叙事医学中科学与人文的融合路径  

The Path to Integration of Science and Humanities in Narrative Medicine

作　　者：邱龙虎 辜美惜 黄世瑞[3] QIU Longhu;GU Meixi;HUANG Shirui(School of Marxism,Guangzhou Universityof Chinese Medicine,Guangzhou,Guangdong,510006;School of Humanities and Management,Guangdong Medical University,Dongguan,Guangdong,523808;School of Philosophyand Social Development,South China Normal University,Guangzhou,Guangdong,510631)

机构地区：[1]广州中医药大学马克思主义学院,广东广州510006 [2]广东医科大学人文与管理学院,广东东莞523808 [3]华南师范大学哲学与社会发展学院,广东广州510631

出　　处：《自然辩证法通讯》2022年第12期107-113,共7页Journal of Dialectics of Nature

基　　金：广东省哲学社会科学规划项目“叙事医学理论与医学生叙事能力培养研究”(项目编号:GD17XJY23);广东省哲学社会科学规划项目“医务人员临床共情现状、影响因素与促进路径”(项目编号:GD20CGL36);广东省教育科学规划项目“医学生临床共情水平及其提升机制与对策”(项目编号:2019GXJK225)。

摘　　要：叙事医学通过理念变革、职前职后培养具有医学科学知识和医学人文素养的复合型人才,在临床诊疗上推行关注、倾听、共情、平衡病历、反思、共同决策等实践操作,已成为改善医患关系、提高患者依从性和医疗效果、提升医生职业认同感和成就感、减少职业倦怠的重要力量,有效避免了科学主义至上的询证医学模式“只见疾病不见人”“只问证据不问感受”的诟病,必将成为全新的科学与人文并重的诊疗主导模式;同时兼备形而上和形而下的特色,超越了以往融合路径的不足,必将成为探究科学与人文融合的新路径和新典范。Through changing concepts,cultivating the compound talents who have medical science knowledge and medical humanities via pre-employment and post-employment trainings,and implementing practical operations such as focusing attention,listening,empathy,parallel medical records,reflection,and joint decision-making in clinical diagnosis and treatment,narrative medicine has become an important improvement power in affecting the relationship between doctors and patients,improving patient compliance and medical treatment effects,enhancing doctors’ professional self-identity and sense of accomplishment,and reducing job burnout,thus effectively avoiding the criticism towards the evidence-based medicine model which places scientism in the priority,for example:“only seeing diseases but not patients” and “just obtaining evidence but not asking feelings”,etc.Therefore,narrative medicine will surely become a new leading model of diagnosis and treatment that combines science and humanities.On the other hand,as it has both metaphysical and physical characteristics,narrative medicine will certainly surpass the shortcomings of the previous integration path,and will surely become a new path and paradigm to explore the integration of science and humanities.

关 键 词：科学与人文 叙事医学 医患关系 新医科 医学人文 

分 类 号：N0[自然科学总论—科学技术哲学] R-05[医药卫生]