摘要
众多的观察研究发现建立相互信任的良好医患关系能够改善患者的治疗效果,提高患者满意度,且患者遵从医嘱配合治疗的比率也显著提高,甚至减少了不必要的医疗费用。本文旨在运用便于记忆的方法,介绍在美国如何训练医师与患者建立良好的医患关系。使用GUEST(宾客)的单词从5个方面来论述,G代表Good Bedside Manner(对患者有好的态度,包括语言、表情、肢体语言等),U代表Understanding(理解,包括对患者身体与精神状况的认识),E代表Empathy(同理心,学会换位思考),S代表Sympathy(同情心,对患者有同情心才能从患者的角度或利益思考问题),T代表Treatment(治疗,治疗方案以患者获益最大化为前提)。在日常医疗工作中,如果医护人员能从这5个方面与患者建立良好关系,可使医患双方在医疗过程中彼此信任、相互配合,取得最佳的治疗效果。
A lot of research and observation have revealed that good interpersonal relationships between doctors and patients are associated with improvements in patients'outcomes and satisfaction,adherence to treatment,quality of life,and decreased health care costs.It is the purpose of this review to introduce a mnemonic device for an approach that American doctors use to establish good relationships.The mnemonic“GUEST”is used to describe five different aspects of a positive doctor-patient relationship.Here,the G stands for Good Bedside Manner,which includes verbal language,expression,and even body language.The U stands for Understanding,which refers to comprehension of the patient’s physical and mental symptoms.The E stands for Empathy,which means that doctors should put themselves in the position of their patients when considering their complaints.The S stands for Sympathy,which is an essential component in ensuring that the treatment decision is the best one for the patient's interests.The T stands for Treatment,which teaches that the therapeutic plan should be made for the patient’s benefit,even if it may be in conflict with doctor’s own interests.Doctor-patient relationships can be improved if medical professionals apply the“GUEST”approach in the course of their ordinary clinical service.In turn,positive doctor-patient relationships will build trust between doctors and patients,which will increase the satisfaction of both parties.Most importantly,better doctor-patient relationships will translate to better patient outcomes.
作者
李新农
LI Xinnong(University of California at Davis,School of Medicine,California 95628,USA)
出处
《中国毕业后医学教育》
2018年第5期397-400,共4页
Chinese Journal of Graduate Medical Education
关键词
医患关系
态度
理解
同理心
同情心
Doctor-patient relationship
Bedside Manner
Understanding
Empathy
Sympathyy
