Can 40 seconds of compassion reduce patient anxiety?
Can 40 seconds of compassion reduce patient anxiety?
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DOI：
10.1200/jco.1999.17.1.371
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发表时间：
1999-01-01
影响因子：
45.3
通讯作者：
Somerfield, MR
中科院分区：
文献类型：
--
作者：
Fogarty, LA;Curbow, BA;Somerfield, MR
目的：使用标准化的录像带刺激，以评估观众的焦虑，信息回忆，治疗决策，和评估医生的特点，医生的同情心的影响，参与者和方法：123名健康女性乳腺癌幸存者和87名妇女没有癌症被招募为这项研究。一个随机的前测/后测控制组设计与标准化的录像带干预，参与者完成了状态-特质焦虑量表（STAI），信息回忆测试，同情心评级，和医生属性评级量表，结果：妇女谁看到了“增强同情心”的录像带评价医生更温暖，更关心，更敏感，更富有同情心比妇女谁看了“标准”的录像带。看过增强同情心录像带的妇女在看完录像带后的焦虑程度明显低于另一组妇女，然而，两组的信息回忆都相对较低，增强同情心并不影响病人的决定。那些看过增强同情心录像带的人对医生的其他积极属性的评价明显更高，例如想要什么对病人最好，鼓励病人的问题和参与决策。结论：增强同情心部分简短，简单，有效地减少了观众的焦虑。需要进一步的研究将这些发现转化为临床环境，其中减少患者焦虑是治疗目标（J Clin Oncol 17：371-379，（C）1999，American Society of Clinical Oncology）。
Purpose: To use a standardized videotape stimulus to assess the effect of physician compassion on viewers' anxiety, information recall, treatment decisions, and assessment of physician characteristics,Participants and Methods: One hundred twenty-three healthy female breast cancer survivors and 87 women without cancer were recruited for this study. A randomized pretest/posttest control group design with a standardized videotape intervention was used, Participants completed the State-Trait Anxiety Inventory (STAI), an information recall test, a compassion rating, and physician attribute rating scales,Results: Women who saw an "enhanced compassion" videotape rated the physician as warmer and more caring, sensitive, and compassionate than did women who watched the "standard" videotape. Women who saw the enhanced compassion videotape were significantly less anxious after watching it than the women in the other group, Nevertheless, information recall was relatively low for both groups, and enhanced compassion did not influence patient decisions. Those who saw the enhanced compassion videotape rated the doctor significantly higher on other positive attributes, such as wanting what was best for the patient and encouraging the patient's questions and involvement in decisions,Conclusion: The enhanced compassion segment was short, simple, and effective in decreasing viewers' anxiety. Further research is needed to translate these findings to the clinical setting, where reducing patient anxiety is a therapeutic goal.J Clin Oncol 17:371-379, (C) 1999 by American Society of Clinical Oncology.