{"id":1123,"date":"2019-01-07T23:58:43","date_gmt":"2019-01-07T23:58:43","guid":{"rendered":"http:\/\/ehps.easyall.org\/php\/?p=1123"},"modified":"2025-11-04T14:33:59","modified_gmt":"2025-11-04T14:33:59","slug":"patient-talk-what-the-doctor-clearly-says-and-the-patient-clearly-does-not-understand","status":"publish","type":"post","link":"https:\/\/practicalhealthpsychology.com\/ro\/2019\/01\/patient-talk-what-the-doctor-clearly-says-and-the-patient-clearly-does-not-understand\/","title":{"rendered":"Comunicarea cu pacien\u021bii: Ce spune medical \u0219i ce nu \u00een\u021beleg pacien\u021bii"},"content":{"rendered":"<p><strong>De Anne Marie Plass, University Medical Center of G\u00f6ttingen, Germany<\/strong><\/p>\n<p><em>Un dermatolog specializat \u00een psoriasis (boal\u0103 cronic\u0103 de piele) \u2013 specialist \u00eentr-un spital universitar mi-a spus c\u0103 mul\u021bi pacien\u021bi nu erau aderen\u021bi la tratament desi se fixase un scop comun \u0219i deciziile de tratament au fost luate de comun accord. <\/em><\/p>\n<p><!--more--><\/p>\n<p>Deciziile luate \u00eempreun\u0103 cu pacien\u021bii au fost definite ca o &#8220;abordare unde doctorii \u0219i pacien\u021bii \u00ee\u0219i \u00eemp\u0103rt\u0103\u0219esc informa\u021bia pentru a lua cea mai bun\u0103 decizie&#8221;. Deobicei acest lucru apare c\u00e2nd exist\u0103 mai multe op\u021biuni de tratament sau mai multe persoane implicate. Pacien\u021bii \u0219i doctorii contribuie la procesul deciziei medicale \u0219i pacien\u021bii sunt ajuta\u021bi s\u0103 ia \u00een considerare op\u021biunile pentru a avea rezultate optime. Deciziile luate la comun sunt o tendin\u021b\u0103 nou\u0103 \u00een politicile de s\u0103n\u0103tate. Mul\u021bi profesioni\u0219ti din domeniul medical doresc s\u0103 ac\u021bioneze \u00een interesul pacien\u021bilor pentru a cre\u0219te aderen\u021ba la tratament.<\/p>\n<p>Deciziile medicale luate de comun accord sunt bazate pe \u00een\u021belegere \u0219i respect. Medicul \u0219i pacientul sunt parteneri egali \u0219i contribuie la decizie cu experien\u021bele lor. Medicul vine cu experien\u021ba medical\u0103 \u0219i expertiza sa, iar pacientul vine cu cuno\u0219tiin\u021bele \u0219i experien\u021ba personal\u0103. Totul este \u00eens\u0103 mai u\u0219or \u00een teorie dec\u00e2t practic\u0103. Mul\u021bi medici consider\u0103 c\u0103 &#8220;deja aplic\u0103 aceast\u0103 tehnic\u0103&#8221;, dar datele arat\u0103 c\u0103 lucrurile stau altfel:<\/p>\n<p><em>Dermatologul cu care am vorbit obi\u0219nuie\u0219te s\u0103 nu aleag\u0103 \u00een locul pacien\u021bilor ci \u00eempreun\u0103 cu ei. De aceea, \u00eencearc\u0103 s\u0103 \u00een\u021beleag\u0103 de ce pacien\u021bii ei nu sunt motiva\u021bi s\u0103 ia tabletele prescrise chiar dup\u0103 ce planul de tratament a fost f\u0103cut \u00eempreun\u0103 cu pacien\u021bii. A descris cum implementeaz\u0103 luarea deciziilor de comun accord \u0219i a spus c\u0103 de cum intr\u0103 pacien\u021bii pe u\u0219\u0103 \u00eei informeaz\u0103 c\u0103 pe parcursul consulta\u021biei vor decide \u00eempreun\u0103 cu privire la terpaie \u0219i vor discuta diferitele alternative. <\/em><\/p>\n<p>Uneori pacien\u021bii au nevoie de timp s\u0103 studieze noile informa\u021bii \u0219i s\u0103 se g\u00e2ndeasc\u0103 la preferin\u021bele lor \u00eenainte de a lua o decizie. Acest lucru este valabil mai ales pentru situa\u021biile c\u00e2nd diagnosticul este necunoscut \u0219i trebuie s\u0103 se g\u00e2ndeasc\u0103 la consecin\u021be necunoscute. Atunci c\u00e2nd li se ofer\u0103 un rol pentru luarea deciziei unii pacien\u021bi sunt surprin\u0219i \u0219i stresa\u021bi c\u0103 li se ofer\u0103 alternative. De aceea este bine s\u0103 inform\u0103m pacientul \u00een prealabil c\u0103 va participa la luarea deciziei. Acest fapt va cre\u0219te eficien\u021ba deciziilor luate de comun accord:<\/p>\n<p><em>Pentru a ajuta pacien\u021bii s\u0103 aleag\u0103 un tratament care li se potrive\u0219te, dermatologul sugereaz\u0103 c\u0103 10 sau 20% au \u0219anse s\u0103 func\u021bioneze. Dup\u0103 ce pacientul allege procentul care i se potrive\u0219te, dermatologul explic\u0103 ce terapie sau medica\u021bie este necesar\u0103 pentru a atinge acest scop. Pacinetul este implicat activ \u00een decizie. Cu toate acestea, pacien\u021bii nu sunt aderen\u021bi la tratament. Am \u00eentrebat dac\u0103 pacien\u021bii \u00een\u021beleg ce \u00eenseamn\u0103 aceste procente de reu\u0219it\u0103 a tratamentului, acele 20% sau 30% \u0219i dac\u0103 ei s-ar exprima a\u0219a pentru a spune c\u0103 doresc s\u0103 explice altora \u0219ansele ca tratamentul s\u0103 reduc\u0103 simptomatologia. <\/em><\/p>\n<p>Medicii tind s\u0103 foloseasc\u0103 un limbaj medical care nu este transparent. Limbajul medical este complicat de cele mai multe ori, \u0219i majoritatea pacien\u021bilor nu \u00een\u021beleg ce le este comunicat. Jargonul \u0219i termenii abestrac\u021bi dau posibilitatea unor interpret\u0103ri care sunt departe de ce dorea medicul s\u0103 comunice. Cercet\u0103rile arat\u0103 c\u0103 \u0219i datele pot s\u0103 fie interpretate gre\u0219it, mai ales atunci c\u00e2nd m\u0103sur\u0103m altceva dec\u00e2t ne-am propus. Oamenii pot s\u0103 spun\u0103 de exemplu \u00eentr\/un chestionar c\u0103 nu pot merge 500 de metri, dar mai apoi \u00een conversa\u021bie s\u0103 spun\u0103 c\u0103 pot s\u0103 mearg\u0103 o or\u0103 pe jos.<\/p>\n<p><em>I-am spus dermatologului c\u0103 dac\u0103 a\u0219 fii pacient, a\u0219 vrea s\u0103 pot s\u0103 dau m\u00e2na ca scop final al tratmaentului, sau s\u0103 port haine cu m\u00e2nec\u0103 scurt\u0103. Dermatologul a r\u00e2s \u0219i mi-a dat dreptate. Nu se g\u00e2ndise la asta \u0219i nu a realizat c\u0103 dac\u0103 informeaz\u0103 pacien\u021bii din timp cu privire la deciziile luate de comun acoord, acestea ar putea s\u0103 fie mai eficiente. <\/em><\/p>\n<p>Este important ca medicii s\u0103 fie aten\u021bi la pacien\u021bi, s\u0103 le \u00een\u021beleag\u0103 perspectiva. Acest lucru este valabil pentru toate cazurile, nu doar pentru cei cu alfabetizare redus\u0103 \u00een s\u0103n\u0103tate. Este foarte important ca medicii s\u0103 comunice pe limba pacien\u021bilor \u0219i s\u0103 se exprime cu cuvinte folosite \u00een mod curent de pacien\u021bi.<\/p>\n<p>Implica\u021bii practice:<\/p>\n<ul>\n<li>Cre\u0219terea implic\u0103rii pacien\u021bilor \u00een procesul de decizie poate s\u0103 creasc\u0103 aderen\u021ba la tratament \u0219i rezultatele acestuia<\/li>\n<li>Exprima\u021bi-v\u0103 \u00een cuvinte pe care le folosesc pacien\u021bii (evita\u021bi limbajul medical)<\/li>\n<li>Re\u021bine\u021bi c\u0103 dac\u0103 vi se pare clar ce spune\u021bi, s-ar putea totu\u0219i s\u0103 apar\u0103 ne\u00een\u021belegeri. Verifica\u021bi dac\u0103 pacien\u021bii au \u00een\u021beles.<\/li>\n<li>Accorda\u021bi timp \u0219i informa\u021bii utile, u\u0219or de procesat, asigura\u021bi-v\u0103 c\u0103 sunte\u021bi preg\u0103ti\u021bi pentru consulta\u021bii importante.<\/li>\n<li>Spune\u021bi din timp pacien\u021bilor care sunt a\u0219tept\u0103rile dvs. \u0219i c\u0103 dori\u021bi s\u0103 lua\u021bi decizii de comun accord.<\/li>\n<\/ul>\n<p><em>Translated by Dr. Irina Catrinel Craciun <\/em><\/p>\n","protected":false},"excerpt":{"rendered":"<p>By Anne Marie Plass, University Medical Center of G\u00f6ttingen, Germany Sometime ago a dermatologist who works as a psoriasis (a chronic skin disorder) -specialist in a university hospital, complained to me about many patients who do not adhere to the [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":1190,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_et_pb_use_builder":"","_et_pb_old_content":"","_et_gb_content_width":"","_monsterinsights_skip_tracking":false,"_monsterinsights_sitenote_active":false,"_monsterinsights_sitenote_note":"","_monsterinsights_sitenote_category":0,"_uf_show_specific_survey":0,"_uf_disable_surveys":false,"footnotes":""},"categories":[28],"tags":[],"class_list":["post-1123","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-communication"],"translation":{"provider":"WPGlobus","version":"3.0.2","language":"ro","enabled_languages":["en","id","my","bg","zh","hr","cz","da","de","es","fr","gr","he","it","ja","kr","lv","lt","hu","nl","no","pl","pt","ro","ru","sk","fi","sv","tr","uk"],"languages":{"en":{"title":true,"content":true,"excerpt":false},"id":{"title":true,"content":true,"excerpt":false},"my":{"title":true,"content":true,"excerpt":false},"bg":{"title":true,"content":true,"excerpt":false},"zh":{"title":true,"content":true,"excerpt":false},"hr":{"title":false,"content":false,"excerpt":false},"cz":{"title":true,"content":true,"excerpt":false},"da":{"title":true,"content":true,"excerpt":false},"de":{"title":true,"content":true,"excerpt":false},"es":{"title":true,"content":true,"excerpt":false},"fr":{"title":true,"content":true,"excerpt":false},"gr":{"title":true,"content":true,"excerpt":false},"he":{"title":true,"content":true,"excerpt":false},"it":{"title":true,"content":true,"excerpt":false},"ja":{"title":false,"content":false,"excerpt":false},"kr":{"title":false,"content":false,"excerpt":false},"lv":{"title":true,"content":true,"excerpt":false},"lt":{"title":true,"content":true,"excerpt":false},"hu":{"title":false,"content":false,"excerpt":false},"nl":{"title":true,"content":true,"excerpt":false},"no":{"title":false,"content":false,"excerpt":false},"pl":{"title":true,"content":true,"excerpt":false},"pt":{"title":true,"content":true,"excerpt":false},"ro":{"title":true,"content":true,"excerpt":false},"ru":{"title":true,"content":true,"excerpt":false},"sk":{"title":true,"content":true,"excerpt":false},"fi":{"title":true,"content":true,"excerpt":false},"sv":{"title":false,"content":false,"excerpt":false},"tr":{"title":false,"content":false,"excerpt":false},"uk":{"title":true,"content":true,"excerpt":false}}},"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts\/1123","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/comments?post=1123"}],"version-history":[{"count":30,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts\/1123\/revisions"}],"predecessor-version":[{"id":4620,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/posts\/1123\/revisions\/4620"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/media\/1190"}],"wp:attachment":[{"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/media?parent=1123"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/categories?post=1123"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/practicalhealthpsychology.com\/ro\/wp-json\/wp\/v2\/tags?post=1123"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}