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我们应该与患者交谈多长时间?一项关于医患沟通的研究。

How long should we talk to patients? A study in doctor-patient communication.

作者信息

Wright V, Hopkins R, Burton K

出版信息

Ann Rheum Dis. 1982 Jun;41(3):250-2. doi: 10.1136/ard.41.3.250.

DOI:10.1136/ard.41.3.250
PMID:6979980
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1000920/
Abstract

The 13 questions to which 173 rheumatic outpatients most frequently wished to know the answer were made the basis of a structured interview. Two lengths of interview were conducted in a controlled trial (short being of 2 minutes' duration, long ranging from 4 to 11 minutes). Sixty patients referred directly from their general practitioners, and not being in any of the remedial professions, were randomly assigned to one of the 2 groups. They were tested by an independent observer immediately after interview, and one month later at their return appointment, by means of a questionnaire that covered the 13 items of information given to all the patients. The longer interview resulted in significantly more information being retained. Of individual questions only 3 scored significantly better with the longer interview--that about the reasons for x-rays immediately after interview, and the role of heredity and the place of rest at delayed recall.

摘要

173名风湿科门诊患者最常希望了解答案的13个问题构成了结构化访谈的基础。在一项对照试验中进行了两种时长的访谈(短时长为2分钟,长时长为4至11分钟)。60名直接从全科医生处转诊而来、并非从事任何治疗性职业的患者被随机分配到两组中的一组。访谈结束后,由一名独立观察员立即对他们进行测试,并在一个月后他们复诊时,通过一份涵盖向所有患者提供的13项信息的问卷进行测试。较长时长的访谈使得保留的信息显著更多。在各个问题中,只有3个问题在较长时长的访谈中得分显著更高——即访谈后立即关于X光检查原因的问题,以及关于遗传作用和延迟回忆时休息地点的问题。

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本文引用的文献

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REDUCTION OF POSTOPERATIVE PAIN BY ENCOURAGEMENT AND INSTRUCTION OF PATIENTS. A STUDY OF DOCTOR-PATIENT RAPPORT.通过鼓励和指导患者减轻术后疼痛。医患关系的一项研究。
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Communications in an out-patient setting.门诊环境中的沟通。
Br J Soc Clin Psychol. 1965 Jun;4(2):114-6. doi: 10.1111/j.2044-8260.1965.tb00449.x.
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Quantitative study of doctor-patient communication.医患沟通的定量研究
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Evaluation of the Arthritis and Rheumatism Council Handbook on Gout. An objective study of doctor-patient communication.《关节炎与风湿病协会痛风手册》评估:医患沟通的客观研究
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The cartoon in doctor-patient communication. Further study of the Arthritis and Rheumatism Council handbook on gout.医患沟通中的漫画。对关节炎与风湿病委员会痛风手册的进一步研究。
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Br Med J. 1978 Jun 24;1(6128):1673-6. doi: 10.1136/bmj.1.6128.1673.
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