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首页> 外文期刊>BMC Family Practice >Helpful ways providers can communicate about persistent medically unexplained physical symptoms
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Helpful ways providers can communicate about persistent medically unexplained physical symptoms

机译：提供者可以就持续的医学上无法解释的身体症状进行交流的有用方式

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Communication between patients and providers about persistent “medically unexplained” physical symptoms (MUS) is characterized by discordance. While the difficulties are well documented, few studies have examined effective communication. We sought to determine what veterans with Gulf War Illness (GWI) perceive as the most helpful communication from their providers. Veterans with GWI, a type of MUS, have historically had complex relationships with medical providers. Determining effective communication for patients with particularly complex relationships may help identify the most critical communication elements for all patients with MUS. Two hundred and-ten veterans with GWI were asked, in a written questionnaire, what was the most useful thing a medical provider had told them about their GWI. Responses were coded into three categories with 10 codes. The most prevalent helpful communication reported by patients was when the provider offered acknowledgement and validation (N?=?70). Specific recommendations for managing GWI or its symptoms (N?=?48) were also commonly reported to be helpful. In contrast, about a third of the responses indicated that nothing about the communication was helpful (N?=?63). There were not differences in severity of symptoms, disability or healthcare utilization between patients who found acknowledgement and validation, specific recommendations or nothing helpful. Previous research has documented the discord between patients and providers regarding MUS. This study suggests that most patients are able to identify something helpful a provider has said, particularly acknowledgement and validation and specific treatment recommendations. The findings also highlight missed communication opportunities with a third of patients not finding anything helpful.
机译：患者和提供者之间关于持续存在的“医学上无法解释的”身体症状（MUS）的交流的特点是不一致。尽管困难已得到充分记录，但很少有研究检查有效的沟通。我们试图确定患有海湾战争疾病（GWI）的退伍军人认为是提供者提供的最有帮助的交流方式。拥有GWI（一种MUS）的退伍军人历来与医疗服务提供者有着复杂的关系。为关系特别复杂的患者确定有效的沟通方式可能有助于确定所有MUS患者最关键的沟通要素。在书面问卷中，询问了290名GWI的退伍军人，医疗提供者告诉他们有关GWI的最有用的事情是什么。响应分为10类，分为三类。患者报告的最普遍的有用沟通是提供者提供确认和确认的时间（N？=？70）。据报道，通常也有一些特殊的建议可以治疗GWI或其症状（N≥48）。相比之下，大约三分之一的回答表明，交流没有任何帮助（N≥63）。发现认可和确认，具体建议或无帮助的患者之间症状，残疾或医疗保健利用的严重程度无差异。先前的研究记录了患者和提供者之间关于MUS的矛盾。这项研究表明，大多数患者能够识别出提供者所说的有用的东西，特别是确认和确认以及具体的治疗建议。调查结果还突出显示了错过的交流机会，三分之一的患者没有发现任何有用的东西。

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