An Intervention Study of Clinician-Patient Nonverbal Interactions and Patient Perceptions of Visits
An Intervention Study of Clinician-Patient Nonverbal Interactions and Patient Perceptions of Visits
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临床医患非语言互动和患者就诊感受的干预研究
DOI：
10.4172/2472-1654.100120
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发表时间：
2018
期刊：
影响因子：
--
通讯作者：
E. Montague
中科院分区：
文献类型：
--
作者：
E. Montague
本研究的目的是描述特定临床医生非语言行为对患者非语言互动和临床医生认知的影响。进行了一项随机对照试验，以评估临床医生培训对改善患者对临床就诊的看法的影响。 271 名患者因感冒症状去看了与他们之前没有关系的临床医生。临床医生接受过培训，可以按照本研究明确定义的“标准”（A 型）或“增强”（B 型）模式与患者互动。他们被随机分配在这两种情况之一下与患者互动。在增强状态下，临床医生努力通过以患者为中心的谈话和积极的非语言行为（例如眼神交流）来建立融洽的关系。这些遭遇被录像并分析非语言互动。这项研究的结果表明，增强行为训练成功地增加了临床医生在治疗过程中特定的积极非语言行为的数量。此外，当临床医生进行某些文化上推荐的建立融洽关系的非语言互动（例如但不限于眼神交流）时，他们能够积极影响患者的非语言行为和患者对临床医生的看法。这项研究的结果可用于为医生提供培训，并确定如何设计技术以促进健康遭遇中积极的人际互动。如果眼神交流对于建立融洽关系并最终改善健康结果很重要，那么技术应该支持而不是阻碍这种非语言暗示。
The aim of this study is to characterize the effects of specific clinician nonverbal behaviors on patient nonverbal interaction and perceptions of clinicians. A randomized controlled trial was conducted to evaluate the effects of clinician training on improving patient perceptions of the clinical visit. Two hundred and seventy one patients saw clinicians that they had no prior relationship with for cold symptoms. The clinicians were trained to interact with patients in either “standard” (type A) or “enhanced” (type B) mode as expressly defined by this study. They were randomly assigned to interact with the patient in one of these two conditions. In the enhanced condition, clinicians made efforts to create rapport by patient-oriented talk and positive nonverbal behaviors such as making eye contact. The encounters were videotaped and the nonverbal interactions were analyzed. The results of this study show that the training of enhanced behaviors was successful in increasing the clinicians’ amount of specific positive nonverbal behaviors in the encounter. Additionally, when clinicians engaged in certain culturally recommended rapportbuilding nonverbal interactions such as, but not limited to, eye contact, they were able to positively influence patient nonverbal behaviors and patient perceptions of clinicians. Results of this study could be used to develop training for physicians and to determine how technologies should be designed to facilitate positive interpersonal interactions in health encounters. If eye contact is important to rapportbuilding and ultimately to improved health outcomes, then technologies should support and not impede such nonverbal cues.
患者对与医生相处的时间感到满意。
DOI：
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发表时间：
1998
期刊：
The Journal of family practice.
影响因子：
--
作者：
Gross,DA;Zyzanski,SJ;Borawski,EA;Cebul,RD;Stange,KC
通讯作者：
Stange,KC