急診醫病溝通的策略

The Strategies of Doctor-Patient Communication in the Emergency Department

10.6200/TCMJ.2014.11.2.01

謝茉莉(Molly Hsieh)；許金旺(Chin-Wang Hsu)

急診 ； 醫病溝通 ； 同理心 ； 善意溝通 ； Emergency ； doctor-patient communication ； empathy ； compassionate communication

北市醫學雜誌

11卷2期（2014 / 06 / 01）

121 - 128

繁體中文

急診的醫病關係短暫而急促，可是醫病溝通的順暢與否卻影響急診的醫療品質和病人滿意度。如何進行有效的醫病溝通，對急診醫護人員頗具挑戰性。本文以Satir的冰山模式來解釋病人和醫生行為背後的意涵，並以同理心和善意溝通的觀點，來闡述醫病溝通的策略；最後，運用實務現場的案例來示範。希望本文可以做為急診醫病溝通教學的參考。

The doctor-patient relationship is brief and rushed in emergency room scenarios. However, the smoothness of doctor-patient communication will affect the quality of medical care and patient's satisfaction. In this article, the authors employ the Satir Iceberg model for understanding the connotations of patients' and doctors' behaviors. Furthermore, strategies of empathy and compassionate communication are discussed and illustrated with examples.