Orth J E, Stiles W B, Scherwitz L, Hennrikus D, Vallbona C
Health Psychol. 1987;6(1):29-42. doi: 10.1037//0278-6133.6.1.29.
Hypertensive patients' expressing themselves in their own words (Exposition) and providers' giving information (Explanation) during medical interviews were hypothesized to be associated with subsequent blood pressure control. Transcripts of routine return visits to clinics in low-income areas of Houston, TX, were coded using the Verbal Response Modes (VRM) system. VRM indexes of Patient Exposition and Provider Explanation were tested in relation to systolic and diastolic blood pressure obtained during home interviews 2 weeks after the clinic visits. Patient Exposition was significantly correlated with reductions in systolic and diastolic blood pressure from clinic visit to home interview, and Provider Explanation was significantly correlated with lower diastolic blood pressure at home interview. The results suggest that patients' and providers' verbal behavior in medical interviews should be included in predictive models of blood pressure control.
研究假设，在医疗问诊过程中高血压患者用自己的语言表达（阐述）以及医护人员提供信息（解释）与随后的血压控制相关。对德克萨斯州休斯顿低收入地区诊所常规复诊的记录，使用言语反应模式（VRM）系统进行编码。对患者阐述和医护人员解释的VRM指数，与诊所就诊两周后在家访视时测得的收缩压和舒张压进行相关性检验。患者阐述与从诊所就诊到家访视期间收缩压和舒张压的降低显著相关，医护人员解释与家访视时较低的舒张压显著相关。结果表明，患者和医护人员在医疗问诊中的言语行为应纳入血压控制的预测模型。
