Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.
Turner syndrome (TS) is a genetic condition caused by partial loss of one of the X chromosomes. The phenotype of TS results from haploinsufficiency for genes located on distal Xp. Major features include short stature, gonadal dysgenesis, primary amenorrhea, delayed pubertal development and infertility. These characteristics may contribute to the stigmatization of the patients, compromising their social interactions and psychological development, resulting in low self-esteem, concentration deficit, aggressive behavior and depression. It is therefore of great importance to understand the psychosocial profile and impact of the diagnosis of TS in the life of these patients. To assess their quality of life (QOL), we applied three questionnaires in 15 adult women with TS: social profile inquiry, Beck Depression Inventory-II (BDI-II), and Brazilian normative data for the Medical Outcomes Study 36-Item Short-Form Health Survey , version 2 (SF-36). We also performed focus groups discussion (n=8) guided by a qualified professional. Their mean age was 31.6 years, 93% were single, 73% lived with their parents,16% completed college and only 46% reported professional occupation. The mean height was 1.47 m (66% used GH, and 90% were satisfied with the treatment). On BDI-II, 30% scored for depression and on SF-36, the lowest performances were in vitality and mental health areas. Focal groups discussion were divided by previous GH use (n=5) or not (n=3). The majority in both groups reported that TS was diagnosed due to short stature (“ I didn’t grow up ”) and it was traumatic (“ At first, you're shocked, even crying ”). There was some knowledge about the disease (“ Something that happens on chromosomes ”), and they reported difficulty in socializing (“ Will I ever have friends? ”), peer rejection (" I'm not going to lie, I was bullied ”) and stigmatization (“ You're short and ugly ”). For those who used GH, the treatment was initially daunting (“ You have to be brave ”), but today they feel satisfied (“ I reached my target height ”). Those who did not use GH demonstrated disappointment (“ For me, it would be like a trophy ”). Both groups showed current feelings of self-acceptance (“ I have a normal life ”), but they manifest discouragement regarding love relationships (“ It’s better to be alone ”). Regarding infertility, some rely on religious beliefs (“ If it is the Lord's will ”) and others are considering adoption (“ I've been thinking about adopting ”). Despite the limited sample size, it was possible to perceive the strong social life limitation concerning interpersonal interaction, professional life and depression. We suggest better attention to a...
Introduction: The way information is transmitted is of crucial importance in the doctor-patient relationship, as good communication reduces complaints about inadequate practices and patient concerns and improves treatment adherence and health recovery. However, patient dissatisfaction on this subject is not unusual. Objectives: The objective of this work was to evaluate the perception of patients admitted to a Hospital Complex about the communication of clinical doctors and surgeons during the hospitalization period. Method: Cross-sectional, descriptive, analytical inquiry study, with the application of a questionnaire with questions about physicians’ general communication. The instrument was built by the researchers and was answered by 120 adult patients. The sample was defined by convenience and stratified by medical and surgical clinic. Frequency and statistical analyses were performed on the obtained results. Results: Of 120 patients, 53.33%(n=64) were admitted to the Surgical Clinic and 46.67%(n=56) to the Medical Clinic. Of this total, 57.5%(n=69) had high school to college/university education. Patients reported more negative than positive responses to the following questions: information about the side effects of medications (66%), advice on post-surgical procedures (68.75%) and information on health promotion and prevention in the hospital environment (63.33%). The surgical clinic had significantly lower proportions of positive responses for: The doctor said their name (p <0.01; crude OR: 0.33; 95% CI 0.15-0.76); The patient was informed about how their treatment would be conducted (p=0.02; crude OR: 0.38; 95% CI 0.17-0.87); and the patient was informed about the need to undergo tests (p=0.02; crude OR 0.40; 95% CI 0.18-0.90), which remained significant after adjustment for certain confounding factors. There were no significant differences regarding the other questions. When analyzing the question: “What grade would you give to the doctor’s general communication?” a significantly higher value (p=0.007) was given to the Medical Clinic (average 4.46±0.76) when compared to the Surgical Clinic (average 4±1.19). Conclusion: The doctor-patient communication showed significant deficits. Therefore, it is necessary for medical schools to offer students the development of this competence. Additionally, for an adequate generalization of the obtained results, new studies need to be carried out at different levels of medical care.
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