MEDIX, God. 17 Br. 92/93 Supplement  •  Pregledni članak  •  Psihijatrija HR ENG

Komunikacija s osobama treće životne dobiCommunication with elderly patients

Lovorka Brajković, Ana-Strahinja Ratković, Goran Ivkić

Efektivna komunikacija liječnika i bolesnika je ključna za uspostavu visokokvalitetne medicinske skrbi te ima pozitivan učinak na bolesnikov oporavak, kontrolu boli, pridržavanje predviđenog tretmana, zadovoljstva i adekvatnijeg psihološkog funkcioniranja. Bolesnici starije životne dobi su rizična skupina u smislu uspostavljanja adekvatne komunikacije s liječnikom. Manje su asertivni i nisu skloni detaljnijem postavljanju pitanja te je manje podudaranja u glavnim ciljevima i temama tijekom pregleda sa starijim bolesnicima nego s onima mlađe životne dobi. Istraživanja pokazuju da je evaluacija čimbenika poput kognitivnog statusa i senzornih deficita ključni faktor prije no počne komunikacijski proces. Uobičajene komunikacijske prepreke s obzirom na dob bolesnika često se previde tijekom konzultacija i/ili liječničkog pregleda, što narušava kvalitetu komunikacijskog procesa. Uspostava efikasne komunikacije smanjuje broj hospitalizacija kod starijih pacijenata

Ključne riječi:
gerijatrija; komunikacija; odnos liječnika i bolesnika; stariji bolesnici

Članak u cijelosti pročitajte u tiskanom izdanju MEDIX, God. 17 Br. 92/93 Supplement

Physician-patient communication is a process of information exchange between a doctor and a patient through a common system of symbols, signs, and behaviors. Effective communication between health care professionals and patients is essential for delivery of quality health care. Research shows that effective communication in medical encounters positively influences patient recovery, pain control, adherence to treatment, satisfaction and psychological functioning. Older adults are a group considered to be at highest risk of poor communication with health professionals. Elderly patients are less likely to be assertive or ask in-depth questions. Doctor’s overall responsiveness (i.e., the quality of questions, information and support) to younger patients is better than that to older patients and there is less concordance in goals and topics between doctors and older patients than between doctors and younger patients. Literature suggests that evaluation of factors such as memory decline and sensory deficits is essential in geriatric patient visits. These common age-related communication barriers are often overlooked during consultation and often compromise the quality of communications. Effective communication has been shown to reduce the hospitalization rates in elderly patients

Key words:
aged; communication; geriatrics; physician-patient relations