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奥斯勒患者观与叙事医学中的医患叙事共同体理念OA北大核心CSTPCD

Concept of Osler's patient view and doctor-patient narrative community in narrative medicine

中文摘要英文摘要

在现代医学语境中,缺乏叙事思维的医者难以走进患者内心,为患者提供高品质医疗服务.精确的分类术语和去语境化的抽象语言成为医患之间的沟通障碍,在医疗过程中制造出异常冷漠和恐惧的氛围.现代医学之父奥斯勒强调医者尊重患者的个体性,倡导医者采用生活化语言向患者提供人性化照护,当代中国叙事医学体系构建中的"医患叙事共同体"观念与此遥相呼应.作为一种全新的临床人文实践路径,叙事医学聚焦于"叙事"这一关键词,围绕医疗语境下的"主体间关系"这一主题词,倡导医者在科学和生活两个参照系中灵活切换,与患者及其家属实现视域融合,关注患者的生活经验,与其建立叙事连接,在此基础上实现双向叙事互动,构建和谐的医患叙事共同体,提升患者就医体验.

In the context of modern medicine,it's difficult for doctors lacking narrative thinking to get into the hearts of patients and offer high-quality medical service.Precise classification terms and decontextualized abstract language have become communication barriers between doctors and patients,creating an atmosphere of unusual indifference and fear during the medical process.William Osler,the father of modern medicine,emphasized that doctors should respect the individuality of patients,and advocated that doctors should use life-oriented language to provide humanistic care to patients.This echoes the concept of the"doctor-patient narrative community"in the construction of the Chinese narrative medicine system.As a brand new clinical humanistic practice path,narrative medicine focuses on the keyword"narrative"and revolves around the theme of"inter-subjective relationship"in the medical context,advocates that doctors switch flexibly in the two references of science and life,achieve visual fusion with patients and their families,pay attention to patients'life experiences,and establish narrative connections with them.On this basis,it can achieve two-way narrative interaction,build a harmonious doctor-patient narrative community,and thus enhance the patient's medical experience.

杨晓霖;陈慧慧;陶艳玲;赵颖

南方医科大学顺德医院叙事医学研究中心,广东 佛山 528000||南方医科大学通识教育部,广东 广州 510515广州中医药大学深圳临床医学院,广东 深圳 518000||深圳市龙岗中心医院,广东 深圳 518000深圳市龙岗中心医院护理部,广东 深圳 518000深圳市龙岗中心医院,广东 深圳 518000

奥斯勒患者观叙事医学医患叙事共同体

Oslerpatient viewnarrative medicinedoctor-patient narrative community

《中国医学伦理学》 2024 (005)

564-569 / 6

2021年南方医科大学顺德医院科研启动项目"叙事医学与临床学科综合实力提升"(SPSP2021024)

10.12026/j.issn.1001-8565.2024.05.10

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