Qualitative study of Nocebo Phenomenon (NP) involved in doctor-patient communication
Qualitative study of Nocebo Phenomenon (NP) involved in doctor-patient communication
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DOI：
10.15171/ijhpm.2014.54
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发表时间：
2014-06-01
影响因子：
3.5
通讯作者：
Khaleeq-Uz-Zaman
中科院分区：
文献类型：
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作者：
Ashraf, Bushra;Saaiq, Muhammad;Khaleeq-Uz-Zaman
背景：医患沟通对患者的整体幸福感有着深远的影响。在医生的医疗器械中，语言是强有力的工具，既有治疗的作用，也有伤害的作用。医生需要注意他们的措辞。本研究旨在确定外科医生和麻醉师在各种介入手术过程中（如手术、麻醉和与患者的关键沟通）的沟通无意中引起的Nocebo现象（NP）的频率和模式。方法：这项研究是由巴基斯坦医学科学研究所（PIMS）医学教育部（DME）进行的，Shaheed Zulfiqar Ali Bhutto医科大学，伊斯兰堡，为期六个月。所有居民和教职员工在我们的研究所在各个外科和麻醉部门组成的研究人口。结果：医患沟通中NP占显著比例。这是更频繁地观察到与女性性别的专业人员，居民身份与教师职位，和较短的专业经验（即，
Background: Doctor-patient communication has far reaching influences on the overall well-being of the patients. Words are powerful tools in the doctor's armamentarium, having both healing as well as harming effects. Doctors need to be conscious about the choice of their words. This study aimed to determine the frequency and pattern of Nocebo Phenomenon (NP) un-intentionally induced by the communication of surgeons and anesthetists through the course of various interventional procedures such as surgery, anesthesia, and crucial communication encounters with their patients.Methods: The study was carried out by the Department of Medical Education (DME), Pakistan Institute of Medical Sciences (PIMS), Shaheed Zulfiqar Ali Bhutto Medical University (SZABMU), Islamabad over six months period. All residents and faculty members serving at our institute in various surgical and anesthesia departments constituted the study population. A questionnaire was employed as the data collection tool.Results: Significant proportions of the doctor-patient communications under scrutiny entailed NP. It was more frequently observed in association with female gender of the involved professionals, residency status versus faculty position, and shorter professional experience (i.e.