叙事医学视角下医患沟通和人文素养培育机制探究  

Exploration of the mechanism for medical communication and humanistic quality cultivation from the perspective of narrative medicine

作　　者：郭邈 李栋[1] 郭颖婕[1] 关昆 田盛 杨立津 王哲[1] GUO Miao;LI Dong;GUO Yingjie;GUAN Kun;TIAN Sheng;YANG Lijin;WANG Zhe(Tianjin Medical University General Hospital,Tianjin 300052,China)

机构地区：[1]天津医科大学总医院,天津300052

出　　处：《现代医院》2024年第10期1504-1507,共4页Modern Hospitals

基　　金：天津市科技计划项目(19ZLZXZF00050);天津医科大学医院管理创新研究项目(2024YG03);天津市医学伦理学会科研项目(tjyxll2430)。

摘　　要：叙事医学作为人文教育和医学教育的交叉学科,是辅助医学人文落地的有效手段,不仅能够促进医患之间更深程度的共情与沟通,在临床实践和人文素养培育方面也发挥着重要作用。本研究从叙事医学融入医患关系研究的核心内涵出发,关注叙事医学赋能人文关怀研究的价值逻辑,借助天津某医院基于叙事医学的人文关怀理论实践的典型案例,通过介绍该医院叙事医学医护管理团队建设的组织构建、实践活动、人文关怀、健康教育、支持举措及成效等,得出结论:探索医患沟通和人文素养培育机制,促成叙事能力和共情能力相互转化、叙事医学与循证医学有机结合、临床医学与人文教育相辅相成,以缓解日益凸显的医患矛盾,弥合人性和技术的鸿沟,推动临床上医学人文的落地。Narrative medicine,as an interdisciplinary field at the intersection of humanistic education and medical education,is an effective means of implementing medical humanities.It not only fosters deeper empathy and communication between doctors and patients but also plays an important role in clinical practice and the cultivation of humanistic qualities.This study starts from the core connotation of integrating narrative medicine into the doctor-patient relationship,focusing on the value logic of narrative medicine empowering humanistic care.Utilizing a typical case from a hospital in Tianjin that practices humanistic care based on narrative medicine,the study examines the organizational structure,practical activities,humanistic care initiatives,health education,supportive measures,and outcomes of the narrative medicine healthcare management team.The conclusion drawn is that exploring mechanisms for medical communication and the cultivation of humanistic qualities can facilitate the mutual transformation of narrative and empathy skills,the organic combination of narrative medicine with evidence-based medicine,and the complementary relationship between clinical medicine and humanistic education.This approach aims to alleviate the increasingly prominent conflicts between doctors and patients,bridge the gap between humanity and technology,and promote the implementation of medical humanities in clinical settings.

关 键 词：叙事医学 医患沟通 临床实践 人文关怀 共情 

分 类 号：R-02[医药卫生]