Therapeutic Communication

Main theme of this research was interpersonal communication role to increase healing motivation to cancer patients in Banyumas Public Hospital. The research focuses in two parts; (1) communication activities from medic staff and cancer patients family to the patients, consists are medic staff as communicator and family of the cancer patients as communicator to the cancer patients, (2) how communication messages were encoded each other. The goals of this research are to know how important interpersonal communication in medic staff to their patients to be done well, and to know how influence interpersonal communication to increasing healing motivation to cancer patients. Objects of this research were cancer patients in general nursing in Banyumas Public Hospital. Medic staff consists are doctors, nurses, and psychologist then cancer patients family. The method of this research use qualitative method with job and activity analysis descriptive. Data finding is done by observation, deep interview and literature study. The research results indicated that there were increasing healing motivation to cancer patients with effectively interpersonal communication from medic staff and cancer patients family. PENDAHULUAN Kasus Rima Melati, seorang selebritis Indonesia, memperlihatkan betapa kuat pengaruh komunikasi antarpribadi yang dilakukan oleh keluarga dan pendeta yang secara rutin terus memberikan semangat kepadanya untuk sembuh. Pada akhirnya, Rima Melati dinyatakan sembuh dari penyakit kankernya. Dilihat dari sisi komunikasi, di luar pengobatan medis yang dilakukan dokter, dorongan kesembuhan ini ternyata dimunculkan oleh komunikasi antarpribadi yang dilakukan oleh keluarga dan pendeta yang selalu menemani dan membantunya. Contoh kasus ini, bisa menjadi tanda betapa pentingnya komunikasi antarpribadi dalam kehidupan seorang penderita kanker. Komunikasi antarpribadi juga terjadi dalam komunitas terapeutik atau sering disebut sebagai komunikasi dalam lingkup dunia kesehatan, seperti rumah sakit, di mana dalam rumah sakit tersebut terjadi interaksi antara staf medis dan pasien, dengan tujuan untuk mengobati pasien dari penyakitnya (Purwanto, 1994). Sementara itu, menurut Organisasi Kesehatan Dunia (WHO), tiap tahun jumlah penderita kanker di dunia bertambah 6,25 juta orang. 10 tahun mendatang diperkirakan sembilan juta orang akan meninggal tiap tahun akibat kanker. Dua pertiga dari penderita kanker di dunia akan berada di negara-negara yang sedang berkembang. Di Indonesia, diperkirakan tiap tahunnya terdapat 100 penderita kanker yang baru dari setiap 100.000 penduduk. Menurut hasil Survai Kesehatan Rumah Tangga (SKRT) Departemen Kesehatan RI, kematian yang disebabkan kanker meningkat dari tahun ke tahun ialah : 4,5 persen (1989), 4,5 persen (1992), dan 4,9 persen (1995).

Objective: Effective communication between physicians and
their patients is important in optimizing patient care. This project
tested a brief, intensive, interactive medical education intervention
using coaching and standardized psychiatric patients to teach
physician–patient communication to family medicine trainees.
Methods: Twenty-six family medicine trainees (9 PGY1, 11
PGY2, 6 fellows) from five university-affiliated hospitals
conducted four once-weekly, 30-minute videotaped interviews with
“difficult” standardized patients. After each interview, trainees
received 1 hour of individual coaching that incorporated selfassessment
and skills-teaching from experienced psychiatrists.
Two follow-up interviews with standardized patients occurred 1
week and an average of 6 months post-intervention. Trainee selfreported
physician–patient communication efficacy was measured
as a control 1month before the intervention; during the month of the
intervention; and an average of 6 months after the intervention.
Coach-rated physician–patient communication competence was
measured each week of the intervention.
Results: Improvements in physician–patient communication were
demonstrated. Self-efficacy for physician–patient communication
improved significantly during the intervention, in contrast to no
improvement during the control period (i.e., training-as-usual).
This improvement was sustained during the follow-up period.
Conclusions: This innovative educational intervention was
shown to be highly effective in improving trainee communication
competence and self-efficacy. Future applications of this brief
model of physician training have potential to improve
communication competence and, in turn, can improve patient care.
Academic Psychiatry 2013; 37:87–93

Objective: Effective communication between physicians and their patients is important in optimizing patient care. This project tested a brief, intensive, interactive medical education intervention using coaching and standardized psychiatric patients to teach physician-patient communication to family medicine trainees. Methods: Twenty-six family medicine trainees (9 PGY1, 11 PGY2, 6 fellows) from five university-affiliated hospitals conducted four once-weekly, 30-minute videotaped interviews with "difficult" standardized patients. After each interview, trainees received 1 hour of individual coaching that incorporated selfassessment and skills-teaching from experienced psychiatrists. Two follow-up interviews with standardized patients occurred 1 week and an average of 6 months post-intervention. Trainee selfreported physician-patient communication efficacy was measured as a control 1 month before the intervention; during the month of the intervention; and an average of 6 months after the intervention. Coach-rated physician-patient communication competence was measured each week of the intervention. Results: Improvements in physician-patient communication were demonstrated. Self-efficacy for physician-patient communication improved significantly during the intervention, in contrast to no improvement during the control period (i.e., training-as-usual). This improvement was sustained during the follow-up period. Conclusions: This innovative educational intervention was shown to be highly effective in improving trainee communication competence and self-efficacy. Future applications of this brief model of physician training have potential to improve communication competence and, in turn, can improve patient care.