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医生应根据患者对疾病及医护人员的态度选择沟通策略:一项在中国江苏开展的研究。

Doctors should choose communication strategies based on the patient's attitude toward disease and healthcare workers: a study in Jiangsu, China.

作者信息

Zheng Fangjing, Lin Aicui

机构信息

Department of Thoracic and Cardiovascular Surgery, Nanjing First Hospital, Nanjing Medical University, Jiangsu, China.

Department of Science and Technology, Nanjing First Hospital, Nanjing Medical University, Jiangsu, China.

出版信息

Front Health Serv. 2025 Jul 3;5:1520628. doi: 10.3389/frhs.2025.1520628. eCollection 2025.

DOI:10.3389/frhs.2025.1520628
PMID:40677740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC12267278/
Abstract

OBJECTIVE

We aimed to determine patients' expectations regarding curing their disease and potential communication preferences with healthcare providers, by analyzing factors such as education level, age, type of medical visit, and residential region, so as to assist healthcare workers in managing communication more effectively.

METHODS

A sampling survey was conducted involving 1,155 patients across nine public tertiary hospitals in Jiangsu Province, China. The survey questionnaire results were verified and organized, after which chi-square tests and -tests were conducted to analyze the responses to each question across different groups.

RESULTS

Among the educated population, the proportion of patients who believe that diseases can definitely be cured tends to decrease as the level of educational increases. Similarly, this proportion also tends to decrease with an increase in economic development across different regions. The proportion of patients who believe that they should fulfill their obligations during the treatment process but lacked understanding of how to do so also exhibits a similar trend. Adults under the age of 50, as well as outpatient and emergency patients, are more willing to cooperate with medical treatment, but often lack knowledge about how to do so.

CONCLUSION

Healthcare workers should select communication strategy that are suitable for patients considering their age, education, type of medical visit, and residential region and provide appropriate cure expectations to prevent communication issues.

摘要

目的

通过分析教育程度、年龄、就诊类型和居住地区等因素,确定患者对治愈疾病的期望以及与医疗服务提供者潜在的沟通偏好,以帮助医护人员更有效地管理沟通。

方法

对中国江苏省九家公立三级医院的1155名患者进行抽样调查。对调查问卷结果进行核实和整理,然后进行卡方检验和t检验,以分析不同组对每个问题的回答。

结果

在受过教育的人群中,认为疾病肯定能治愈的患者比例往往随着教育水平的提高而降低。同样,这一比例也往往随着不同地区经济发展水平的提高而降低。认为自己在治疗过程中应履行义务但不了解如何履行的患者比例也呈现类似趋势。50岁以下的成年人以及门诊和急诊患者更愿意配合治疗,但往往缺乏如何配合的知识。

结论

医护人员应根据患者的年龄、教育程度、就诊类型和居住地区选择合适的沟通策略,并提供适当的治愈期望,以防止沟通问题。