尊重患者的故事及对叙事医学实践的思考

Honoring Patient's Story and Consideration about Practicing Narrative Medicine

医学除了具有生物科学性外,更有着社会和心理的特性,同样的疾病、不同的患者就会衍生出不同的故事版本。本文通过对一位直肠癌患者的诊治经历进行叙述,尝试着通过"叙事医学"实践来进一步认识、吸收、解释、回应患者的故事,通过医患之间心与心的交流从而加强患者的优质体验。本文还从医患双方、医院管理以及相关行政管理部门就叙事医学更有效可持续发展需要提供的支持做了思考。

Different patient produces different version of story related to illness because the medicine is of bio--psycho- social characters. This article described the diagnostic and therapeutic experience of a victim with rectal cancer, trying to practice ＂ narrative medicine＂ by recognizing, absorbing, interpreting and being moved by the stories of illness. By communicating heart to heart, we can establish a bridge between doctors and patients, which paves the way for better patient＇s experience. The article also mentioned what the physicians, patients, hospitals and related administrative parts need to do in practicing narrative medicine more effectively and sustainably.