ABSTRACT
La consultation medicale est une rencontre entre deux experts: le medecin et le malade. La confidentialite etant parmi les exigences reconnues a une bonne consultation medicale; il est ideal qu'il n'y ait pas de tierce personne lorsque le malade consulte son medecin. Cependant; il est frequent que le medecin fasse recours a une personne interposee pour bien saisir les preoccupations de son patient. La presence d'un traducteur modifie le cours de la consultation et on se demande si dans ces conditions; le malade arrive a s'exprimer et a etre correctement compris par son medecin. Ailleurs dans le monde; le contexte semble etre plus precis avec la formation des personnes capables de dire le discours du malade pour sa meilleure comprehension par son medecin. Dans nos conditions; il y a lieu qu'un medecin qui recourt a un traducteur fasse mieux et reste dans les limites acceptables d'une consultation medicale en se servant des quelques regles commentes dans cet article
Subject(s)
Communications Media , Hospitalists , Office VisitsABSTRACT
Background: Trauma-related consultations; admissions and complications are the leading problems at Doctors on Call for Service (DOCS) Hospital; Goma; Democratic Republic of Congo; and yet no studies have been carried out to document the experience of long-stay traumatic-fracture patients in this hospital. Aim: The aim of this study was to explore the experience and psychosocial needs of patients with traumatic fractures treated for more than six months at DOCS Hospital. Methods: Six free-attitude interviews were conducted with purposively selected patients. The interviews were recorded with a tape recorder and transcribed verbatim; and content analysis was used to identify themes from the interviews. Results: All patients could clearly connect the injury experience to severe pain that lingered on for weeks or months for some patients; accompanied by other symptoms such as insomnia; poor appetite and psychological symptoms. Most patients felt disabled; were abandoned by relatives or friends and experienced financial problems. Some benefited from the injury by way of strengthened marital links. Some patients complained of poor information about their illness and the management plan and did not appreciate the treatment from caregivers; while some disclosed their needs and expectations and appreciated the caregivers who showed interest in them. Conclusions: The experience of long-term trauma has negative effects on the whole person of the patient; including his or her work and family; and some patients continue to suffer from the effects of the traumatic event up to six months later. The needs of patients suffering from trauma include reassurance by physicians and nurses; more information and participation in the decision-making process; regular visits from friends and family; and better bedside manners from caregivers