无法解释的躯体症状患者的医患关系研究  

Research on Doctor-patient Relationship of Patients with Medically Unexplained Syndrome

作　　者：吴珩[1] 沈楠[2] 黄东雅[2] 陈维珺[3] 仇剑崟[3] 魏镜[4] 张岚[5] 杨建中[6] 赵旭东[2] Kurt Fritzsche 

机构地区：[1]同济大学附属同济医院,上海200065 [2]上海市东方医院,上海200120 [3]上海市精神卫生中心,上海200030 [4]北京协和医院,北京100730 [5]四川华西医院,成都610041 [6]云南省红十字会医院,云南昆明650200 [7]弗莱堡大学医学中心,德国弗莱堡d79104

出　　处：《医学与哲学（B）》2014年第3期82-85,共4页Medicine & Philosophy(B)

基　　金：中德科学中心项目;项目编号:GZ690

摘　　要：无法解释的躯体症状(MUS)这个术语来源于西方,目前也成为我国临床各科门诊常见就诊原因。MUS患者的躯体症状体验真实,但是找不到任何器质性异常,导致患者反复就医。其与接诊医生的医患关系成为研究的热点。本研究分别从医患两个视角出发,通过横断面研究发现门诊MUS患者医患双方对医患关系的评价较低,MUS成为一个重要的变量影响了门诊医生对医患关系的评价。借鉴中医理论和方法避免身心分离对治疗MUS患者有重要意义。The term of ＆quot;medically unexplained syndromes （MUS）＆quot; came from western countries ,which has also become a common complaint in the outpatient department .Patients with M US experience real physical symptoms ,but there isn＆#39;t any structural abnormality to be found .It leads to recurrent medical examinations and treatment of patients . The doctor-patient relationship becomes a research hotspot .In this study ,respectively ,from the perspective of both doctors and patients ,it was found that doctor-patient relationship of patients with M US was worse than medically explained syndromes （MES） .Moreover ,M US become an important variable affecting the assessment of doctor-patient relationship .The results suggested that it might be meaningful to learn from traditional Chinese medicine theory and methods and to avoid the body -mind separation in the diagnosis and treatment of patients with M US .

关 键 词：医患关系 无法解释的躯体症状 横断面研究 

分 类 号：R749[医药卫生—神经病学与精神病学]