Akut alevlenme ile yatırılan kronik obstrüktif akciğer hastalığı olan hastalarda hasta-hekim iletişimi

Year 2019, Volume: 44 Issue: 2, 531 - 541, 30.06.2019

Hülya Bulut , Erol Ozan , Erol Özmen , Pınar Çimen

https://doi.org/10.17826/cumj.486813

Abstract

Amaç: Akut alevlenme nedeniyle yatırılan kronik obstrüktif akciğer hastalığı (KOAH) olan hastalarda hasta-hekim iletişiminin incelenmesi amacıyla yapılmıştır.

Gereç ve Yöntem: Çalışma İzmir’de bir eğitim ve araştırma hastanesinin göğüs hastalıkları kliniklerinde Temmuz-Aralık 2015 tarihlerinde, akut alevlenme nedeniyle yatırılan KOAH tanılı hastalarla gerçekleştirilmiştir. Örneklemi 18-65 yaş grubunda, iletişim kurulabilen, okuryazar olan ve basit rastgele örneklemle seçilen, araştırmaya katılmaya gönüllü 400 hasta alınmıştır. Araştırma verilerinin toplanmasında “Hasta Tanıtım Formu” ve “Hekimlerin İletişim Biçiminden Memnuniyet Ölçeği” kullanılmıştır.

Bulgular: Hekimlerin İletişim Biçiminden Memnuniyet Ölçeğinin toplam puan ortalaması 100.10±17.79 bulunmuştur. Alt boyutların Beden Dili, Konuşma-Dinleme, İlgilenme ve Bilgi Verme alt boyutları puan ortalamaları 11.03±2.83, 39.03±7.20, 42.06±9.40 ve 7.98±3.05’dir.  Hastaların, servisteki hekiminin adını bilme, hekimiyle günlük görüşme süresi, hastalığı ve tedavisiyle ilgili sorularını hekime sorma ve yanıtlarını alma gibi iletişim özellikleriyle, ölçek puanları arasında anlamlı ilişki saptanmıştır.

Sonuç: Hastalar genel olarak hekimlerin iletişim biçiminden memnuniyet ölçeği toplam puan ortalamasına göre memnuniyet bildirmişlerdir. 

Keywords

KOAH, İletişim, Hasta-Hekim İletişimi

Communication of patient-physician in patients with chronic obstructive pulmonary disease with acute exacerbation

Abstract

Purpose The aim of this study was to investigate the patient-physician communication of patients with chronic obstructive pulmonary disease (COPD) who were hospitalized due to acute exacerbation.

Materials and Methods: The study was carried out in the department of pulmonology in a training and Research Hospital in Izmir with COPD patients who were hospitalized due to acute exacerbation. 400 patients who were able to communicate and literate in the 18-65 age group, were selected with simple random sampling the study. In the collection of research data, “Patient Identification Form” and “Satisfaction Scale of Communication of Physicians” were used.

Results: The total score of the Physicians' Communication Form Satisfaction Scale was 100.10 ± 17.79. The mean scores of the sub-dimensions of Body Language, Speech-Listening, Caring and Giving information were 11.03 ± 2.83, 39.03 ± 7.20, 42.06 ± 9.40 and 7.98 ± 3.05. A significant relationship was found between the communication characteristics of the patients, such as knowing the name of the physician, asking the physician questions and answering the questions during the daily interview duration about the disease and treatment.

Conclusion: In general, patients reported satisfaction with the total average score of satisfaction from the communication style of physicians. 

Keywords

COPD, Communication, Patient-Physician Communication

References

• Seemungal TA, Donaldson GC, Bhowmik A, Jeffries DJ, Wedzicha JA. Time course and recovery of exacerbations in patients with chronic obstructive pulmonary disease. Am J Respir Crit Care Med 2000; 161: 1608-13. PMID: 10806163, DOI: 10.1164/ajrccm.161.5.9908022
• Garcia-Aymehric J, Farrero E, Felez M, Izquierdo J, Marrades R, Anto J. Risk factors of readmission to hospital for a COPD exacerbation: a prospective study. Thorax 2003;58(2):100-5. PMID: 12554887, PMCID: PMC1746561
• GOLD 2017. Global Initiative for Chronic Obstructive Lung Disease. Pocket Guide to COPD Diagnosis, Management, and Prevention. A Guide for Health Care Professionals; 2017 Report. https://goldcopd.org/wp-content/uploads/2016/12/wms-GOLD-2017-Pocket-Guide.pdf
• Suarez-Almazor ME. Patient-physician communication. Curr Opin Rheumatol 2004;16(2):91–5. PMID: 14770091
• Beck RS, Daughtridge R, Sloane PD. Physician-Patient Communication In The Primary Care Office: A Systematic Review. J Am Board Fom Pract 2002;15(1):25-38. PMID: 11841136
• Kenny DA, Veldhuijzen W, Weijden T, Leblanc A, Lockyer J, Légaré F et al. Interpersonal perception in the context of doctor-patient relationships: a dyadic analysis of doctor patient communication. Soc Sci Med 2010 Mar;70(5):763-8. PMID: 20005618, doi: 10.1016/j.socscimed.2009.10.065
• Atilla G, Oksay A, Erdem R. A qualitative preliminary study on physician-patient communication. Journal of Istanbul University Faculty of Communication 2012/II; 43, 23-37.(Turkish) http://www.acarindex.com/dosyalar/makale/acarindex-1423905469.pdf
• Nelson M, Hamilton HE. Improving in-office discussion of chronic obstructive pulmonary disease: results and recommendations from an in-office linguistic study in chronic obstructive pulmonary disease. Am J Med 2007;120(8 Suppl 1):S28–S32. PMID: 17678941, DOI: 10.1016/j.amjmed.2007.04.010
• Ciftcioglu BA, Ordun G. A study on the measurement of satisfaction levels of patients’ communication with physicians. Suggestion Magazine 2010; 9(34):109-118.(Turkish) http://dergipark.gov.tr/download/article-file/165734)
• Schneider ED. & Tucker KR. Measuring Communicative Satisfaction in Doctor--Patient Relations: The Doctor-Patient Communication Inventory. Health Communication 1992;4(1): 19-28. https://doi.org/10.1207/s15327027hc0401_2
• Conlee CJ, Olvera J, Vagim NN. The relationships among physician nonverbal immediacy and measures of patient satisfaction with physician care. Communication Reports 1993; 6(1):25-33. https://doi.org/10.1080/08934219309367558
• Street LR. Gender Differences in Health Care provider, Patient Communication: Are They due to Style, Sterotypes or accomadation? Patient Educ Couns 2002; 48(3):201-6. PMID: 12477604
• Erdfelder E, Faul F, Buchner A. GPOWER: A general power analysis program. Behavior Research Methods, Instruments, & Computers 1996;28(1):1-11.https://link.springer.com/content/pdf/10.3758%2FBF03203630.pdf
• Thornton RD, Nurse N, Snavely L, Hackett-Zahler S, Frank K and DiTomasso RA. Influences on patient satisfaction in healthcare centers: a semi-quantitative study over 5 years. BMC Health Services Research 2017; 17:361 p. 2 – 9. [cited 2018 April 10]. https://bmchealthservres.biomedcentral.com/articles/10.1186/s12913-017-2307-z
• Stewart MA. Mcwhinney IR. Buck CW. The Doctor/Patient Relationship And Its Effect Upon Outcome. Journal of the Royal College of General Practitioners 1979;29(199):77-82. PMID: 480298, PMCID: PMC2159129
• Di Blasi Z, Kleijnen J. Context Effects: Powerfull Therapies or Methodological Bias. In: Eval Health Prof 2003 Jun;26(2):166-79. PMID: 12789710, DOI: 10.1177/0163278703026002003
• Clever SL, Jin L, Levinson W, Meltzer DO. Does Doctor–Patient Communication Affect Patient Satisfaction with Hospital Care? Results of an Analysis with a Novel Instrumental Variable. Health Serv Res 2008 Oct; 43(5 Pt 1): 1505–19. PMID: 18459954, PMCID: PMC2653895, DOI: 10.1111/j.1475-6773.2008.00849.x
• Fan VS, Burman M, McDonell MB, Fihn SD. Continuity of care and other determinants of patient satisfaction with primary care. J Gen Intern Med 2005;20(3):226–33. PMID: 15836525, PMCID: PMC1490082, DOI: 10.1111/j.1525-1497.2005.40135.x
• Arslan Y. Who Shows Better Empathy? - A Micro Sociological Research over the Empathy. Batman University Journal of Life Sciences 2016; 6(2/1):51-64. (Turkish)
• Gezergun A, Sahin B, Tengilimoglu D, Bayer E, Demir C. The Relationship Between Patient and Doctor From The Viewpoint of Patient: A Sample Study of a Training Hospital. Suleyman Demirel University Journal of Social Sciences 2006; 2(1):129-44. (Turkish)
• Anderson RT, Camacho FT, Balkrishnan R. Willing to wait?: the influence of patient wait time on satisfaction with primary care. BMC Health Serv Res 2007;7:31. PMID: 17328807, PMCID: PMC1810532, DOI: 10.1186/1472-6963-7-31
• Hagiwara N, Kashy DA and Penner LA. A Novel Analytical Strategy for Patient-Physician Communication Research: The One-With-Many Design. Patient Educ Couns 2014 Jun; 95(3): 325-31. PMID: 24746894, PMCID: PMC4107636, DOI: 10.1016/j.pec.2014.03.017
• Stewart MA. Effective Physician-Patient Communication and Health Outcomes: A Review. CMAJ 1995 May 1;152(9):1423-33.PMID: 7728691, PMCID: PMC1337906
• Williams S, Weinman J, Dale J. Doctor-Patient Communication and Patient Satisfaction: A Review. Family Practice 1998;15(5):480–92. PMID: 9848436
• Atac A. Communication, medical ethics and medical practice. Hacettepe Medical Journal 2009; 40: 89-95. (Turkish)
• Beckman HB and Frankel RM. The Effect of Physician Behaviour on The Collection of Data. Ann Intern Med. 1984 Nov;101(5):692-96. PMID: 6486600
• Gultekin E. How Should be A Doctor-Patient Communication in Ethical Aspect? Turk Clin J Med Ethics 2016;24(3):111-115. (Turkish)
• Katerndahl D, Oyiriaru D. Assessing the biopsychosociospiritual model in primary care: development of the biopsychosociospiritual inventory (BioPSSI). Int J Psychiatry Med 2007; 37(4):393-414.PMID: 18441628, DOI: 10.2190/PM.37.4.d
• Ozturk MO and Ulusahin A. Mental Health and Disorders. Nobel Medical Publisher, 14th ed. Ankara, Turkey, 2016, p.110-113
• Eser İ, Celik GG, Gurkan A. Addressing And Touching To Patients By Nurses And Physicians During Communication. Internatıonal Journal Of Psychıatry And Psychologıcal Researches 2017(8):53-73. Doi: 10.17360/UHPPD.2017.1.003