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首页> 外文期刊>Perspectives on Medical Education >Encounters between medical specialists and patients with medically unexplained physical symptoms; influences of communication on patient outcomes and use of health care: a literature overview
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Encounters between medical specialists and patients with medically unexplained physical symptoms; influences of communication on patient outcomes and use of health care: a literature overview

机译：在医学专家和患有无法解释的身体症状的患者之间遇到;沟通对患者预后和医疗保健使用的影响：文献综述

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Medically unexplained physical symptoms (MUPS) burden patients and health services due to large quantities of consultations and medical interventions. The aim of this study is to determine which elements of communication in non-psychiatric specialist MUPS care influence health outcomes. Systematic search in PubMed, PsycINFO and Embase. Data extraction comprising study design, patient characteristics, number of patients, communication strategies, outcome measures and results. Elements of doctor-patient communication were framed according to symptoms, health anxiety, satisfaction, daily functioning and use of health care. Eight included studies. Two studies described the effect of communication on patient outcome in physical symptoms, three studies on health anxiety and patient satisfaction and one study on daily functioning. Two studies contained research on use of health care. Qualitative synthesis of findings was conducted. Communication matters in non-psychiatric MUPS specialist care. Perceiving patients’ expectations correctly enables specialists to influence patients’ cognitions, to reduce patients’ anxiety and improve patients’ satisfaction. Patients report less symptoms and health anxiety when symptoms are properly explained. Positive interaction and feedback reduces use of health care and improves coping. Development of communication skills focused on MUPS patients should be part of postgraduate education for medical specialists.
机译：由于大量的咨询和医疗干预，无法解释的医学症状（MUPS）负担了患者和医疗服务的负担。这项研究的目的是确定非精神病学专家MUPS护理中的哪些沟通因素会影响健康结果。在PubMed，PsycINFO和Embase中进行系统搜索。数据提取包括研究设计，患者特征，患者数量，沟通策略，结果测量和结果。医患沟通的要素根据症状，健康焦虑，满意度，日常功能和医疗保健的使用来确定。八项纳入研究。两项研究描述了交流对身体症状患者预后的影响，三项关于健康焦虑和患者满意度的研究以及一项日常功能研究。两项研究包含有关卫生保健使用的研究。对结果进行定性综合。在非精神病学MUPS专家护理中，沟通很重要。正确理解患者的期望使专家可以影响患者的认知，减少患者的焦虑并提高患者的满意度。正确解释症状后，患者报告的症状和健康焦虑症减少。积极的互动和反馈减少了医疗保健的使用并改善了应对方式。针对MUPS患者的交流技巧的开发应成为医学专家研究生教育的一部分。

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