首页|住院期间患者健康素养对医患沟通质量改善的实证分析

住院期间患者健康素养对医患沟通质量改善的实证分析

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目的 探析患者对住院期间医患沟通质量的评分以及评分是如何因患者健康素养而变化,为建立良好的医患沟通、减少出院后不良事件发生提供决策支持。方法 对住院患者进行访谈,以评估其个人特征和健康素养。出院后,患者通过电话完成27项医疗照护人际关系与沟通调查问卷。结果 共有84例患者完成了住院和电话访谈。受试者的平均年龄为55岁,44%的人对健康知识缺乏。总体而言,患者在考虑患者意愿和遵守建议的能力方面的沟通评分最低。健康素养不足的患者在总体清晰度、对患者关切的响应性和对护理过程的解释方面的评分明显较差(P<0。05)。在多变量分析中,与总体清晰度的关系不存在。结论 医生在考虑患者的意愿和遵守建议的能力方面得到了相对较差的评价。健康素养不足的患者在多个领域的医院沟通质量和清晰度较低。在医疗环境中,有必要更加注意有效的健康沟通。。
Empirical analysis of patient health literacy on improving doctor-patient communication quality during hospitalization
Objective This study aims to explore patients'ratings of the quality of doctor-patient communication during hospitalization and how these ratings vary according to patients'health literacy,providing decision-making support for establishing effective doctor-patient communication and reducing adverse events after discharge.Methods Interviews were conducted with hospitalized patients to assess their personal characteristics and health literacy.After discharge,patients completed a 27-item sur-vey on interpersonal relationships and communication in healthcare via telephone.Results A total of 84 patients completed the hospitalization and telephone interviews.The average age of the subjects was 55 years,and 44%reported a lack of health knowl-edge.Overall,patients rated communication regarding their preferences and the ability to adhere to recommendations the lowest.Patients with insufficient health literacy scored significantly lower in overall clarity,responsiveness to patient concerns,and expla-nations of the nursing process(P<0.05).In multivariable analysis,there was no relationship with overall clarity.Conclusion Doctors received relatively poor evaluations in considering patients'preferences and adherence capabilities.Patients with insuf-ficient health literacy exhibited lower quality and clarity in multiple areas of hospital communication.There is a need for greater attention to effective health communication in medical settings.

Health literacyHospitalized patientsDoctor-patient communication

焦剑、王天秀

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海南医学院马克思主义学院 海南海口 571199

健康素养 住院患者 医患沟通

2024

现代医院
广东省医院协会

现代医院

影响因子:1.332
ISSN:1671-332X
年,卷(期):2024.24(10)