尼日利亚验光实践中的真相讲述与患者诊断

J. Ebeigbe, C. Oni
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引用次数: 0

摘要

背景:医患关系对包括眼保健在内的卫生保健服务至关重要。在确保对患者进行安全有效的治疗和管理方面,说实话是这种关系的一个重要方面。方法:采用一对一深度访谈(IDIs)和焦点小组讨论(fgd)进行定性研究。调查对象共44人,包括10名眼科医生(ECPs)和34名患者。患者年龄在18 - 50岁之间,ecp年龄在32 - 51岁之间。结果:常见的谎言主要包括年龄、发病或病程、就诊前使用的药物以及遵医嘱的程度。其他问题包括健康状况、自我用药史以及吸烟和/或饮酒等社会习惯。撒谎的原因包括害怕提前退休,害怕被评判或污名化,在工作期间缺乏隐私,以及因之前的谎言被发现而感到尴尬。结论:不实信息和信息操纵会损害医患关系,因为这会导致不信任,从而损害眼科保健。关键词:真相,医患关系,诊断
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Truth-telling and patients' diagnoses in optometric practice in Nigeria
Background: The doctor-patient relationship is crucial to health care services including eye care. Telling the truth is an important aspect of this relationship in ensuring safe and effective treatment and management of patients.Method: A qualitative study using one - on- one in- depth interviews (IDIs) and focus group discussions (FGDs). Forty four respondents comprising 10 eye care practitioners (ECPs) and 34 patients were recruited. The ECPs were between 32 to 51 years while the patients were between 18 and 50 years old.Results: Common lies told were mainly about age, onset or duration of condition, medications used prior to their visit to the doctor's and level of compliance to doctor's prescription. Others were about health status, history of self-medication and social habits like smoking and/or drinking. Reasons for telling some of these lies included fear of early retirement, fear of being judged or stigmatized, lack of privacy during clerking and embarrassment from being caught in a previous lie.Conclusion: Untruths and manipulation of information can damage the relationship between doctor and patient because it leads to distrust and this can compromise eye care. Keywords: Truth, doctor- patient, relationship, diagnoses
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