SOCIAL IDEAS OF DOCTORS ABOUT BARRIERS IN COMMUNICATION WITH PATIENTS WITH HEARING IMPAIRMENTS

M. O. Larina, D. N. Oskin, E. A. Trushina, T. V. Yudanova
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Abstract

The article discusses the issues of communication between doctors and patients with hearing impairments, including communication methods, communication barriers, the need for sign language interpreters to be present at a medical appointment and the effectiveness of communication using alternative communication methods. Communication problems are considered from the perspective of the lack of an accessible environment, as well as an understanding of sign language as a separate linguistic system. The aim of the study is to study the existing barriers of communication with patients with disabling hearing disorders in the practice of doctors. A theoretical review of domestic and foreign studies on the communication of patients with hearing impairments in the framework of medical admission is presented. Among the main problems of people with hearing impairments related to medical care the following ones were highlighted: the complexity of communication with a doctor affects the effectiveness and quality of medical care; access to sign language interpreter services is quite limited; insufficient provision of hearing disabled people with devices for doctor–patient communication is observed. The results presented in the article were obtained by means of a survey of 49 doctors of various specialties. The survey was aimed at studying the peculiarities of communication between medical personnel and patients with hearing impairments. The questionnaire questions were open. The analysis of the responses was carried out through content analysis. As a result, problematic areas in the communication of hearing-impaired patients and doctors were identified, these are: a lack of an individual approach to such patients within the medical care, a narrow understanding of disability, a lack of sufficient number of sign language interpreters and the need for medical organizations for additional specialized training of medical personnel. Further directions of research were also defined.
医生对与听障患者沟通障碍的社会观念
本文讨论了医生与听力障碍患者之间的沟通问题,包括沟通方法、沟通障碍、在医疗预约时手语翻译的必要性以及使用其他沟通方法进行沟通的有效性。从缺乏无障碍环境的角度考虑交流问题,以及将手语理解为一种独立的语言系统。本研究的目的是研究医生在实践中与残疾听力障碍患者存在的沟通障碍。本文对国内外在住院框架下的听障患者沟通研究进行了理论综述。在听力障碍患者与医疗保健相关的主要问题中,强调了以下几个问题:与医生沟通的复杂性影响医疗保健的有效性和质量;获得手语翻译服务的机会相当有限;为听障人士提供的医患沟通设备不足。本文的结果是通过对49名不同专业的医生进行调查得出的。该调查旨在研究医务人员与听力障碍患者之间沟通的特点。问卷问题是开放的。通过内容分析对反馈进行分析。结果,在听力受损患者和医生之间的沟通中发现了一些问题,这些问题是:在医疗护理中缺乏对这类患者的个别处理办法,对残疾的理解狭隘,缺乏足够数量的手语翻译人员,以及医疗组织需要对医务人员进行额外的专门培训。并确定了今后的研究方向。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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