医患沟通中老年人指向语诱发条件的实证研究

An Empirical Study on Inducing Conditions of Elderspeak inDoctor-Patient Communication

随着中国进入老龄化社会,老年人就医问题成为我们需要面对的严峻问题。本文对医患沟通中老年人指向语的诱发条件进行了实证研究,从病人内部特征、外部特征、情景特征和关系特征四个方面,发掘了众多诱发条件。在病人的内部特征中,老年病患的受教育程度以及退休前的工作情况是诱发医务工作者使用老年人指向语的主要的诱发条件;在外部特征中,老年病患的年龄、性别与生理特征状况为主要的诱发条件;在情景特征中,医生的工作量以及医院领导是否在场诱发老年人指向语的使用;关系特征中,病患与医生的亲疏程度影响医生是否使用老年人指向语的判断。

As China enters a society of aging population,the hospitalization of elders has been quite a challenge.This paper offers an empirical study and explores four types of inducing conditions of elderspeak according to the internal,external,situational and relational characteristics of elder patients.In the internal characteristics,the education level of elderly patients and their work before retirement are the main conditions inducing health professionals to use it.In the external ones,the age,gender,and physiological characteristics of elderly patients,including vision,hearing,and whether they can walk independently,are the main inducing conditions.In the situational characteristics,the workload of doctors and the presence of leaders are also essential to evaluate its appropriateness.In the relational characteristics,the degree of closeness between patients and doctors is also taken into account in the relationship characteristics.