在线问诊平台医患情感交互方式研究  

Research on Doctor-patient Emotional Interaction on Online Medical Consultation Platforms

作　　者：李嘉琪 欧红梅[2] LI Jiaqi;OU Hongmei(School of Chinese Language and Literature,Central China Normal University,Wuhan 430079,China;Department of Cardio-vascular Surgery,Guangyuan Central Hospital,Guangyuan 628000,China)

机构地区：[1]华中师范大学文学院,湖北武汉430079 [2]广元市中心医院心血管外科,四川广元628000

出　　处：《医学与哲学》2025年第3期47-51,共5页Medicine and Philosophy

摘　　要：基于话语分析理论,通过分析“春雨医生”网站上的会话语料,区分了在线医患交际中患者情绪表达和医生回应的不同类型。研究发现,患者倾向于先直接表达消极情绪,后间接表达;而医生则优先专注于完成医疗任务,情感回应滞后。同时,患者在获取医疗信息时存在认知偏差,造成情绪波动,导致医生无法直接予以情感响应,需先纠正患者误解。此外,医患情感互动的主题多元化,不仅包括与疾病相关的负面情绪,还涉及回复滞后致歉、经济和医疗资源等现实问题。随着在线医疗咨询的发展,医患情感交互的重要性愈加突出,对医患双方均有重要意义。Based on discourse analysis theory,by analyzing the conversational corpus on Chunyu Doctor website,this study distinguishes different types of patients'emotional expression and doctors'response in online medical communication.The findings reveal that patients tended to express negative emotions directly first,and then indirectly.Doctors,on the other hand,focus on completing medical tasks first,often delaying emotional responses.Additionally,patients have cognitive biases in obtaining medical information,resulting in emotional fluctuations that prevent doctors from responding emotionally before first correcting misunderstandings.In addition,the themes of doctor-patient emotional interaction are diverse,including not only negative emotions related to illness,but also practical issues such as delayed response apologies,financial concerns,and medical resource limitations.With the development of online medical consultation,the importance of doctor-patient emotional interaction has become more and more prominent,which is of great significance to both doctors and patients.

关 键 词：在线医疗咨询 话语分析 医患交流 

分 类 号：R-05[医药卫生]