WONCA研究论文摘要汇编——全科医疗问诊中占主导地位的非语言交流的简单干预随机控制试验

发布时间：2018-06-13 21:25

本文选题：全科医疗 + WONCA　；参考：《中国全科医学》2015年21期

【摘要】：背景改变问诊中非语言行为的影响并不明朗。目的评估占问诊主导地位的非语言交流的简短医生培训。设计和场所进行整群随机平行组试验,在南安普敦市研究协调中心附近的全科医疗诊所中选取年龄≥16岁的全科医生。方法 16名全科医生随机分为培训组和非培训组,培训包括对一项前期行为研究结果的简短介绍〔研究结果的缩略词为KEPe Warm,含义如下:展现对患者的了解;鼓励(例如说"嗯"来发出反馈信号)〕;肢体参与(碰触、手势、稍稍前倾);预热:冷静/专业的开场,预热,避免疏远和问诊结束时的非言语收场和鼓励医生对问诊录像进行回顾。以医学访问满意量表(MISS)项目平均得分(1~7分)和患者对交流其他方面的认知为试验指标。结果培训组MISS整体得分高于非培训组〔OR=0.23,95%CI(0.06,0.41)〕;其中,痛苦减轻、关系认知分量表的得分提高最多;交流/合作认知得分〔OR=0.29,95%CI(0.09,0.49)〕和健康提升得分〔OR=0.26,95%CI(0.05,0.46)〕显著提高,私人关系认知、积极方法和了解疾病对生活影响的得分提高不显著。结论占问诊主导地位的非语言交流的简短医生培训和问诊录像回顾能够提升患者满意度、减轻痛苦、促进合作方法认知和健康提升。
[Abstract]:The impact of background changes on non-verbal behavior is unclear. Objective to evaluate the brief training of doctors in non-verbal communication. A cluster randomized parallel group trial was carried out in the design and place. General practitioners aged more than 16 years were selected from a general medical clinic near the Southampton Research Coordination Center. Methods Sixteen general practitioners were randomly divided into training group and non-training group. The training included a brief introduction to the results of a preliminary behavioral study (the acronym of the results was KEPe Warm. the meaning was as follows: to show the understanding of the patients; Encourage (e.g. "Umm") to give feedback signals; physical involvement (touch, gesture, slightly forward); preheat: cool / professional opening, preheating, Avoid alienation and non-verbal closure at the end of the interview and encourage physicians to review the video. The average score of medical interview satisfaction scale (MISS) was 1 ~ 7) and the patients' cognition of other aspects of communication was taken as the test index. Results the overall score of MISS in the training group was higher than that in the non-training group (0.2395 CIQ 0.06 / 0.41), among which, the scores of the cognitive component table of the relationship increased most significantly, and the score of communication / cooperative cognition was 0.2995CI0.090.49) and the score of health promotion was 0.2695CI0.050.460.46). Positive methods and understanding of the impact of disease on life did not improve significantly. Conclusion the brief doctor training and video review of nonverbal communication can improve patients' satisfaction, alleviate pain, and promote cooperative approach cognition and health.
【分类号】：R192

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