1.中国中医科学院中医临床基础医学研究所 北京 100700
2.雄安新区容城县人民医院
王昊,男,硕士,助理研究员
# 杨秋莉,女,研究员,硕士生导师,E-mail:yql126@126.com
纸质出版日期:2021-07-30,
收稿日期:2020-11-07,
移动端阅览
王昊, 周荣新, 曹明月, 等. 基于“读故事—听故事—讲故事—写故事”的叙事医学实践探索研究——以雄安新区容城县人民医院的实践为例[J]. 现代中医临床, 2021,28(4):23-28.
Hao Wang, Rongxin Zhou, Mingyue Cao, et al. Narrative medical practice based on "reading, listening, telling and writing stories" ——Taking the practice of Rongcheng County People’s Hospital of Xiong’an New Area as an example[J]. Modern Chinese Clinical Medicine, 2021,28(4):23-28.
王昊, 周荣新, 曹明月, 等. 基于“读故事—听故事—讲故事—写故事”的叙事医学实践探索研究——以雄安新区容城县人民医院的实践为例[J]. 现代中医临床, 2021,28(4):23-28. DOI: 10.3969/j.issn.2095-6606.2021.04.005.
Hao Wang, Rongxin Zhou, Mingyue Cao, et al. Narrative medical practice based on "reading, listening, telling and writing stories" ——Taking the practice of Rongcheng County People’s Hospital of Xiong’an New Area as an example[J]. Modern Chinese Clinical Medicine, 2021,28(4):23-28. DOI: 10.3969/j.issn.2095-6606.2021.04.005.
叙事医学是医学人文实践的新形式。在“天人合德”的基础上中医学人文始终强调“医乃仁术”“大医精诚”的职业道德要求,同时注重关注患者人格心理、社会因素及自身感受,因此中医学与医学人文叙事医学有着天然的亲近性。研究团队基于前期课题研究的基础,提出了“读故事—听故事—讲故事—写故事”的叙事医学实践模式。以雄安新区容城县人民医院的中医科、中西医结合皮肤科、中西医结合康复科23位医务人员为实践主体,于2018年1月—4月,通过叙事医学知识的学习与练习、叙事阅读、叙事对话、平行病历撰写等进行叙事医学的实践。在实践过程中研究者对医务工作者进行定性与定量评估,叙事医学临床实践有助于提高医务工作者的叙事能力,有助于改善医务工作者与患者、同事、自我之间的关系,有利于临床诊疗中的医患沟通,医务工作者们在临床工作中平衡人际等各类矛盾的能力、处理复杂问题的能力得到提高。实践特色包括浓厚的中医学叙事特色、关照医者的多元社会关系、发现病痛背后的积极面、尊重医者的专业权威又不失温度等方面。
Narrative medicine is a new practice form of medical humanities. On the basis of "nature and man united in virtue"
traditional Chinese medicine humanities always emphasize the professional ethics requirements of "medicine is benevolence" and "the spirit of great physician"
and also pay attention to patients’ personality
psychology
social factors and their own feelings. Therefore
traditional Chinese medicine and medical humanistic narrative medicine have a natural affinity. Based on previous research
the research team proposed the narrative medical practice mode of "reading
listening
telling and writing stories" . From January to April 2018
23 medical staff from the Department of Traditional Chinese Medicine
Department of Dermatology of Integrated Chinese and Western Medicine
and Department of Rehabilitation of Integrated Chinese and Western Medicine at the Rongcheng County People’s Hospital of the Xiong’an New Area took narrative medicine practice as the main body through learning and practicing narrative medicine knowledge
narrative reading
narrative dialogue
parallel medical records writing and other methods. Researchers in the process of practice to the doctor for qualitative and quantitative evaluation
narrative medical clinical practice helped to improve the narrative ability of medical workers
helped to improve the relationship between doctors and patients
colleagues
self
which was helpful for clinical diagnosis and treatment of doctor-patient communication. Doctors have improved their ability to balance interpersonal and other conflicts and deal with complex problems in the clinical work. Practical characteristics included strong narrative characteristics of traditional Chinese medicine
caring for the doctors’ multiple social relations
finding the positive side behind the pain
respecting the doctors’ professional authority without losing the temperature and so on.
叙事医学平行病历叙事阅读叙事对话医学人文实践
narrative medicineparallel chartnarrative readingnarrative dialoguemedical humanistic practice
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