Effectiveness of empathy in general practice: a systematic review
Effectiveness of empathy in general practice: a systematic review
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DOI：
10.3399/bjgpbjgp13x660814
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发表时间：
2013-01-01
影响因子：
5.9
通讯作者：
Lagro-Janssen, Antoine
中科院分区：
文献类型：
--
作者：
Derksen, Frans;Bensing, Jozien;Lagro-Janssen, Antoine
背景同理心作为一般实践和临床护理中医患沟通的一个特征，被认为是医患关系的支柱。尽管同理心的价值很少受到争论，但在一般实践中却很少讨论其有效性。本文献综述探讨了同理心在一般实践中的有效性。讨论的影响包括：患者满意度和依从性、焦虑和压力感、患者支持、与信息交换相关的诊断和临床结果。目的回顾过去 15 年发表的有关医生同理心在一般实践中的有效性的所有研究的现有文献。设计和设置系统文献检索。方法对 PubMed、EMBASE 和 PsychINFO 数据库进行搜索，并对关键研究和论文进行引文搜索。其中包括 1995 年 7 月至 2011 年 7 月期间以英文发表的原始研究，其中包含有关全科医生同理心的患者体验的经验数据。采用贾科米尼和库克标准进行定性评价。结果按照规定的筛选标准筛选文献，筛选出原始研究964篇；其中，七项在应用质量评估后纳入本次审查。医生同理心与患者满意度之间存在良好的相关性，并且与加强患者支持之间存在直接的正相关关系。同理心可以降低患者的焦虑和痛苦，并提供显着更好的临床结果。结论虽然在这项研究中只能使用少量研究，但总体结果似乎是，在一般实践中，同理心在医患沟通中具有无可置疑的重要性。
BackgroundEmpathy as a characteristic of patient-physician communication in both general practice and clinical care is considered to be the backbone of the patient-physician relationship. Although the value of empathy is seldom debated, its effectiveness is little discussed in general practice. This literature review explores the effectiveness of empathy in general practice. Effects that are discussed are: patient satisfaction and adherence, feelings of anxiety and stress, patient enablement, diagnostics related to information exchange, and clinical outcomes.AimTo review the existing literature concerning all studies published in the last 15 years on the effectiveness of physician empathy in general practice.Design and settingSystematic literature search.MethodSearches of PubMed, EMBASE, and PsychINFO databases were undertaken, with citation searches of key studies and papers. Original studies published in English between July 1995 and July 2011, containing empirical data about patient experience of GPs' empathy, were included. Qualitative assessment was applied using Giacomini and Cook's criteria.ResultsAfter screening the literature using specified selection criteria, 964 original studies were selected; of these, seven were included in this review after applying quality assessment. There is a good correlation between physician empathy and patient satisfaction and a direct positive relationship with strengthening patient enablement. Empathy lowers patients' anxiety and distress and delivers significantly better clinical outcomes.ConclusionAlthough only a small number of studies could be used in this search, the general outcome seems to be that empathy in the patient-physician communication in general practice is of unquestionable importance.