同理心在当今世界仍然重要吗?

IF 0.3 Q4 PSYCHIATRY
Monika Leończyk-Spórna, Aleksandra Jażdżyńska
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引用次数: 0

摘要

在我们的论文中,我们试图回答移情在当今世界是否仍然重要的问题。从心理学的角度来看,共情可以分为两种类型,即情感共情和认知共情,前者被定义为感知他人心理状态的能力,后者被描述为采用他人思维方式的能力。同理心是医学专业人士非常理想的特征,因此从医学研究的早期开始,学生们就被教导对患者采取同理心的方法。关于这种行为对医生和患者之间的合作以及对最终治疗结果的积极影响,人们已经说了很多。我们想提请人们注意同理心在医患关系中的作用,并展示它如何影响医护人员的职业倦怠(Bukowski等人,2022;Decity,2020;Esagian等人,2019)。同理心方法对哮喘等慢性病患者尤其重要。在中国,一项研究旨在评估医生测量的移情水平(使用杰斐逊移情量表)对哮喘患者身心健康的影响。在基线和3个月后,对患者的焦虑、自立、睡眠效率和白细胞介素-6水平进行了评估。研究发现,在接受移情水平较高的医生治疗的组中,患者的焦虑和白细胞介素-6水平显著低于其他患者,独立性水平更高,睡眠效率更好(Wu等人,2020)。亲密疾病也是需要同理心的情况。其中一项针对这一问题的研究是在美国艾滋病毒感染者中进行的。参与者被要求对与定期随访六个月的医生接触的满意度进行评分。研究发现,如果患者认为他们的医生富有同情心和知识渊博,他们的满意度会更高。该研究的作者还认为,与技术技能相比,医生的人际交往和沟通技能对患者对治疗过程的满意度影响更大(Sullivan等人,2000)。妇女到妇科医生办公室就诊是另一个值得注意的话题。与前一个案例一样,这里的局势也涉及特别敏感的问题。患者应该觉得自己是医患互动中的平等伙伴,这将有助于控制妇科检查和讨论棘手话题时的尴尬。在其中一篇文章中,126名女性参与了这项研究,以完成一份关于妇科检查质量以及医生和患者之间关系的问卷调查(Gruszka等人,2014)。这些问题涉及沟通技巧、专心倾听和传达重要信息。不幸的是,高达41%的受访者表示,他们没有时间与医生分享他们所有的健康问题,超过50%的人声称医生没有彻底询问他们的健康问题。我们知道,如今越来越多的患者愿意参与治疗过程。考虑到与健康和疾病相关的情感方面,患者越来越期待医生的合作和主观治疗。在妇科医生的实践中,对患者进行适当、移情治疗的问题尤为重要。它有助于在探索和讨论人类生活的亲密话题时打破障碍,这在诊断和治疗过程中很重要(Synowiec Piłat,2003;Tymińska等人,2018)。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Is empathy still important in today’s world?
In our paper, we attempted to answer the question whether empathy is still important in today’s world. From the psychological point of view, two types of empathy can be distinguished, i.e. emotional empathy defined as the ability to sense other people’s mental states, and cognitive empathy, described as the ability to adopt the way of thinking of other people. Empathy is a very desirable feature among medical professionals, hence students are taught an empathetic approach to patients already from the early years of medical studies. Much is said about the positive impact of such behaviour on the cooperation between the doctor and the patient, as well as on the final treatment outcomes. We would like to draw attention to the role of empathy in the doctor–patient relationship and show how it affects professional burnout among healthcare workers (Bukowski et al., 2022; Decety, 2020; Esagian et al., 2019). The empathetic approach is especially important for patients with chronic conditions such as asthma. In China, a study was conducted to evaluate the impact of the level of empathy measured by a physician (using the Jefferson Scale of Empathy) on the physical and mental health of asthmatic patients. Patients were assessed for anxiety, self-reliance, sleep efficiency and levels of interleukin-6, an inflammatory marker at baseline and after 3 months. It was found that patients in the group treated by physicians with higher levels of empathy had significantly lower anxiety and interleukin-6 levels, as well as higher levels of independence and better sleep efficiency than the other patients (Wu et al., 2020). Intimate illnesses are also conditions requiring an empathic approach. One of the studies addressing this issue was conducted among HIV-infected patients in the US. The participants were asked to rate their satisfaction with the contact with the doctor who regularly followed them up for six months. The study found that patients’ satisfaction levels were higher if they considered their doctor to be empathetic and knowledgeable. The authors of the study also suggested that the doctor’s interpersonal and communication skills have a greater impact on patient satisfaction with the treatment process than technical skills (Sullivan et al., 2000). Women’s visits to the gynaecologist’s office is another noteworthy topic. As in the previous case, here too the situation concerns particularly sensitive issues. The patient should feel that she is an equal partner in the patient–doctor interaction, which will allow for controlling the embarrassment during both gynaecological examination and discussing difficult topics. In one of articles, 126 women enrolled for the study to complete a questionnaire on the quality of gynaecological examination and the relationship between the doctor and the patients (Gruszka et al., 2014). The questions concerned communication skills, attentive listening and conveying important information. Unfortunately, up to 41% of respondents reported the fact that they did not have time to share all their health concerns with the doctor, and over 50% claimed that the doctor did not ask them thoroughly about their health problems. We know that nowadays a growing number of patients are willing to participate in the treatment process. Patients increasingly expect partnership and subjective treatment from doctors, taking into account emotional aspects related to health and disease. The issue of proper, empathic treatment of patients is of particular importance in the practice of a gynaecologist. It helps break the barrier when exploring and discussing intimate topics of human life, which is important in the diagnostic and therapeutic process ( Synowiec-Piłat, 2003; Tymińska et al., 2018).
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来源期刊
CiteScore
0.60
自引率
25.00%
发文量
22
审稿时长
20 weeks
期刊介绍: PSYCHIATRIA I PSYCHOLOGIA KLINICZNA is an international peer-reviewed scientific journal publishing original articles that constitute significant contributions to the advancements of psychiatry and psychology. In addition, PSYCHIATRIA I PSYCHOLOGIA KLINICZNA publishes information from the medical associations, reports and materials from international congresses, letters to the Editor, information on new medical products as well as abstracts and discussions on papers published in other scientific journals, reviews of books and other publications.
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