本文由小咖机器人翻译整理

期刊来源：Ann Intern Med

原文链接：https://doi.org/10.7326/M23-2168

摘要内容如下：

背景

提供增强同理心的从业者可能会提高患者对护理的满意度。患者满意度与患者从药物依从性到生存的积极结果相关。

目的

通过对随机试验的系统回顾，评估卫生保健从业人员的同理心对患者满意度的影响。

数据源

Ovid MEDLINE、CINAHL、PsycInfo、Cochrane对照试验注册中心和Scopus至2023年10月23日。

研究选择

以任何语言发表的随机试验，这些试验评估了移情对提高患者满意度的影响，并通过有效的患者满意度量表进行测量。

数据提取

数据提取、偏倚风险评估和证据强度评估由2名独立评价者完成。分歧通过协商一致得到解决。

数据综合

14项符合条件的随机试验（80名执业医师；1986名患者）纳入分析。5项研究存在较高的偏倚风险，9项研究存在偏倚问题。这些试验在地理位置（北美、欧洲、亚洲和非洲）、环境（医院和初级保健）、医生类型（家庭和医院医生、麻醉师、护士、心理学家和护理人员）和随机化类型（个体患者或按医生分组）方面具有异质性。尽管所有的试验都表明患者满意度发生了积极的变化，但不充分的报告阻碍了对总体效应大小得出明确结论的能力。

局限性

同理心传递方式的异质性和患者满意度的测量以及不完整的报告导致了对基础证据确定性的担忧。

结论

已经研究了各种移情干预以提高患者满意度。需要在定义明确的背景下开发、测试和报告高质量的研究，以优化提高患者满意度的移情干预措施。

主要资金来源

斯通盖特信托。（普洛斯彼罗：CRD42023412981）。

英文原文如下：

Abstracts

BACKGROUND  Practitioners who deliver enhanced empathy may improve patient satisfaction with care. Patient satisfaction is associated with positive patient outcomes ranging from medication adherence to survival.

PURPOSE  To evaluate the effect of health care practitioner empathy on patient satisfaction, using a systematic review of randomized trials.

DATA SOURCES  Ovid MEDLINE, CINAHL, PsycInfo, Cochrane Central Register of Controlled Trials, and Scopus to 23 October 2023.

STUDY SELECTION  Randomized trials published in any language that evaluated the effect of empathy on improving patient satisfaction as measured on a validated patient satisfaction scale.

DATA EXTRACTION  Data extraction, risk-of-bias assessments, and strength-of-evidence assessments were done by 2 independent reviewers. Disagreements were resolved through consensus.

DATA SYNTHESIS  Fourteen eligible randomized trials (80 practitioners; 1986 patients) were included in the analysis. Five studies had high risk of bias, and 9 had some concerns about bias. The trials were heterogeneous in terms of geographic locations (North America, Europe, Asia, and Africa), settings (hospital and primary care), practitioner types (family and hospital physicians, anesthesiologists, nurses, psychologists, and caregivers), and type of randomization (individual patient or clustered by practitioner). Although all trials suggested a positive change in patient satisfaction, inadequate reporting hindered the ability to draw definitive conclusions about the overall effect size.

LIMITATIONS  Heterogeneity in the way that empathy was delivered and patient satisfaction was measured and incomplete reporting leading to concerns about the certainty of the underpinning evidence.

CONCLUSION  Various empathy interventions have been studied to improve patient satisfaction. Development, testing, and reporting of high-quality studies within well-defined contexts is needed to optimize empathy interventions that increase patient satisfaction.

PRIMARY FUNDING SOURCE  Stoneygate Trust. (PROSPERO: CRD42023412981).

-----------分割线---------

点击链接：https://www.mediecogroup.com/community/user/vip/categories/ ，成为医咖会员，获取12项专属权益。

现在购买可享受最大优惠（买一年送三个月，买两年送一年），2024年2月10日起将不再享有该优惠。