Eye contact in patient-centered communication
Eye contact in patient-centered communication
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DOI：
10.1016/j.pec.2010.12.002
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发表时间：
2011-03-01
影响因子：
3.5
通讯作者：
Cook, Mary Ann
中科院分区：
文献类型：
--
作者：
Gorawara-Bhat, Rita;Cook, Mary Ann
目的：为了解医患互动中目光接触与以患者为中心的沟通（PC）之间的关系，采用以患者为中心的行为编码量表（PBCI）和欧洲沟通总体评定量表（Eurocommunication Global Ratings Scale）对22盘美国国立老年研究所（NationalInstituteofAging）的录像带进行测量。使用NDEPT中改进的眼神接触量表测量眼神接触。定性观察技术被用来了解眼神接触如何影响沟通。结果：使用这两种仪器时，在PC中发现“高”眼神接触录音都“高”。然而，大多数“低”磁带也被发现是“高”的PC。医生的行为在两个方面明显不同：（1）高磁带的特点是更多的“持续”的目光接触事件：低磁带由更多的“简短”事件组成;（2）简短事件磁带显示出对“图表”的更多关注，即“听”被剥夺了“看”：持续的发作表现出对“病人”的关注，即“听”伴随着“看”，表明以病人为中心的沟通。结论：全面了解老年患者与医生的互动需要包括以患者为中心的沟通的“听”和“看”组成部分。目光接触作为一个显着的因素，在PC的表达，使其成为一个非语言层面的PC仪器纳入势在必行。(C)2010爱思唯尔爱尔兰有限公司版权所有。
Objective: To understand the relationship between eye contact and patient-centered communication (PC) in physician-elder patient interactions.Methods: Two instruments-Patient-centered Behavior Coding Instrument (PBCI) and Eurocommunication Global Ratings Scale-were used to measure PC in 22 National Institute of Aging videotapes. Eye contact was measured using a refined eye contact scale in NDEPT. Qualitative observational techniques were used to understand how eye contact can implicate communication.Results: 'High' eye contact tapes were found to be 'high' in PC using both instruments. However, the majority of 'low' tapes were also found to be 'high' in PC. Physicians' behavior distinctly differed in two ways: (1) high tapes were characterized by more 'sustained' eye contact episodes: low tapes consisted of a greater number of 'brief' episodes; (2) brief episode tapes showed a greater focus on 'charts', i.e. 'listening' was bereft of 'looking': sustained episodes showed a focus on 'patients', i.e. 'listening' was accompanied by 'looking' indicating patient-centered communication.Conclusions: A comprehensive understanding of elder patient-physician interaction needs to include both-'listening' and 'looking' components of patient-centered communication.Practice implications: Eye contact serves as a salient factor in the expression of PC, making it imperative to incorporate as a nonverbal dimension in PC instruments. (C) 2010 Elsevier Ireland Ltd. All rights reserved.