Nonverbal communication in doctor-elderly patient transactions (NDEPT): development of a tool.
Nonverbal communication in doctor-elderly patient transactions (NDEPT): development of a tool.
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医生与老年患者交易中的非语言交流（NDEPT）：工具的开发。
DOI：
10.1016/j.pec.2006.12.005
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发表时间：
2007
影响因子：
3.5
通讯作者：
Sachs,GregA
中科院分区：
文献类型：
--
作者：
Gorawara-Bhat,Rita;Cook,MaryAnn;Sachs,GregA
有几种测量工具来评估临床遇到的语言维度;相反，没有既定的工具来评估老年人遇到的身体非语言维度。本论文介绍了一种工具的发展，以评估物理环境的检查室在医生，老年患者visits.METHODSalient功能的工具，来自医学文献和系统的观察录像带和完善在目前的research. METHODS工具包括两个主要方面的检查室：（1）物理维度，包括通过空间配置变得可操作的静态和动态属性，并且可以影响（2）的表现CONCLUSION详细的编码形式和评分员间的可靠性。通过对50个国家老龄化研究所录像带的分析，证明了该工具的实用性。在没有桌子的检查室中，没有身高差异和最佳互动距离的医生比有桌子的检查室中的医生有更多的目光接触和触摸，类似的高度差和相互作用距离。实践意义该工具可以使医生能够评估检查室的空间配置（通过A部分和B部分），从而促进运动属性的结构化（C部分）。
OBJECTIVEThere are several measurement tools to assess verbal dimensions in clinical encounters; in contrast, there is no established tool to evaluate physical nonverbal dimensions in geriatric encounters. The present paper describes the development of a tool to assess the physical context of exam rooms in doctor–older patient visits.METHODSalient features of the tool were derived from the medical literature and systematic observations of videotapes and refined during current research.RESULTSThe tool consists of two main dimensions of exam rooms: (1) physical dimensions comprising static and dynamic attributes that become operational through the spatial configuration and can influence the manifestation of (2) kinesic attributes.CONCLUSIONDetails of the coding form and inter-rater reliability are presented. The usefulness of the tool is demonstrated through an analysis of 50 National Institute of Aging videotapes. Physicians in exam rooms with no desk in the interaction, no height difference and optimal interaction distance were observed to have greater eye contact and touch than physicians’ in exam rooms with a desk, similar height difference and interaction distance.PRACTICE IMPLICATIONSThe tool can enable physicians to assess the spatial configuration of exam rooms (through Parts A and B) and thus facilitate the structuring of kinesic attributes (Part C).