A systematic review of the associations between empathy measures and patient outcomes in cancer care
A systematic review of the associations between empathy measures and patient outcomes in cancer care
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DOI：
10.1002/pon.2115
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发表时间：
2012-12-01
期刊：
影响因子：
3.6
通讯作者：
Sultan, Serge
中科院分区：
文献类型：
--
作者：
Lelorain, Sophie;Bredart, Anne;Sultan, Serge
目的尽管在医疗环境中呼吁共情，但对医疗保健专业人员的共情对患者结局的影响知之甚少。这篇综述调查了医生或护士的同理心和肿瘤病人的结果之间的联系。方法使用多个数据库，进行系统检索，使用的术语和主题词的共情或观点采择或医患沟通，肿瘤或临终环境和医生或护士的组合。在返回的394个点击中，39个研究符合与患者结果相关的移情或移情相关结构的定量测量的纳入标准。结果共情主要通过患者自我报告和言语交互编码进行评价。调查结果主要是近端患者满意度和心理调整。在回顾性研究中，临床医生的同理心与较高的患者满意度和较低的痛苦有关，并且该措施是患者报告的。编码系统产生了不同的结论。共情与患者赋权（如医学知识、应对）无关。结论整体而言，临床医生的共情根据病人的看法有有益的影响。然而，为了理清共情益处的组成部分，并为专业人员提供具体的建议，未来的研究应同时应用不同的共情评估方法，包括在精确时刻对患者的期望和需求进行透视。事实上，临床医生对患者观点的理解是医疗同理心的核心组成部分，但它往往只从患者的角度进行评估。临床医生对患者观点的评估应该被研究并与患者的报告进行比较，以便解决两种观点之间存在的问题。版权所有（C）2012约翰威利父子有限公司
Objective Despite a call for empathy in medical settings, little is known about the effects of the empathy of health care professionals on patient outcomes. This review investigates the links between physicians' or nurses' empathy and patient outcomes in oncology. Method With the use of multiple databases, a systematic search was performed using a combination of terms and subject headings of empathy or perspective taking or clinicianpatient communication, oncology or end-of-life setting and physicians or nurses. Among the 394 hits returned, 39 studies met the inclusion criteria of a quantitative measure of empathy or empathy-related constructs linked to patient outcomes. Results Empathy was mainly evaluated using patient self-reports and verbal interaction coding. Investigated outcomes were mainly proximal patient satisfaction and psychological adjustment. Clinicians' empathy was related to higher patient satisfaction and lower distress in retrospective studies and when the measure was patient-reported. Coding systems yielded divergent conclusions. Empathy was not related to patient empowerment (e.g. medical knowledge, coping). Conclusion Overall, clinicians' empathy has beneficial effects according to patient perceptions. However, in order to disentangle components of the benefits of empathy and provide professionals with concrete advice, future research should apply different empathy assessment approaches simultaneously, including a perspective-taking task on patients' expectations and needs at precise moments. Indeed, clinicians' understanding of patients' perspectives is the core component of medical empathy, but it is often assessed only from the patient's point of view. Clinicians' evaluations of patients' perspectives should be studied and compared with patients' reports so that problematic gaps between the two perspectives can be addressed. Copyright (C) 2012 John Wiley & Sons, Ltd.