叙事的肿瘤临床运用及其意义分析  

The Clinical Application and Significance Analysis of Narrative Oncology

作　　者：何裕民[1] HE Yumin(School of Basic Medical Science,Shanghai University of Traditional Chinese Medicine,Shanghai 201203,China)

机构地区：[1]上海中医药大学基础医学院,上海201203

出　　处：《医学与哲学》2024年第12期43-48,共6页Medicine and Philosophy

摘　　要：就叙事肿瘤学的概念及设想的实操性运用,以九个实际医案,进行分析讨论。认为借助叙事:有助于更好洞察肿瘤患者的心身特点,揭示一些易被忽略的临床真相;帮助破解部分临床难题;且可促进心身兼治;促使患者形成良好生活方式。因此叙事方法值得重视,是当下解决一些临床痛点的好方法及可操作手段。其后,讨论了肿瘤临床部分“痛点”所在;包括医患双方对患病真相不明、并未消解患者疑惑、未着手消除患者相关危险因素、患者焦虑状态并未加以纠治、没给予患者有效心理支持、未有效促使及帮助患者消解恐惧等;且认为上述部分“痛点”可借助叙事等有所破解。This paper explores the concept and practical application of narrative oncology,using nine real medical cases for analysis and discussion.It suggests that narrative approaches can help better understand the psychological and physical characteristics of patients,revealing some easily overlooked clinical truths;assisting in solving some clinical difficulties;promoting the integration of mind-body treatments;and encouraging patients to develop a better lifestyle.Therefore,it is believed that narrative methods are worthy of attention and are a good and actionable means to address some clinical challenges and operational tools.Subsequently,the paper discusses some"pain points"in clinical oncology,including the lack of clarity between doctors and patients regarding the disease,failure to dispel patient doubts,neglect in addressing patient-related risk factors,inadequate management of patient anxiety,lack of effective psychological support,and failure to help patients overcome fear.It suggests that narrative techniques can help alleviate these"pain points".

关 键 词：肿瘤 叙事医学 心身兼治 

分 类 号：R-0[医药卫生]