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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。
The impact of changing background on non-verbal behavior during interviews is not clear. Purpose To evaluate brief doctor training in non-verbal communication that dominates the interview. Design and site cluster randomized parallel-group trial of general practitioners aged 16 or older at general practice clinics near the Southampton Research Coordination Center. Methods Sixteen general practitioners were randomly assigned to training and non-training groups. The training consisted of a short presentation of the results of a previous behavioral study (abbreviated KEPe Warm, meaning as follows: showing patient understanding and encouraging For example, “uhhhhhh”)]; limb participation And encourage doctors to review the interview video. The average scores of MISS items (1-7 points) and the patients’ cognition of other aspects of communication were used as experimental indicators. Results The scores of MISS in training group were higher than those in non-training group (OR = 0.23, 95% CI, 0.06, 0.41) 0.29, 95% CI (0.09,0.49)] and health promotion score (OR = 0.26, 95% CI (0.05,0.46)]. There was no significant increase in private relationship cognition, positive method and understanding of the impact of disease on life . Conclusions Non-verbal exchanges of brief doctor training and video interviews, which dominates the interview, can improve patient satisfaction, reduce pain, and promote awareness and health promotion of cooperative approaches.