Impact of physician empathy on migraine disability and migraineur compliance.

Impact of physician empathy on migraine disability and migraineur compliance.
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DOI:
10.4103/0972-2327.100025
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发表时间:
2012-08
影响因子:
1.7
通讯作者:
Chandramani S
Chandramani S
中科院分区:
医学4区
文献类型:
--
作者:
Attar HS;Chandramani S

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我们的目标是确定医生的同理心在确定偏头痛患者的治疗结果和遵守偏头痛管理计划方面所发挥的作用。我们检查了感知到的医生同理心与临床结果以及管理计划的遵守情况之间的关联。 2011 年 7 月至 9 月期间,共有 63 名偏头痛患者入组。纳入研究时进行的调查问卷包括对偏头痛所致残疾的自我评估(偏头痛残疾评估测试),以及偏头痛患者对医生同理心的评估(咨询和关系同理心测量)。三个月后,通过电话调查问卷确定了偏头痛导致的残疾变化以及偏头痛治疗的依从性。数据输入Microsoft Excel 2010并使用SPSS 17进行分析。采用Pearson相关性来分析变量之间关系的显着性。 P 值小于 0.05 被认为具有统计显着性。三个月内,感知同理心与偏头痛残疾和症状的减少之间存在统计学上显着的正皮尔逊相关性(P < 0.05)。感知同理心与饮食/进餐时间、锻炼、减压/睡眠模式调整和药物治疗的依从性之间也存在显着的正相关关系(P < 0.05)。自我报告的依从性与患者预后的改善显着相关(P < 0.05)。研究发现,医生的同理心与偏头痛患者的治疗结果以及对管理计划的遵守情况之间存在显着的正相关关系。这强调了同理心在偏头痛患者与医生沟通中的重要性。
We aim to establish the role that perceived physician empathy plays in determining migraineurs’ outcomes and compliance with migraine management plans. We checked for associations between perceived physician empathy and clinical outcomes as well as compliance with management plans. 63 migraineurs were enrolled between July and September 2011. Questionnaire administered at the time of inclusion into the study included self-assessment of disability due to migraine (Migraine Disability Assessment Test) followed by migraineurs’ assessment of physician empathy (Consultation and Relational Empathy Measure). Three months later, a telephonic questionnaire ascertained changes in disability due to migraine and compliance with migraine treatment. Data was entered in Microsoft Excel 2010 and analyzed using SPSS 17. Pearson's correlation was employed to analyze the significance of relationship between variables. P-value of less than 0.05 has been considered statistically significant. Statistically significant positive Pearson's correlations are seen between perceived empathy and decrease in migraine disability and symptoms over three months (P < 0.05). Significant positive relationships are also seen between perceived empathy and compliance with diet/meal timings, exercising, de-stressing/sleep pattern modification and medications (P < 0.05). Self-reported compliance is significantly correlated with improved patient outcomes (P < 0.05). Substantial positive associations are found between perceived physician empathy and migraineurs’ outcomes and compliance with management plans. This emphasizes the importance of empathy in migraineur-physician communication.
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