关系的不利影响,无论施虐者是谁。

结论

临床环境中的虐待行为对医患关系有负面影响,无论施虐者是谁。该研究强调了向医生传授沟通技巧并培训他们在医疗环境中管理冲突和攻击行为的重要性。

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