Medical communication

医疗通信
  • 文章类型: Journal Article
    仿生学是将自然界的现有特征应用于人类技术,例如受鸟类飞行启发的飞机的发明。在医疗解决方案的发展中,仿生是一个不断发展的研究领域,对自然的全面理解可以激发尖端设计。这项研究的目的是创建一个教育,视觉资源体现了仿生学的新兴医学应用。创建了一个网站来呈现2D运动图形(动画)和插图。动画是向公众传达健康信息的一种既定且有用的方法。这为公众提供了一个可访问的界面,可以与该研究领域进行互动和了解。弥合两者之间的差距。增加公众知识,订婚,兴趣可以扩大影响范围,从而影响未来的研究。进行了一项调查,以评估公众对生物仿生和医学设计的资源和主题的参与和意见。结果表明,参与者积极地参与了该资源;95.7%的人强烈同意/同意动画对学习有益。所有回应的参与者都同意,仿生可以为医学设计提供有用的解决方案。这项研究表明,图形动作可以有效地传达复杂的想法以进行公共宣传。
    Biomimicry is the application of existing features in nature to human technologies, such as the invention of aircraft inspired by bird flight. In the development of medical solutions, biomimicry is a growing field of research, where a holistic understanding of nature can inspire cutting-edge design. The purpose of this study was to create an educational, visual resource exemplifying up-and-coming medical applications of biomimicry. A website was created to present 2D motion graphics (animations) and illustrations. Animation is an established and useful method of communicating health information to the public. This presents an accessible interface for the public to interact with and learn about this area of research, bridging the gap between the two. Increasing public knowledge, engagement, and interest can expand the reach and thereby influence future research. A survey was conducted to assess public engagement and opinions on both the resource and the topic of biomimicry and medical design. The results suggested that participants positively engaged with the resource; 95.7% strongly agreed/agreed that the animations were beneficial for learning. All responding participants agreed that biomimicry could provide useful solutions in medical design. This study suggests that graphic motions are effective at communicating complex ideas for public outreach.
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  • 文章类型: Journal Article
    高质量牙科护理的有效性主要取决于牙医与患者之间的沟通。然而,很少有文献报道这些“软技能”在牙科实践中的重要性。这篇文献综述的目的是探索有效的牙医与患者沟通的策略。牙医与患者的沟通是一个双向的过程,涉及思想交流,应该是明确的(易于理解),正确(准确),简洁(直截了当),完整(有基本信息),和凝聚力(组织良好)。有效的沟通使患者能够掌握对自己的口腔健康做出明智决定所需的知识。它不仅提高了牙医的效率,增强了患者的信心,同时也减轻了患者的牙科焦虑和恐惧,满足患者的需求和偏好,增加患者的依从性,提高患者满意度。为了加强牙医与患者的沟通,牙医应以患者为中心为前提。该方法包括了解患者的疾病,共同决策,并按照患者自己的节奏进行有意识的干预。此外,牙医应该使用简单,简洁的语言,适当的身体姿势,手势,面部表情,与患者互动时的眼神交流。牙医应该表现出同理心,鼓励问题和反馈,使用视觉辅助工具,给病人充足的时间。如今,牙医和他们的病人在他们的通信中使用消息应用程序。这种形式的电信不仅是一种方便的通信方式,而且还降低了与牙医就诊相关的成本。总之,有效的牙医与病人的沟通对于牙科实践的成功至关重要。优先考虑沟通并与患者建立积极关系的牙医更有可能取得积极成果并促进其牙科实践的扩展。
    The effectiveness of high-quality dental care predominantly lies on the communication between dentist and patient. However, little literature has reported the importance of these \"soft skills\" in dental practice. The aim of this literature review is to explore strategies for effective dentist-patient communication. Dentist-patient communication is a bidirectional process involving the exchange of ideas that should be clear (easy to understand), correct (accurate), concise (to the point), complete (with essential information), and cohesive (well-organized). Effective communication empowers patients with the knowledge required to make an informed decision about their own oral health. It not only improves the dentist\'s efficiency and boosts patient confidence, but also alleviates patients\' dental anxiety and fear, addresses patients\' needs and preferences, increases patients\' adherence, and enhances patient satisfaction. To enhance dentist-patient communication, dentists should take the patient-centered approach as a premise. The approach comprises understanding patients\' illnesses, shared decision-making, and mindful intervention at the patient\'s own pace. In addition, dentists should use simple, succinct language, proper body posture, gestures, facial expressions, and eye contact when interacting with patients. Dentists should show empathy, encourage questions and feedback, employ visual aids, and give ample time to patients. Nowadays, dentists and their patients use messaging applications in their communication. This form of telecommunication is not only a convenient way of communication but also reduces the costs associated with a dentist visit. In conclusion, effective dentist-patient communication is vital for the success of dental practice. Dentists who prioritize communication and build positive relationships with their patients are more likely to achieve positive outcomes and foster the expansion of their dental practice.
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  • 文章类型: Journal Article
    A hazánk felnőtt lakosságának közel egyharmadát érintő elhízás krónikus betegség, amely más krónikus betegségek kockázati tényezőjeként rontja a szomatikus és mentális egészséget, az életminőséget és az életkilátásokat. Valamennyi bizonyítékalapú testsúlycsökkentő terápia alapja az életmódváltás, amely minimálisan az energiabevitel korlátozását és a fizikai aktivitás növelését igényli. A betegek azonban az esetek túlnyomó többségében vonakodnak az életmódváltástól, aggodalmakat fejezve ki ezzel kapcsolatban (például „Én a levegőtől is hízom!”, „Nem bírok sportolni!”, „Nem akarok éhezni!”). Gyakori az orvosok részéről e félelmek „kifogásként” történő értelmezése. Ez az interpretáció egyfelől indulatot szül a páciensek irányában, másfelől meggátolja a figyelmes meghallgatást és az empátia kifejezését, így az ellenállás hátterében álló tényezők nem kerülnek feltárásra, feloldásra. Ennek következtében a szakember vagy nem tudja bevonni a pácienst a terápiába, vagy ha mégis, akkor az együttműködés mértéke elmarad az elvárttól, rontva a kezelés hatékonyságát. A páciens kioktatása vagy akár elmarasztalása pedig rontja az orvos-beteg kapcsolatot, és az egészségügyi ellátórendszer kerüléséhez vezethet, ami súlyosbíthatja úgy a súlyfelesleg mértékét, mint a kísérő betegségek lefolyását. A jelen tanulmány célja annak bemutatása, hogy hogyan érdemes reagálni a páciensek vonakodást kifejező mondataira, és milyen kommunikációs eszközökkel facilitálhatjuk a súlycsökkentő kezelésbe való sikeres bevonódást és az életmódváltás iránti elköteleződés erősödését, eszközöket adva az egészségkárosító szokások fokozatos leépítéséhez és a hosszú távon is fenntartható, hatékony, egészséges testtömegkontrollt szolgáló egészségvédő szokások kialakításához. Orv Hetil. 2024; 165(19): 727–733.
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  • 文章类型: Case Reports
    一名38岁的病理学家出现了多发性渐逝白点综合征(MEWDS)。他使用光学显微镜进行病理诊断,详细记录了他的视力障碍。值得注意的是,患者说明的主观缺陷与诊断结果在时空上具有良好的一致性.本报告通过对主观经验和客观临床发现的比较分析,增强了对与MEWDS相关的视力障碍的理解。
    A 38-year-old pathologist developed multiple evanescent white dot syndrome (MEWDS). He documented his visual impairment in detail utilizing a light microscope for pathological diagnosis. Notably, the subjective defects illustrated by the patient were in good spatiotemporal agreement with diagnostic outcomes. The present report enhances the understanding of visual impairment associated with MEWDS through a comparative analysis of subjective experiences and objective clinical findings.
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  • 文章类型: Journal Article
    背景:据说医生应在治疗方案信息方面为患者提供准确的证据。然而,在某些情况下,尽管医生提供了准确和充分的信息,患者仍然选择医学上不推荐的治疗方法。这项研究的目的是阐明当医生在提供有关癌症治疗的信息时改变解释框架时,患者的决定有何不同。
    方法:2017年3月进行了在线问卷调查。通过一家调查公司的帮助,我们通过电子邮件向最近2年内接受治疗的1,360名癌症患者发送了问卷.我们将参与者随机分配到6种晚期癌症患者的假设情景中,并以不同的方式提出了假设的证据。随后,我们询问调查参与者是否会选择接受额外的抗癌治疗.
    结果:尽管方案之间没有统计学上的显着差异,“社会负担”组显示,倾向于继续药物无效的抗癌治疗的患者比例低于对照组,10%的显著性水平。该情景显著影响患者的遗弃感[F(5,1,354)=5.680,P<0.001],痛苦感[F(5,1,354)=3.920,P=0.002],和改进的必要性[F(5,1,354)=2.783,P=0.017]。
    结论:在考虑停止抗癌治疗的情况下,Nudges未显示有效。另一方面,一些轻推被发现是侵入性的,应该谨慎使用。
    BACKGROUND: It has been said that physicians should provide their patients with accurate evidence in terms of information on treatment options. However, in some cases, although the physician provides accurate and sufficient information, the patient still chooses the medically not-recommended treatment. The purpose of this research is to clarify how patients\' decisions differ when a physician changes the frame of an explanation when he/she provides information about cancer treatment.
    METHODS: An online questionnaire survey was conducted in March 2017. Through the aid of a survey company, we emailed questionnaires to 1,360 cancer patients who received treatment within the last 2 years. We randomly assigned participants to 6 hypotheticals scenario of a terminal cancer patient, and presented hypothetical evidence in different ways. Subsequently, we asked survey participants whether they would choose to receive additional anti-cancer treatment.
    RESULTS: Although there was no statistically significant difference between scenarios, the \"social burden\" groups showed a lower rate of patients who preferred to continue a medically ineffective anti-cancer treatment than the control group, at a 10% significance level. The scenario significantly affected the patients\' sense of abandonment [F(5, 1,354)=5.680, P<0.001], sense of distress [F(5, 1,354)=3.920, P=0.002], and necessity of improvement [F(5, 1,354)=2.783, P=0.017].
    CONCLUSIONS: Nudges were not shown to be effective in situations where discontinuation of anticancer treatment was being considered. On the other hand, some nudges were found to be invasive and should be used with caution.
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  • 文章类型: Journal Article
    目的:这项研究的目的是描述影响拉脱维亚学龄前儿童正常牙齿发育的因素,并调查母亲用来获取儿童口腔健康信息的来源。
    方法:在拉脱维亚的两个幼儿园进行了横断面研究(整群抽样)。研究样本包括141对4-7岁的学龄前儿童。评估所有儿童的牙齿状况,包括正畸医生和言语治疗师的评估,和孩子的母亲填写了关于口腔健康相关习惯和信息的调查。
    方法:我们分别描述了与正畸情况有关的因素,儿童的言语问题,以及影响舌推力的因素。我们使用单变量调查了母亲信息来源与口腔健康相关行为之间的关系(Kruskal-Wallis检验,卡方检验,费希尔检验,或CramerV检验)和多变量分析。我们建立了一个调整人口统计学和口腔健康相关因素的多元逻辑回归模型,以调查与舌头推力相关的因素。多元逻辑回归的结果以比值比(OR)和95%置信区间(CI)表示。
    结果:总计,36.9%的儿童每周吃几次蔬菜,61.0%每天清洁牙齿两次。母亲们,12%的人没有从他们的全科医生那里收到任何关于儿童牙科护理的信息,23.4%认为收到的资料不足。共有43.3%的母亲从朋友那里收到口腔健康相关资料,与碳酸水少显著相关(p<0.01),更多的帮助在牙齿清洁(p=0.03),在较早的年龄开始清洁牙齿(p=0.03),更频繁地拜访儿童牙医(p=0.03)。
    结论:发现拉脱维亚幼儿园儿童的母亲缺乏知识是突出的,他们中的大多数人收到的信息不是来自官方来源,如他们的普通医生。这可能与口腔健康行为和口腔健康相关疾病中的一些问题有关。牙科健康专家之间的沟通,国家当局,家庭对于改善儿童的牙齿状况至关重要。
    OBJECTIVE: The aim of this study was to describe the factors that affect the normal dental development of preschool children in Latvia, and to investigate sources that mothers use to get information on children\'s oral health.
    METHODS: A cross-sectional study was performed in two kindergartens in Latvia (cluster sampling). The study sample comprised 141 child-mother pairs of preschool children aged 4-7 years. The dental situation of all children was assessed including evaluation by an orthodontist and a speech therapist, and mothers of children filled out the survey on oral health-related habits and information about it.
    METHODS: We described individually factors related to orthodontal situations, children\'s speech problems, and factors that can affect tongue thrust. We investigated relationships between sources of mothers\' information and oral health-related behaviors using univariate (Kruskal-Wallis test, a chi-squared test, a Fisher test, or Cramer\'s V test) and multivariate analyses. We built a multiple logistic regression model adjusted for the demographic and oral health-related factors to investigate the factors associated with tongue thrust. Results of multiple logistic regression were presented with odds ratio (OR) and 95% confidence intervals (CI).
    RESULTS: In total, 36.9% of children grazed vegetables several times a week, and 61.0% cleaned their teeth twice a day. Of mothers, 12% did not receive any information about child dental care from their general physician, and 23.4% found the received information insufficient. A total of 43.3% of mothers received oral health-related information from friends, and it was significantly related to less carbonated water (p < 0.01), more help during teeth cleaning (p = 0.03), starting cleaning teeth in earlier age (p = 0.03), and more frequent visits to a child dentist (p = 0.03).
    CONCLUSIONS: A lack of knowledge was found to be prominent in mothers of kindergarten children in Latvia, and most of them received information not from official sources such as their general physician. This can be related to some problems in oral health behaviors and oral health-related diseases. Communication among dental health specialists, state authorities, and families is crucial for the improvement of children\'s dental situation.
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  • 文章类型: Journal Article
    本文已迁移。这篇文章被标记为推荐。COVID-19大流行期间错误信息的扩散提供了一个明显的例子,说明当医疗专业人员不与公众就健康主题进行接触时可能发生的危害。为了解决这种对可访问的需求,准确的医疗信息,我们为医学生讲授了针对COVID-19的特定课程,旨在通过社交媒体与非专业人士分享这些信息。通过主动学习,学生发展了他们对疾病特异性病理生理学的理解,预防技术,治疗,和公共卫生干预措施,同时作为卫生专业人员练习公共沟通新技能。两个小组完成课程后,学生们关于COVID-19的高质量医疗信息达到>10万观众。为进一步扩大影响,我们通过美国医学院协会(AAMC)iCollaborative分享了课程课程。该课程为未来医学生与外行受众进行健康交流提供了一个模型。
    This article was migrated. The article was marked as recommended. The proliferation of misinformation during the COVID-19 pandemic provides a clear example of the harms that can occur when medical professionals do not engage with the public regarding health topics. To address this need for accessible, accurate medical information, we taught medical students a COVID-19-specific curriculum tailored to sharing this information with the lay public via social media. Through active learning, students developed their understanding of disease-specific pathophysiology, prevention techniques, treatments, and public health interventions while practicing new skills in public communication as health professionals. After two cohorts completed the course, students\' high-quality medical information about COVID-19 reached >100,000 viewers. To further broaden the impact, we shared the course curriculum through the Association of American Medical College (AAMC) iCollaborative. This curriculum provides a model for future engagement of medical students in health communication with lay audiences.
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  • 文章类型: Journal Article
    背景:当一个人接近生命的尽头时,文化和种族越来越多地推动护理的偏好和优先事项。了解这些偏好和优先事项对于医疗保健专业人员的目标至关重要,即在整个生命阶段尊重决策并支持个人。在整个非洲,一些国家正处于在其新兴的医疗保健系统中实施姑息治疗服务的初始阶段。往前走,与西方世界相比,必须考虑文化的相似性和差异性,姑息治疗领域的发展,创建符合非洲文化的量身定制的姑息治疗方法。在姑息治疗中,了解文化偏好和优先事项需要患者和提供者之间的沟通,这是在非洲成功实施的关键一步。家长式的患者-提供者关系是撒哈拉以南非洲当前的主要模式。1目的:这篇叙述性综述探讨了家长式的普遍性,并探讨了其在撒哈拉以南非洲国家姑息治疗的当前应用中的适当性和必要性。方法:使用四个数据库以及从已选择的文章的参考文献中获取相关文章的手工搜索进行叙事回顾。共识别出730篇文章。14篇文章符合本叙述性审查的纳入/排除标准。结果:在撒哈拉以南非洲,主要的患者-提供者关系被确定为家长式。原因是语言,教育,文化规范和期望,缺乏时间,和仁慈。结论:姑息治疗的实施通常依赖于患者愿望和目标的沟通。需要考虑确定提供者如何在家长式关系中适当地了解这些因素。
    Background: As a person nears the end of their life, culture and ethnicity increasingly drive preferences and priorities for care. Understanding these preferences and priorities is fundamental to health care professionals\' goals to respect decision making and support the individual throughout this phase of life. Across Africa, several countries are in the initial stages of implementing palliative care services in their burgeoning health care systems. Moving forward, it is imperative to consider cultural similarities and differences when compared with the Western world, where the field of palliative care evolved, to create a tailored palliative care approach that is consistent with African culture. In palliative care, understanding cultural preferences and priorities requires communication between the patient and the provider and is a crucial step toward a successful implementation in Africa. A paternalistic patient-provider relationship is the current leading model in sub-Saharan Africa.1 Aim: This narrative review explores the prevalence of paternalism and explores its appropriateness and necessity in the current application of palliative care in sub-Saharan African countries. Methods: This narrative review was conducted using four databases as well as hand searching of relevant articles sourced from references of already selected articles. A total of 730 articles were identified. Fourteen articles met the inclusion/exclusion criteria set for this narrative review. Results: In sub-Saharan Africa, the leading patient-provider relationship was determined to be paternalistic. Reasons for this were language, education, cultural norms and expectations, lack of time, and benevolence. Conclusions: The implementation of palliative care often relies on communication of patient desires and goals. Consideration is needed to determine how a provider can appropriately know these factors in a paternalistic relationship.
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  • 文章类型: Journal Article
    背景:我们对医护人员对儿科肿瘤学姑息治疗态度的了解很少。我们旨在评估他们对匈牙利姑息治疗的看法,并找到如何为儿童提供良好姑息治疗的问题的答案。
    方法:采访了在儿科肿瘤学领域工作的医生(n=30)和护士(n=43)(其中12人是临终关怀专业)。姑息治疗实践(沟通,整合姑息治疗,专业人士的感情和态度,和改进的机会)通过半结构化访谈通过叙事分类内容分析和主题分析以定量和定性的混合方式进行评估。
    结果:所有提供者都表现出高度的负面情绪,积极评价,并使用了许多主动动词。护士表现出更高水平的否认,更多自我参考,更有可能强调损失。医生强调了沟通有关适当或不适当姑息治疗的重要性。临终关怀专家表现出更高的被动动词率,较低的自我参考,对心理支持的需求较低,更加强调团队合作和专业方面。
    结论:我们的研究结果表明,在儿科肿瘤学的姑息治疗中,护士比医生在情感上承受更大的压力。据我们所知,该领域的医生和护士的比较研究尚未进行。我们的结果表明,尽管存在情绪紧张,但儿科肿瘤科工作人员可以积极评估儿童的姑息治疗。关于收容所,姑息治疗的专业实践可能是减少情绪困扰和实现职业幸福感的保护因素。
    BACKGROUND: Our knowledge about the attitudes of healthcare staff to palliative care in pediatric oncology is scarce. We aimed to assess their perceptions of palliative care in Hungary and find answers to the question of how to provide good palliative care for children.
    METHODS: Physicians (n = 30) and nurses (n = 43) working in the field of pediatric oncology (12 of them specialized in hospice care) were interviewed. Palliative care practice (communication, integration of palliative care, professionals\' feelings and attitudes, and opportunities for improvement) was assessed by semi-structured interviews evaluated in a mixed quantitative and qualitative way by narrative categorical content analysis and thematic analysis.
    RESULTS: All providers displayed high negative emotions, positive evaluations, and used many active verbs. Nurses showed higher levels of denial, more self-references, and were more likely to highlight loss. Physicians emphasized the importance of communication regarding adequate or inadequate palliative care. Hospice specialists showed a higher passive verb rate, a lower self-reference, a lower need for psychological support, and a greater emphasis on teamwork and professional aspects.
    CONCLUSIONS: Our results show that nurses are more emotionally stressed than doctors in palliative care in pediatric oncology. To our knowledge, a study comparing doctors and nurses in this field has yet to be carried out. Our results suggest that pediatric oncological staff can positively evaluate a child\'s palliative care despite the emotional strain. Regarding hospices, professional practice in palliative care may be a protective factor in reducing emotional distress and achieving professional well-being.
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  • 文章类型: Case Reports
    孤独和社会孤立在老年人中很常见。为老年患者提供高质量的护理,医护人员应该了解患者的社会状况。在日常实践中解决健康的社会决定因素(SDH)对患者和医疗保健专业人员都有益。我们说明了患有充血性心力衰竭和认知能力下降的患者,其社会状况通过SDH评估得到改善。SDH评估有一些潜在的优势,其中包括促进全面了解患者的社会状况,想象病人的社会状况是如何变化的,深化跨专业合作,改善患者不必要的负面情绪。此案例报告传达了两个关键信息。首先,医疗保健专业人员有能力评估患者的社会背景,并通过常规护理提高他们的健康和社会条件。其次,利用SDH筛查工具包可以支持和加强这一举措。
    Loneliness and social isolation are common among older adults. To deliver high-quality care to older patients, healthcare professionals should know the social conditions of their patients. Addressing social determinants of health (SDH) in daily practice is beneficial to both patients and healthcare professionals. We illustrate a patient with congestive heart failure and cognitive decline whose social conditions improved through an SDH assessment. An SDH assessment has some potential advantages, which include facilitating a comprehensive understanding of patients\' social conditions, visualizing how patients\' social conditions have changed, deepening interprofessional collaboration, and ameliorating unnecessary negative emotions toward patients. This case report conveys two key messages. Firstly, healthcare professionals have the capability to evaluate patients\' social backgrounds and enhance their health and social conditions through routine care. Secondly, the utilization of an SDH screening toolkit can support and enhance this initiative.
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