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Short- and long-term subjective medical treatment outcome of trauma surgery patients: the importance of physician empathy

机译：创伤手术患者的短期和长期主观药物治疗结局：医师同情的重要性

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Purpose: To investigate accident casualties’ long-term subjective evaluation of treatment outcome 6 weeks and 12 months after discharge and its relation to the experienced surgeon’s empathy during hospital treatment after trauma in consideration of patient-, injury-, and health-related factors. The long-term results are compared to the 6-week follow-up outcomes.Patients and methods: Two hundred and seventeen surgery patients were surveyed at 6 weeks, and 206 patients at 12 months after discharge from the trauma surgical general ward. The subjective evaluation of medical treatment outcome was measured 6 weeks and 12 months after discharge with the respective scale from the Cologne Patient Questionnaire. Physician Empathy was assessed with the Consultation and Relational Empathy Measure. The correlation between physician empathy and control variables with the subjective evaluation of medical treatment outcome 12 months after discharge was identified by means of logistic regression analysis under control of sociodemographic and injury-related factors.Results: One hundred and thirty-six patients were included within the logistic regression analysis at the 12-month follow-up. Compared to the 6-week follow-up, the level of subjective evaluation of medical treatment outcome was slightly lower and the association with physician empathy was weaker. Compared to patients who rated the empathy of their surgeon lower than 31 points, patients with ratings of 41 points or higher had a 4.2-fold higher probability to be in the group with a better medical treatment outcome (3.5 and above) on the Cologne Patient Questionnaire scale 12 months after discharge from hospital (P=0.009, R2=33.5, 95% confidence interval: 1.440–12.629).Conclusion: Physician empathy is the strongest predictor for a higher level of trauma patients’ subjective evaluation of treatment outcome 6 weeks and 12 month after discharge from the hospital. Interpersonal factors between surgeons and their patients are possible key levers for improving patient outcomes in an advanced health system. Communication trainings for surgeons might prepare them to react appropriately to their patients’ needs and lead to satisfactory outcomes for both parties.
机译：目的：研究出院后6周和12个月意外伤亡对治疗结果的长期主观评估，并考虑患者，伤害和健康相关因素与创伤后医院治疗期间经验丰富的外科医生的同理心之间的关系。将长期结果与6周的随访结果进行比较。患者和方法：在创伤外科普通病房出院后的第6周对217例外科手术患者进行了调查，在第12个月时对206例患者进行了调查。出院后6周和12个月，用科隆患者问卷调查的相应量表对主观治疗效果进行评估。医师同理心通过咨询和关系同理心测度进行评估。通过社会人口统计学和伤害相关因素控制下的逻辑回归分析，确定出院后12个月医生的同理心和控制变量与主观治疗结果的相关性。结果：纳入136例患者在12个月的随访中进行逻辑回归分析。与6周的随访相比，主观评价治疗结果的水平略低，与医生同理心的关联较弱。与对医生的同情心评分低于31分的患者相比，对科隆患者评分为41分或更高的患者出现更好的医疗结果（3.5及更高）的可能性是其4.2倍出院12个月后的问卷调查量表（P = 0.009，R2 = 33.5，95％置信区间：1.440–12.629）。结论：医师同情心是较高水平的创伤患者对6周治疗结果进行主观评估的最强预测指标出院后12个月。外科医生与其患者之间的人际关系因素可能是改善高级卫生系统中患者预后的关键杠杆。对外科医生的交流培训可能会使他们做好准备，以对患者的需求做出适当反应，并为双方带来令人满意的结果。

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