Exploring the Perceived Physician-Patient Interaction Between

• Main Authors: Miao-Jeng Huang, 黃妙珍
• Other Authors: Jong-Long Gou
• Format: Others
• Language: zh-TW
• Published: 2014
• Online Access: http://ndltd.ncl.edu.tw/handle/59576317956441287716

碩士 === 國立臺灣師範大學 === 健康促進與衛生教育學系 === 102 === Exploring the Perceived Physician-Patient Interaction Between　 Traditional Chinese Physicians and Primary Dysmenorrheal Women Dysmenorrhea is a common health problem for women. Both Western medicine and traditional Chinese medical are used to treat menstrual pain. In this study, we explored treatment expectations and interaction experiences between women with primary dysmenorrhea and traditional Chinese physicians. We used a qualitative method involving semistructured interviews to collect data from 20 women with primary dysmenorrhea and 10 traditional Chinese physicians. Content analysis of the data were was performed using Atlas.ti 5.2 software. The results indicated that the main theme of the data was “women with primary dysmenorrhea and traditional Chinese physicians cooperating to treat menstrual pain”, which included 4 themes to describe interactions between physicians and women. The 4 themes were as follows: (a) expectation gap of physician–patient interaction; (b) limited communication between physicians and patients; (c) difficulty of practical application of physicians’ orders; (d) cooperation of patients and physicians during treatment and revision of treatment strategies. We observed that women with primary dysmenorrhea used traditional Chinese medicine to treat menstrual pain; however, women were not fully able to determine the validity of information about Chinese medicine, and occasionally used incorrect information as the basis for their treatment of dysmenorrhea. Moreover, traditional Chinese physicians were unable to provide comprehensive information to women with primary dysmenorrhea because the time that women spent in the OPD was limited. In addition, we observed gaps in treatment period, treatment leader, and treatment content. Women with primary dysmenorrhea experienced difficulty in completing all of the health behaviours required to manage their dysmenorrhea, which may be one of the potential factors that caused unsatisfactory treatment outcomes. The results indicated that when physicians and patients interacted consistently throughout the course of treatment, dysmenorrhoeal care improved. Traditional Chinese physicians stated that strengthening trust, revising communication methods, and encouraging women with primary dysmenorrhea to actively participate in decisions about their treatment can help women overcome obstacles to treatment and enhance medical compliance.