Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting
Relationship between outpatients' perceptions of physicians' communication styles and patients' anxiety levels in a Japanese oncology setting
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DOI：
10.1016/s0277-9536(00)00413-5
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发表时间：
2001-11-01
影响因子：
5.4
通讯作者：
Katsumata, N
中科院分区：
文献类型：
--
作者：
Takayama, T;Yamazakia, Y;Katsumata, N
对于需要长期治疗的癌症等危及生命的疾病，医生和患者之间的沟通尤为重要。一般认为，病情越严重，越需要减轻病人的焦虑，但医生的沟通方式会直接影响病人的焦虑水平。本研究旨在探讨肿瘤科门诊病患对医师沟通风格的认知与病患焦虑程度的关系。患者的焦虑水平进行了测量，使用状态特质焦虑量表之前：和之后的咨询。本研究编制了知觉医师沟通风格量表。对量表的反应分析导致四个因素-“接受”，“以病人为中心”，“专注”和“促进”-医生的沟通风格，解释了63.7%的方差。整体量表项目的相关系数为0.95。病人的医疗遭遇满意度也进行了测量，以验证医生的沟通风格量表。医生的沟通方式和满意度之间的中度相关性进行了观察，并确认了良好的沟通方式和病人的满意度之间的关系。咨询后，患者的焦虑水平下降了5.0 +/- 1.5分（p < 0.001），在许多情况下，医生的沟通方式与咨询后患者的焦虑水平有关。在晚期疾病患者中，医生的沟通方式对患者咨询后焦虑水平的影响很小。此外，研究结果表明，即使在那些检查结果不佳的患者中，如果患者对医生的沟通方式评价很高，患者的咨询后焦虑水平也很低。这项研究表明，医生的沟通方式不仅对缓解患者的焦虑很重要，而且在向患者传达坏消息时，也有助于缓解医生自己的压力水平。(C)2001爱思唯尔科技有限公司版权所有。
For life-threatening illnesses such as cancer that require a long-term treatment regimen, communication is particularly important between doctors and patients. While it is assumed that the more serious the illness, the greater the need to relieve patients' anxiety, physicians' communication styles can directly influence patients' anxiety levels. The purpose of this study was to examine the relationship between outpatients' perceptions of physicians' communication styles and the patients' anxiety levels in oncology settings. Patient anxiety level was measured using the State Trait Anxiety Inventory before: and after the consultation. The Perceived Physician's Communication Style Scale was developed in this study. Analysis of responses to the scale resulted in four factors - "acceptive", "patient-centered", "attentive", and "facilitative" - of the physician's communication style and explained 63.7% of the variance. The inter-correlation for overall scale items was 0.95. Patient satisfaction with the medical encounter was also measured to validate the; physician's communication style scale. Moderate correlation between the physician's communication style and satisfaction was observed and confirms the relationship between a favorable communication style and a patient's satisfaction. After the consultation, the patients' anxiety levels dropped 5.0 +/- 1.5 points (p < 0.001), and the physician's communication style was shown in many cases to be linked to patient anxiety levels after the consultation. The effect of the physician's communication style on patients' post-consultation anxiety levels was small among the patients with an advanced disease status. Also, the findings showed that patients' post-consultation anxiety levels remained low even among those patients with unfavorable examination results if the patients evaluated their physician's communication style as high. This study suggested that the physician's communication style is important not only for moderating patients' anxiety, but could also be helpful for moderating physicians' own stress levels when communicating bad news to patients. (C) 2001 Elsevier Science Ltd. All rights reserved.