Communication as the Basis of Care for Patients with Chronic Diseases
American Journal of Nursing Science
Volume 7, Issue 3-1, June 2018, Pages: 7-12
Received: Jul. 12, 2017; Accepted: Jul. 13, 2017; Published: Aug. 9, 2017
Views 2031      Downloads 148
Michael Kourakos, General Hospital "Asklepieio" Voulas, Athens, Greece
Evangelos C. Fradelos, Nursing Department, University of Peloponnese, Sparta, Greece
Ioanna V. Papathanasiou, Nursing Department, Technological Educational Institute of Thessaly, Larissa, Greece
Maria Saridi, General Hospital of Korinthos, Korinthos, Greece
Theodora Kafkia, Nursing Department, Technological Educational Institute of Thessaloniki, Thessaloniki, Greece
Article Tools
Follow on us
Now that chronic illnesses are the main cause of death and disability worldwide, patients must be involved in healthcare process, contributing to almost every level of decision or action. Communication is a process that is dynamic and continuous and influenced by a number of factors, and in the field of health care is of particular importance. Communication of patients with healthcare professionals affects patients' outcomes, helps them learn to regulate their emotions, increases compliance and is correlated with patient confidence and satisfaction as well as quality of life. Health communication strategies should respond to the needs of the public so that it complies with its health recommendations.
Communication, Therapeutic Communication, Chronic Disease
To cite this article
Michael Kourakos, Evangelos C. Fradelos, Ioanna V. Papathanasiou, Maria Saridi, Theodora Kafkia, Communication as the Basis of Care for Patients with Chronic Diseases, American Journal of Nursing Science. Special Issue:Nursing Education and Research. Vol. 7, No. 3-1, 2018, pp. 7-12. doi: 10.11648/j.ajns.s.2018070301.12
Copyright © 2017 Authors retain the copyright of this article.
This article is an open access article distributed under the Creative Commons Attribution License ( which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Holman H, Lorig K. Patients as partners in managing chronic disease. BMJ. 26 2000; 320(7234):526–7.
Street Jr RL, Mazor KM. Clinician–patient communication measures: drilling down into assumptions, approaches, and analyses. Patient Educ Couns. 2017; 100 (8):1612–8.
Epstein AM, Taylor WC, Seage GR. Effects of patients‘socioeconomic status and physicians’ training and practice on patient-doctor communication. Am J Med. 1985; 78(1):101–6.
Harding R, Selman L, Beynon T, Hodson F, Coady E, Read C, et al. Meeting the Communication and Information Needs of Chronic Heart Failure Patients. J Pain Symptom Manage. 2008; 36(2):149–56.
Kee JW, Khoo HS, Lim I, Koh MY. Communication Skills in Patient-Doctor Interactions: Learning from Patient Complaints. Health Prof Educ [Internet]. 2017; Available at:
Spyropoulos MN. Communication between doctor and patient in contemporary times. Am J Orthod Dentofacial Orthop. 2017; 151(4):629–32.
Borţun D, Matei C. Aspects of communication in medical life. Doctor-patient communication: differentiation and customization. J Med Life. 2017; 10(1):60–5.
Poonia, S V. Advertising Management. Gyan Publishing House; 2010. 324.
Velentzas J, Broni DG. Communication cycle: Definition, process, models and examples. Στο: Proceeding of the 5th International Conference on Finance, Accounting and Law (ICFA‟ 14) [Internet]. 2014. σ 117–131. Available at: library/conferences/2014/Istanbul/FINANCE/FINANCE-17.pdf
Slater T. A definition and model for communication. En Ligne Httpwww Ijot Comtedpaperscommunication Html Consulté 1er Mars 2004 [Internet]. 2011; Available at:
Lunenburg FC. Communication: The process, barriers, and improving effectiveness. Schooling. 2010; 1(1):1–11.
Communication meaning : Definition [Internet]. Library & Information Science Network. 2014. Available at:
Major Elements of Communication Process [Internet]. The Next Generation Library. 2014. Available at:
Communication TB. What is communication process? | Steps of communication process [Internet]. The Business Communication. 2013. Available at:
Rathert C, Mittler JN, Banerjee S, McDaniel J. Patient-centered communication in the era of electronic health records: What does the evidence say? Patient Educ Couns. 2017; 100(1):50–64.
Ha JF, Longnecker N. Doctor-Patient Communication: A Review. Ochsner J. 2010; 10(1):38–43.
Riedl D, Schüßler G. The Influence of Doctor-Patient Communication on Health Outcomes: A Systematic Review. Z Für Psychosom Med Psychother. 2017; 63(2):131–50.
Ong LML, Visser MRM, Lammes FB, de Haes JCJM. Doctor–Patient communication and cancer patients’ quality of life and satisfaction. Patient Educ Couns. 2000; 41(2):145–56.
Care I of M (US) C on U and ER and ED in H, Smedley BD, Stith AY, Nelson AR. PATIENT-PROVIDER COMMUNICATION: THE EFFECT OF RACE AND ETHNICITY ON PROCESS AND OUTCOMES OF HEALTHCARE [Internet]. National Academies Press (US); 2003. Available at:
Waitzkin H. Doctor-Patient Communication: Clinical Implications of Social Scientific Research. JAMA. 1984; 252(17):2441–6.
Mazzi MA, Rimondini M, Deveugele M, Zimmermann C, Deledda G, Bensing J. Does gender matter in doctor–patient communication during standard gynaecological consultations? An analysis using mixed methods. Commun Med [Internet]. 2016; 11(3). Available at:
Perloff RM, Bonder B, Ray GB, Ray EB, Siminoff LA. Doctor-Patient Communication, Cultural Competence, and Minority Health: Theoretical and Empirical Perspectives. Am Behav Sci. 2006; 49(6):835–52.
Paternotte E, van Dulmen S, van der Lee N, Scherpbier AJJA, Scheele F. Factors influencing intercultural doctor–patient communication: A realist review. Patient Educ Couns. 2015; 98(4):420–45.
Willems S, De Maesschalck S, Deveugele M, Derese A, De Maeseneer J. Socio-economic status of the patient and doctor–patient communication: does it make a difference? Patient Educ Couns. 2005; 56(2):139–46.
Meryn S. Improving doctor-patient communication. BMJ. 27 1998; 316(7149):1922–30.
Neo LF. Working toward the best doctor-patient communication. Singapore Med J. 2011; 52(10):720–5.
Lima JT da S, Oliveira DST de, Costa TF da, Freitas FFQ, Alves SRP, Costa KN de FM. Therapeutic and nontherapeutic communication between nurses and hospitalized elderly citizens. J Nurs UFPE Line. 2012; 6(7):1566–1575.
Zarea K, Maghsoudi S, Dashtebozorgi B, Hghighizadeh MH, Javadi M. The Impact of Peplau’s Therapeutic Communication Model on Anxiety and Depression in Patients Candidate for Coronary Artery Bypass. Clin Pract Epidemiol Ment Health CP EMH. 2014; 10:159–65.
Levy-Storms L. Therapeutic communication training in long-term care institutions: Recommendations for future research. Patient Educ Couns. 2008; 73(1):8–21.
Therapeutic communication | definition of therapeutic communication by Medical dictionary [Internet]. Available at:
McCabe C. Nurse–patient communication: an exploration of patients’ experiences. J Clin Nurs. 2004; 13(1):41–9.
Hamine S, Gerth-Guyette E, Faulx D, Green BB, Ginsburg AS. Impact of mHealth Chronic Disease Management on Treatment Adherence and Patient Outcomes: A Systematic Review. J Med Internet Res [Internet]. 2015; 17(2). Available at:
Liaw ST, Rahimi A, Ray P, Taggart J, Dennis S, de Lusignan S, et al. Towards an ontology for data quality in integrated chronic disease management: A realist review of the literature. Int J Med Inf. 2013; 82(1):10–24.
Michie S, Miles J, Weinman J. Patient-centredness in chronic illness: what is it and does it matter? Patient Educ Couns. 2003; 51(3):197–206.
Huygens MWJ, Vermeulen J, Swinkels ICS, Friele RD, van Schayck OCP, de Witte LP. Expectations and needs of patients with a chronic disease toward self-management and eHealth for self-management purposes. BMC Health Serv Res [Internet]. 2016; 16. Available at:
Booker R. Effective communication with the patient. Eur Respir Rev. 2005; 14(96):93–96.
Patient Engagement HIT. Access to Care, Communication Aid Chronic Disease Patients [Internet]. PatientEngagementHIT. 2016 Available at:
Shukla AK, Yadav SV, Kastury N. Doctor-patient communication: an important but often ignored aspect in clinical medicine. J Indian Acad Clin Med. 2010; 11:208–11.
Rutten LJF, Hesse BW, Sauver JLS, Wilson P, Chawla N, Hartigan DB, et al. Health self-efficacy among populations with multiple chronic conditions: the value of patient-centered communication. Adv Ther. 2016; 33:1440.
Pienaar M, Reid M, Van der Walt C. Communication Strategies to Accomplish Effective Health Dialogue in Chronic Diseases in Lmic’s: A Systematic Review. Systematic Review Impacting Nursing Practice 2016. [Internet]. Available at:
Street RL, Makoul G, Arora NK, Epstein RM. How does communication heal? Pathways linking clinician–patient communication to health outcomes. Patient Educ Couns. 2009; 74(3):295–301.
Therapeutic Communication: NCLEX-RN || [Internet]. Available at:
Duggan AP. Doctor-Patient Communication. The International Encyclopedia of Interpersonal Communication [Internet]. John Wiley & Sons, Inc.; 2015. Available at:
Science Publishing Group
1 Rockefeller Plaza,
10th and 11th Floors,
New York, NY 10020
Tel: (001)347-983-5186