医患会话中同话轮内自我修正策略的运用

Analysis of the Same-turn Self-repair in Doctor-patient Communication

采用实证研究法,收集真实情景下医患间发生的对话,借助话语分析的方法,对医患互动过程同话轮内所使用的修正策略及其引导语进行了详细阐释。研究发现,与三甲医院不同,在县级医院中医生使用自我修正策略的频率要高于患者。在本研究所收集的语料中,修正策略的引导语也有词汇修正和非词汇修正之分,其中词汇修正主要有三种表现形式;非词汇修正则主要是指会话过程中的中断或停顿,常辅以“嗯”等表拖音类非词汇字眼。非词汇修正出现的频率要远大于词汇修正。通过对比分析,在医患会话的过程中,医患双方适时采取自我修正策略可以更有效地实现交际目的。

Based on the data collected from real medical situation,this study presents a detailed analysis of the application and the initiation of self-repair in the same turn of doctor-patient communication.Different from the conclusion drawn by a previous study that was conducted in A-level hospitals,this study found that doctors were more likely to use self-repair strategies than patients in B-level hospitals.It also found that in the process of Chinese doctor-patient interaction,the initiation types of self-repair could also be divided into two types:lexical and non-lexical.The former mainly has three types in this study,and the latter generally refers to the short pause,like uh,um.The frequency of the latter that appear in the process of communication is much higher than the former.And it is concluded that the use of self-repair strategy can help both doctor and patient to achieve mutual understanding.