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没有消息就是坏消息:患者对医院沟通情况的看法。

No news is bad news: patients' views about communication in hospital.

作者信息

Reynolds M

出版信息

Br Med J. 1978 Jun 24;1(6128):1673-6. doi: 10.1136/bmj.1.6128.1673.

DOI:10.1136/bmj.1.6128.1673
PMID:656870
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1605443/
Abstract

One hundred patients on four general surgical wards in a large teaching hospital were interviewed about the information they had received about their illness and what they had been told about the investigations they had undergone. Fifty-five of them expressed some dissatisfaction and 14 were strongly dissatisfied. The way in which ward rounds were conducted was heavily criticised, but most patients did not object to the teaching of medical students at the bedside. Twenty-four patients would have liked more explanation about why investigations were performed, and 38 though that they had not been told enough about the results of their investigations. This lack of information led to anxiety and fear. The findings suggest that more effort is needed to improve communication between doctors and patients.

摘要

一家大型教学医院的四个普通外科病房的100名患者接受了访谈,询问他们所获得的关于自己病情的信息,以及被告知的关于他们所接受检查的情况。其中55人表示有些不满,14人强烈不满。查房的方式受到了严厉批评,但大多数患者并不反对医学生在床边教学。24名患者希望得到更多关于进行检查原因的解释,38名患者认为他们没有得到足够的检查结果信息。这种信息不足导致了焦虑和恐惧。研究结果表明,需要付出更多努力来改善医患之间的沟通。

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引用本文的文献

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What information do cancer patients want and how well are their needs being met?癌症患者想要哪些信息,他们的需求得到了多大程度的满足?
Ecancermedicalscience. 2018 Sep 25;12:873. doi: 10.3332/ecancer.2018.873. eCollection 2018.
2
Challenges in outcome measurement: discrepancies between patient and provider definitions of success.结局测量中的挑战:患者和提供者对成功定义的差异。
Clin Orthop Relat Res. 2013 Nov;471(11):3437-45. doi: 10.1007/s11999-013-3198-x.
3
[Preoperative information].[术前信息]
Mund Kiefer Gesichtschir. 2005 Mar;9(2):109-15. doi: 10.1007/s10006-005-0593-9.
4
Communicating bad news to patients.向患者传达坏消息。
Can Fam Physician. 1981 May;27:837-41.
5
The knowledge of hospital patients about vascular diseases and their risk factors.医院患者对血管疾病及其风险因素的了解。
Postgrad Med J. 1996 Oct;72(852):605-8. doi: 10.1136/pgmj.72.852.605.
6
Factors affecting quality of informed consent.影响知情同意质量的因素。
BMJ. 1993 Apr 3;306(6882):885-90. doi: 10.1136/bmj.306.6882.885.
7
Informed consent: a case for more education of the surgical team.知情同意:加强外科团队教育的一个实例
Ann R Coll Surg Engl. 1993 Jan;75(1):62-5.
8
Patients' attitudes to doctors.患者对医生的态度。
J R Coll Gen Pract. 1980 Mar;30(212):137-8.
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The effect of the doctor's sex on the doctor-patient relationship.医生性别对医患关系的影响。
J R Coll Gen Pract. 1982 Mar;32(236):167-9.
10
How long should we talk to patients? A study in doctor-patient communication.我们应该与患者交谈多长时间?一项关于医患沟通的研究。
Ann Rheum Dis. 1982 Jun;41(3):250-2. doi: 10.1136/ard.41.3.250.

本文引用的文献

1
PATIENT'S VIEW OF ADMISSION TO A LONDON TEACHING HOSPITAL.患者对入住伦敦教学医院的看法。
Br Med J. 1964 Sep 12;2(5410):660-4. doi: 10.1136/bmj.2.5410.660.
2
Attitudes and criticisms of surgical in-patients.
Practitioner. 1977 Feb;218(1304):269-72.