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Improving doctor-patient communication: content validity examination of a novel urinary system-simulating physical model

机译：改善医患沟通：一种新型泌尿系统模拟身体模型的内容有效性检查

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Effective doctor–patient communication is essential for establishing a successful doctor–patient relationship and implementing high-quality health care. In this study, a novel urinary system-simulating physical model was designed and fabricated, and its content validity for improving doctor–patient communication was examined by conducting a randomized controlled trial in which this system was compared with photographs. A total of 240 inpatients were randomly selected and assigned to six doctors for treatment. After primary diagnosis and treatment had been determined, these patients were randomly divided into the experimental group and the control group. Patients in the experimental group participated in model-based doctor–patient communication, whereas control group patients received picture-based communication. Within 30 min after this communication, a Demographic Information Survey Scale and a Medical Interview Satisfaction Scale (MISS) were distributed to investigate patients’ demographic characteristics and their assessments of total satisfaction, distress relief, communication comfort, rapport, and compliance intent. The study results demonstrated that the individual groups were comparable with respect to demographic variables but that relative to patients in the picture-based communication group, patients in the model-based communication group had significantly higher total satisfaction scores and higher ratings for distress relief, communication comfort, rapport, and compliance intent. These results indicate that the physical model is more effective than the pictures at improving doctor–patient communication and patient outcomes. The application of the physical model in doctor–patient communication is helpful and valuable and therefore merits widespread clinical popularization.
机译：有效的医患沟通对于建立成功的医患关系和实施高质量的医疗保健至关重要。在这项研究中，设计并制造了一种新型的模拟泌尿系统的物理模型，并通过进行一项随机对照试验，对该系统与照片进行了比较，研究了其在改善医患沟通方面的有效性。随机选择了总共240名住院患者，并将其分配给6位医生进行治疗。确定初步诊断和治疗后，将这些患者随机分为实验组和对照组。实验组的患者参加了基于模型的医患交流，而对照组患者则接受了基于图片的交流。进行这种交流后的30分钟内，分发了人口统计学调查量表和医学访谈满意度量表（MISS），以调查患者的人口统计学特征及其对总满意度，缓解困扰，交流舒适度，融洽性和顺从性的评估。研究结果表明，就人口统计学变量而言，各个组具有可比性，但相对于基于图片的交流组的患者，基于模型的交流组的患者具有更高的总满意度得分和更高的遇险缓解，交流等级舒适，融洽和合规意图。这些结果表明，在改善医患沟通和患者预后方面，物理模型比图片更有效。物理模型在医患沟通中的应用是有益和有价值的，因此值得广泛的临床推广。

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