叙事医学患教会的临床实践及价值探讨

Clinical Practice and Value Exploration of Narrative Medicine Patient Education

介绍郑州市第六人民医院中西医结合肿瘤科叙事医学背景下患者教育会的临床实践探索及反思。通过临床“模板化”实践关注、倾听和反思,结合传统患者教育会形式,全面地去了解及掌握患者或家属的想法、观点、身体机能、就医期待等,糅合患者的主诉与病史,达到医患双方对疾病认知的趋同,发掘出临床工作需重点关注的高频问题,医者在多视角下更好地理解患者或家属,医患双方作为平等的主体共同完成医疗诊治工作,最终达到临床共情及医患共同决策。

This paper introduces the exploration and reflection of the clinical practice of the narrative medicine at the Department of Integrative Oncology of The Sixth People's Hospital of Zhengzhou.Through clinical"templated"practice,attention,listening and reflection,traditional patient education association formats,a comprehensive understanding of patients'or family members'thoughts,viewpoints,physical functions,and medical expectations are obtained.By integrating patient's complaints and medical history,doctor and patient can reach a convergence of cognition on the disease.This approach identifies high-frequency issues that clinical work needs to focus on and allows medical professionals to better understand patients or family members from multiple perspectives.Both medical professionals and patients,as equal subjects,collaborate to complete medical diagnosis and treatment,ultimately achieving clinical empathy and shared decision-making between medical professionals and patients.