Department of Social Psychology, School of Sociology, Nankai University, Tianjin, 300350, China.
Computational Social Science Laboratory, Nankai University, Tianjin, China.
BMC Psychol. 2024 May 29;12(1):311. doi: 10.1186/s40359-024-01820-8.
Current research on the doctor-patient relationship primarily focuses on the responsibilities of doctors, with relatively less emphasis on examining the contributions patients can make. As a result, there is an urgent demand for exploring innovative approaches that highlight the active role patients play in cultivating a robust doctor-patient relationship. The purpose of this study was to devise an intervention strategy centered around patients to enhance the doctor-patient relationship. Comics were developed to depict shared narratives encompassing challenging daily life experiences between doctors and ordinary individuals. The study aimed to assess the efficacy of this approach in cultivating positive attitudes toward doctors.
A 3-group design trial was conducted in Shanghai, China. A total of 152 participants were randomly assigned to one of three conditions: the parallel presenting group (n = 51), where narratives about a doctor and an ordinary employee were presented side by side in comics; the single presenting group (n = 50), where only narratives about a doctor were presented; and the control group (n = 51). The outcomes assessed in this study encompassed changes in identification with the doctor portrayed in the comics, perceived intimacy between doctors and patients in reality, and appraisal of the doctor in a prepared doctor-patient interaction situation.
The parallel presenting group exhibited significantly larger increases in identification with the doctor portrayed in the comics, perceived intimacy between doctors and patients in reality, and appraisal of the doctor in a prepared doctor-patient interaction scenario compared to the single presenting group. The observed enhancements in the appraisal of the doctor in a prepared doctor-patient interaction scenario can be attributed to the changes in identification with the doctor portrayed in the comics experienced by the participants.
Our study responds to the doctor-centric focus in existing research by exploring patients' contributions to the doctor-patient relationship. Using comics to depict shared narratives, the parallel presenting group demonstrated significantly increased identification with the depicted doctor, perceived intimacy, and positive appraisal in prepared scenarios compared to the single presenting group. This underscores the effectiveness of patient-centered interventions in shaping positive attitudes toward doctors, highlighting the pivotal role patients play in fostering a resilient doctor-patient relationship.
Chinese Clinical Trail Registry: ChiCTR2400080999 (registered 20 February 2024; retrospectively registered).
目前关于医患关系的研究主要集中在医生的责任上，相对较少关注患者可以做出的贡献。因此，迫切需要探索创新方法，强调患者在培养强健的医患关系中所扮演的积极角色。本研究旨在设计一种以患者为中心的干预策略，以增强医患关系。我们制作了漫画来描绘医生和普通人之间充满挑战的日常生活经历的共同叙事。该研究旨在评估这种方法培养对医生的积极态度的效果。
在中国上海进行了一项 3 组设计试验。共有 152 名参与者被随机分配到以下三个条件之一：平行呈现组（n=51），漫画中并排呈现医生和普通员工的叙事；单一呈现组（n=50），仅呈现医生的叙事；对照组（n=51）。本研究评估的结果包括对漫画中描绘的医生的认同变化、对现实中医生和患者之间亲密程度的感知以及对准备好的医患互动情境中医生的评价。
与单一呈现组相比，平行呈现组对漫画中描绘的医生的认同、对现实中医生和患者之间亲密程度的感知以及对准备好的医患互动情境中医生的评价均显著增加。在准备好的医患互动情境中对医生评价的增强归因于参与者对漫画中描绘的医生的认同变化。
我们的研究通过探索患者对医患关系的贡献，回应了现有研究中以医生为中心的焦点。使用漫画描绘共同叙事，平行呈现组与单一呈现组相比，对描绘医生的认同、感知的亲密程度和准备好的情境中的积极评价显著增加。这突出了以患者为中心的干预措施在塑造对医生的积极态度方面的有效性，强调了患者在培养强健的医患关系中所扮演的关键角色。
中国临床试验注册中心：ChiCTR2400080999（于 2024 年 2 月 20 日注册；回溯性注册）。
