中国医学伦理学2025，Vol.38Issue(6)：679-686,8.DOI:10.12026/j.issn.1001-8565.2025.06.01
叙事医学在医患共同决策中弥合分歧的价值研究
Research on the value of narrative medicine in bridging differences in shared decision-making
摘要
Abstract
Shared Decision-Making(SDM)is a crucial concept in modern medicine,emphasizing the joint participation of doctors and patients in the medical decision-making process.However,the authoritative position of doctors and the passive role of patients in traditional medical models often overlook the personal wishes and needs of patients,leading to tense doctor-patient relationships and medical disputes.By listening to and understanding their stories,narrative medicine helps doctors gain a more comprehensive understanding of patients'situations and balances medical advice with patient needs in the decision-making process.Through systematic literature analysis and theoretical exploration,this paper investigated the application effects and mechanisms of narrative medicine in different medical contexts,as well as analyzed its specific role in the process of SDM.The aim is to explore the value of narrative medicine in bridging differences in SDM,revealing its role in promoting doctor-patient communication,enhancing decision-making participation,and improving medical outcomes.Researches had found that narrative medicine enhanced doctors'"narrative ability",promoted emotional communication and trust between doctors and patients,reduced conflicts and misunderstandings in decision-making,and improved patients'sense of participation and trust,thus playing an important role in SDM.Therefore,by enhancing doctor-patient communication and understanding,promoting SDM and treatment selection between doctors and patients,personalized care and treatment optimization,advocating for doctor-patient co-construction,improving consultation efficiency,restoring the patient's subject position,and other methods,it can bridge doctor-patient differences,promote communication and enhance decision-making participation,and improve medical outcomes and patient satisfaction.关键词
医患共同决策/叙事医学/医患关系/医患沟通Key words
shared decision-making/narrative medicine/doctor-patient relationship/doctor-patient communication引用本文复制引用
罗珊,王大斌,张佳雯,谢芳,刘红..叙事医学在医患共同决策中弥合分歧的价值研究[J].中国医学伦理学,2025,38(6):679-686,8.基金项目
西南医科大学2023年教育教学改革研究项目"社会情感学习理论视域下标准化病人模拟对护生文化护理能力的影响"(JG2023yb227) （JG2023yb227）
西南医科大学应用基础研究项目"乳腺癌术后患者婚姻质量与症状负担、自我概念的相关性研究"(2022QN066) （2022QN066）
