Quine L, Rutter D R
Institute of Social and Applied Psychology, University of Kent at Canterbury, U.K.
J Child Psychol Psychiatry. 1994 Oct;35(7):1273-87. doi: 10.1111/j.1469-7610.1994.tb01234.x.
This study investigates factors associated with satisfaction with medical communication at the time of diagnosis of a child's severe mental or physical disability. Two competing social psychological models that have been used to account for parent patient satisfaction are tested: Korsch's (1968) affective model and Ley's (1977) cognitive model. One hundred and sixty six mothers of children with severe learning disabilities were questioned about the time when their child's disability was first diagnosed. Measures included the child's age when diagnosis was made, the length of time parents had been anxious, and how satisfied they were with the way they were told the diagnosis. They were asked to rate the doctor's affective behaviour and their understanding and memory of the information they received. Fifty-eight per cent of parents reported dissatisfaction with the communication. Stepwise multiple regression analysis showed that Korsch's affective scale was much the strongest predictor, entering the equation first, and explaining 35.7% of the variance in satisfaction. Ley's cognitive scale entered second, explaining a further 1.4% of the variance. Further analysis including the other predictors found that six predictors explained 40% of the variance. The implications of the findings for the training of medical staff are discussed.
本研究调查了与儿童严重精神或身体残疾诊断时医疗沟通满意度相关的因素。对用于解释医患满意度的两种相互竞争的社会心理模型进行了检验：科施（1968年）的情感模型和莱伊（1977年）的认知模型。对166名重度学习障碍儿童的母亲就其孩子残疾首次被诊断的时间进行了询问。测量指标包括诊断时孩子的年龄、父母焦虑的时长，以及她们对被告知诊断方式的满意程度。她们被要求对医生的情感行为以及她们对所获信息的理解和记忆进行评分。58%的父母表示对沟通不满意。逐步多元回归分析表明，科施的情感量表是最强的预测指标，首先进入方程，解释了满意度方差的35.7%。莱伊的认知量表其次进入方程，进一步解释了1.4%的方差。纳入其他预测指标的进一步分析发现，六个预测指标解释了40%的方差。讨论了研究结果对医务人员培训的启示。
