Attaching a new understanding to the patient-physician relationship in family practice.
Attaching a new understanding to the patient-physician relationship in family practice.
复制标题
对家庭实践中的医患关系有了新的认识。
DOI：
10.3122/jabfm.16.3.219
复制
发表时间：
2003
期刊：
影响因子：
--
通讯作者：
Paul S. Ciechanowski
中科院分区：
文献类型：
--
作者：
D. Thompson;Paul S. Ciechanowski
背景
由于与患者及其家属的护理的连续性，家庭医生独特地准备与患者形成持久的临床关系。合作的程度和满意度与患者提供者联盟已被证明有重要的影响，在一系列的医疗问题的治疗结果。提供最佳的护理可能需要家庭医生欣赏的后遗症有临床相关方面的过去的关系出现在医疗保健关系，无论是在他们的病人和自己。概念模型对于帮助认识这些关键方面至关重要。
方法
使用MEDLINE进行文献检索。输入的关键词是“疾病”和“依恋理论。“出现了35篇纯英文的文章，从中收集了进一步的相关参考资料。
结果
依恋理论作为一个有用的模式，突出的重要特征，医患关系，这可能会影响治疗结果的家庭执业设置。它假定每个人都有一种与生俱来的需要，即与他们最早的照顾者形成牢固的依恋关系。为了确保生存，孩子会根据照顾者的依恋风格来调整自己的依恋。随着时间的推移，成熟的人在随后的亲密关系中发展出一种关系风格，这种关系是基于这些早期的，在某种程度上是后来的亲密关系。不安全的依恋风格，可以发展-解雇，全神贯注，恐惧-已被证明会影响临床关系和医疗结果往往是重要的和可预测的方式。
结论
家庭医生可以通过识别患者独特的依恋关系模式，更容易地采取理解，同情和灵活的治疗立场，从而改善医疗结果。
BACKGROUND
As a result of continuity of care with patients and their families, family physicians are uniquely poised to form enduring clinical relationships with their patients. The degree of collaboration in and satisfaction with the patient-provider alliance has been shown to have important implications for treatment outcomes across a range of medical problems. Providing optimal care can require family physicians to appreciate the sequelae of having clinically relevant aspects of past relationships emerge in the health care relationship, both in their patients and in themselves. A conceptual model is essential to assist in recognizing these key aspects.
METHODS
A literature search was conducted using MEDLINE. Key words entered were "illness" and "attachment theory." Thirty-five English-only articles appeared from which further relevant references were gathered.
RESULTS
Attachment theory serves as a useful model for highlighting important features of physician-patient relationships, which can affect treatment outcome in the family practice setting. It posits that everyone has an innate need to form strong attachment bonds to their earliest caregivers. To ensure survival, the child adapts its bonding to the caregiver's attachment style. With time, the maturing person develops a style of relating in subsequent caregiving relationships based on these early, and to some extent later, close relationships. Insecure attachment styles that can develop--dismissing, preoccupied, and fearful--have been shown to affect the clinical relationship and medical treatment outcomes often in important and predictable ways.
CONCLUSION
Family physicians can more easily adopt an understanding, compassionate, and flexible treatment stance by recognizing patients' unique attachment relationship patterns, thereby improving medical treatment outcome.
临床医生作为护理人员：依恋组织在治疗中的作用。
影响因子：
5.9
作者：
Dozier,M;Cue,KL;Barnett,L
通讯作者：
Barnett,L