Attachment in the doctor-patient relationship in general practice: A qualitative study
Attachment in the doctor-patient relationship in general practice: A qualitative study
复制标题
DOI：
10.3109/02813432.2010.505447
复制
发表时间：
2010-09-01
影响因子：
2.1
通讯作者：
Dehlholm-Lambertsen, Birgitte
中科院分区：
文献类型：
--
作者：
Frederiksen, Heidi Bogelund;Kragstrup, Jakob;Dehlholm-Lambertsen, Birgitte
Objective.探讨为什么与正规医生的人际关系连续性对患者有价值。设计，设置和主题。一项基于22名患者的访谈的定性研究，其中12名患者看到了他们的常规全科医生（GP），10名患者看到了不熟悉的GP。患者是在观察咨询后选择的，并根据就诊原因、年龄和性别有目的地取样。研究问题是通过心理学理论来回答的。结果依恋的需要是理解患者人际关系连续性价值的核心问题。患者解释说，他们更愿意与他们的家庭医生建立个人关系，大多数人表示医患关系存在一定程度的脆弱性。他们越是生病或担心，就越容易受到伤害，越需要定期的全科医生。此外，患者表示，即使他们的关系不好，他们也很难更换GP。结论依恋理论可能为患者需要定期看GP提供了解释。作为一个病人的脆弱性创造了对照顾者的依恋。这种需要是基本的，当成年人生病或害怕时就会被激活。
Objective. To explore why interpersonal continuity with a regular doctor is valuable to patients. Design, setting, and subjects. A qualitative study based on 22 interviews with patients, 12 who saw their regular general practitioner (GP) and 10 who saw an unfamiliar GP. The patients were selected after an observed consultation and sampled purposively according to reason for encounter, age, and sex. The research question was answered by means of psychological theory. Results. A need for attachment was a central issue for the understanding of the value of interpersonal continuity for patients. The patients explained that they preferred to create a personal relationship with their GP and the majority expressed a degree of vulnerability in the doctor-patient relationship. The more sick or worried they were the more vulnerable and the more in need of a regular GP. Furthermore, patients stated that it was difficult for them to change GP even if they had a poor relationship. Conclusion. Attachment theory may provide an explanation for patients' need to see a regular GP. The vulnerability of being a patient creates a need for attachment to a caregiver. This need is fundamental and is activated in adults when they are sick or scared.