Emotional differences based on comments on doctor-patient disputes with varying levels of severity

BACKGROUND The risks associated with negative doctor-patient relationships have seriously hindered the healthy development of medical and healthcare and aroused wide-spread concern in society.The number of public comments on doctor-patient relationship risk events reflects the degree to which the public pays attention to such events.Thirty incidents of doctor-patient disputes were collected from Weibo and TikTok,and 3655 related comments were extracted.The number of comment sentiment words was extracted,and the comment sentiment value was calculated.The Kruskal-Wallis H test was used to compare differences between each variable group at different levels of incidence.Spearman’s correlation analysis was used to examine associations between variables.Regression analysis was used to explore factors influencing scores of comments on incidents.RESULTS The study results showed that public comments on media reports of doctor-patient disputes at all levels are mainly dominated by“good”and“disgust”emotional states.There was a significant difference in the comment scores and the number of partial emotion words between comments on varying levels of severity of doctor-patient disputes.The comment score was positively correlated with the number of emotion words related to positive,good,and happy)and negatively correlated with the number of emotion words related to negative,anger,disgust,fear,and sadness.CONCLUSION The number of emotion words related to negative,anger,disgust,fear,and sadness directly influences comment scores,and the severity of the incident level indirectly influences comment scores.

Doctor-patient communication starts from medical students

Currently,with the increasing tensionin doctor-patient relationship and medical disputes,it is of great practical importance to train medical students’communication skills in order to establisha harmonious doctor-patient relationship to improve the quality of clinical teaching.This paper emphasizes the importance of cultivation of communication skills in medical education and suggests ways to improve communication skills among medical students.

Effective doctor-patient communication skills training optimizes functional organization of intrinsic brain architecture:a restingstate functional MRI study

We studied the influence of doctor-patient communication skills training on brain functional architecture using resting-state functional MRI（rs-fMRI） with a regional homogeneity（ReHo） method. Ten medical students participated in the study. A 1-year long doctor-patient communication skills training program was conducted. RsfMRI data were collected at baseline, one month and one year after training. There was a significant increase in the communication skills test average scores between baseline and 1-month duration of training（P〈0.001）. After one month of communication skills training, medical students had decreased ReHo in the right superior temporal gyrus compared with the baseline. After one year of communication skills training, students had increased ReHo in multiple regions and decreased ReHo in several regions（P 〈0.05, Alphasim corrected）. The change of ReHo values in the superior temporal gyrus negatively correlated with the change of communication skills scale score between one month after communication skills training and baseline（r=-0.734, P= 0.036）. The training program we used can be an effective approach of improving doctor-patient communication skills, and the training resulted in functional plasticity of the brain’s architecture toward optimizing locally functional organization.

Research on psychological factors which influence Doctor-Patient communications among outpatients

An Outpatient Department is the first point of contact with the hospital, and good Doctor-Patient communication would improve the service quality of the hospital, so it is important to construct a harmonious Doctor-Patient relationship. This article, from the perspective of psychology, investigates into the common psychological factors which affect the Doctor-Patient communication, the appearance of the communication problem, and make suggestions on possible solutions accordingly.

Interpersonal Functions of Doctor-Patient Conversations

As an indispensable part of medical practice.doctor-patient conversation is drawing more and more attention in the field of sociology,psychology and linguistics.Little attention,however,has been paid to the interpersonal aspect of the conversation between doctors and patients,which is regarded as one of the most complex interpersonal relationships.Being dominant in the interaction,doctors'words,mainly in the form of questions,deserve more studies,especially for the interpersonal functions delivered.This study mainly focuses on this aspect.

Study on the Relationship between Psychological Stress and Doctor-Patient Relationship of Cancer Patients and Their Families

Objective: To research the relationship between psychological stress and doctor-patient relationship of cancer patients and their families. Methods: The patients were randomly divided into the intervention group and the control group, and PDRQ-15, pcl-c, SAS and SDS scales were selected as evaluation indexes, and the levels of norepinephrine and dopamine were compared between the patients diagnosed with PTSD cancer and those without PTSD. Results: 1) The total score of PCL-C, SAS, SDS, PDRQ-15 scale of the cancer patients and their families after the intervention of clinical psychological care was significantly lower than that of before intervention and the control group. 2) The correlation coefficients between PCL-C, SAS, SDS and PDRQ-15 of cancer patients and their relatives were 0.971, 0.952 and 0.939 respectively. The significant test P value was less than 0.05 and the difference was statistically significant. 3) The plasma levels of dopamine and norepinephrine in cancer patients under stress were significantly higher than those in cancer patients without stress (P Conclusion: After psychological Intervention of cancer patients and their families, post-traumatic stress disorder, anxiety, depression and doctor-patient relationship were all improved.

Spiritual Anamnesis and Doctor-Patient Relationship： Review and Reconstruction of a Daily Routine Instrument

Introduction： spiritual anamnesis is fundamental to familiarity with patient’s beliefs. It enables health professionals to： investigate how patients face the treatment, understand the role and importance of religion in the life of this individual, how much spirituality may interfere in the health-disease process and in the disease experience. It also helps detect spiritual needs and mobilize resources to promote the biopsychosocial and spiritual wellness of the individual. Objective： identify spiritual questionnaires in literature. Methods： This article is a bibliographic review. Researching was on books and electronically based from August to December 2014. PUBMED and SCIELO databases were used in English and Portuguese. Inclusion factors： short, brief and easy to memorize questions to know if the patient’s beliefs interfere in medical treatments and to what extent. Exclusion factors： not try to convert or to interfere with the patient’s rights, not try to influence their beliefs or to make anamnesis on emergency situations or acute medical consultations. Results： based on the questions of seven samples of spiritual questionnaires found in literature, health professionals identified the patient’s spiritual needs and the beliefs likely to interfere in the doctor-patient relationship and in the therapeutic conduct as such. The anamnesis models found converge in some points, but differ mainly as to time excess some questionnaires demand （due to the large number of questions） when compared to others （shorter） and/or when going deeper into a particular aspect of beliefs, leaving some important points out. Conclusion： the anamnesis found are as follows： FICA Questionnaire; HOPE Questionnaire, Kunh’s Spiritual Inventory, CSI-MEMO, ACP Spiritual History, Matthews Spiritual History, Maugans Spiritual History. The main points found in these seven questionnaires are： resources mobilization to meet the patients’ spiritual demands; to what extent spirituality may interfere both in adherence to the treatment and in the clinical treatment and in strengthening the doctor-patient relationship.

Functional Health Literacy and Doctor-Patient Communication: Experiences of HIV/AIDS Patients in Homa Bay County, Kenya

Patient involvement in the health care process has been documented as a critical component of successful disease management. However, inadequate functional health literacy among patients is a well-known barrier to effective doctor-patient communication, which has an adverse effect on health outcomes. This study aimed at investigating the association of functional health literacy and doctor-patient communication among HIV/AIDS patients in Homa Bay County, Kenya. It was a cross-sectional hospital-based survey conducted among 362 HIV/AIDS patients receiving care at the eight sub-county hospitals of Homa Bay county. Data was collected using a self-administered structured questionnaire. Cronbach’s alpha and confirmatory factor analysis tests were used to ascertain the reliability and validity of study instruments, while Logistic regression logistic analysis was used to measure the association between functional health literacy and doctor-patient communication. 51% of the respondents were females, and the majority (30.9%) of respondents fell in the age group of 45 years and above. The respondents’ functional health literacy levels were inadequate at weighted means scores of 3.23 [SD 1.31]. The study further established that functional health literacy significantly influenced doctor-patient communication [Nagelkerke R square = 0.318]. There is, therefore, a need to document the determinants of functional health literacy to improve it and make doctor-patient interaction an enjoyable and meaningful experience.

A Study on Doctor-patient Communication under Defler Interaction Process Model

At present,doctor-patient relationship has become a sensitive topic in society,and frequent doctor-patient communication problems have become an important factor affecting the tension of the relationship.From the perspective of communication,this paper analyzes the causes of doctor-patient communication barriers based on the communication mode of interaction process proposed by Deffler and puts forward relevant solutions.

An Investigation of Medical Students’ Cognition on the Doctor-Patient Relationship and Their Career Choice

Objective:To investigate medical students’cognition on the doctor-patient relationship and its influence on their career choice as well as to provide reference for medical education and communication education.Methods:A self-compiled questionnaire survey was carried out at a medical university in W city,and descriptive statistics as well as chi-square tests were conducted.Results:There were significant differences in medical students’cognition of doctor-patient relationship among different genders,registered residence,only-child status,whose parents are working in the medical field,and their own evaluation of the major(p<0.05);the different cognitions of doctor-patient relationship have a significant influence on medical students’career choice.Conclusion:Medical students’vocational cognition and educational guidance should be strengthened,hospital information should be open and transparent,media reporting of medical events should be standardized,and a doctor-patient conflict regulation mechanism should be established.

人类健康权的实现及其限制

在公共卫生危机的背景下,每个人的健康都不可能是孤岛。以成本收益分析为方法的经济治理模式与以权利范式为中心旨在保护所有人健康权的法治治理模式逐渐成为公共健康治理的双重标准。人类整体对健康的诉求成为人类健康权形成的动因,但“人类”与“健康”均是较为复杂的概念,其准确的法律规范意涵和实施机制亟待探寻。我国《宪法》中本就有国家保护健康的明确规范,2018年“人类命运共同体”概念正式入宪,在规范层面进一步提供了重要的整体性支撑。但若将人类健康权看作法学上的规范概念,则还需要对国际和国内规范进行整合解释,以厘清其内部构造,明确其权利限制,进而对人类健康权在立法过程中遭遇的平衡困难、在公共决策中的跨代利益冲突以及司法救济机制中健康请求权的不确定性等限制因素进行识别并反思。

重提一个命题:国家课程的实践命运——以“校长对国家课程的地位赋予”为例

研究国家课程,不仅要研究国家课程本身(课程方案、课程标准、教材等),而且要研究国家课程的“实践命运”,审视国家课程在学校中究竟得到怎样的实施、实施效果究竟如何、倘若实施效果不佳乃至较差则究竟是何原因等。笔者近三十年前曾提出“课程的实践命运”这一命题(其确切表达即为“国家课程的实践命运”),并对影响国家课程实践命运的教师因素与学生因素进行了初步探讨。本文现在重提这一命题,认为影响国家课程实践命运的学校内部因素主要有三个,即作为课程实施主体的校长、作为课程施教主体的教师及作为课程学习主体的学生;其影响分别体现为校长对国家课程的“地位赋予”、教师对国家课程的“内容重组”、学生对国家课程的“文化反应”。在三十年前探讨的基础上,本文聚焦于作为课程实施主体的校长,指出不论在“积极”的意义上,还是在“消极”的意义上,校长都对国家课程在本校课程系统中的实际地位进行着事实上的“赋予”。这是我们认识、审视及反思国家课程实施乃至国家课程本身时不可忽略的一个基本常识。这意味着,国家课程在学校中安身立命并非易事,国家课程在学校中的地位充满不确定性,对于国家课程本身需要边实施、边反思。

人类命运共同体视阈下中华武术高质量发展研究

文章在人类命运共同体视阈下以中华武术高质量发展为研究对象,运用文献资料法和逻辑分析法,分析中华武术在高质量发展,提出武术内涵与动作融合发展,武术文化创新传承,注重武术产业链结构等实践路径,对中华武术高质量发展进行探究,以期为构建人类命运共同体发力。

基于系统理论的中国-东盟网络安全合作系统构建研究

[研究目的]针对中国-东盟网络安全合作在观念、制度、人才、技术等方面存在的问题,构建合作系统框架,提出合作路径及解决方案,旨在提高中国-东盟网络安全合作的水平。[研究方法]通过文献分析,结合系统理论,从系统的要素、结构(功能)、环境等维度进行研究。[研究结论]中国与东盟在构建网络安全合作系统时可以实施以下路径:在系统要素方面,以网络空间命运共同体理念展开合作、以建立统一的网络安全制度规范框架进行合作、以构建网络安全人才培养培训教育体系保障合作、以创新网络安全技术加强合作;在系统结构(功能)方面,增强系统不同要素间的协同联动、准确把握系统要素最优与结构(功能)最优关系;在系统环境方面,在梳理可供利用的外部环境的基础上,重点利用经济、政治、文化环境优化系统。

墨子的“天志“”非命”——兼与儒家“天命”之比较

墨子的“天志”“非命”思想,由“天志”之天,到“天志”之道,再到“非命”之“命”,有着内在的逻辑关联,是墨子对天人关系所作出的新的判断。孟子继承了孔子的天命思想,但又有新的阐释,他把“天命”“天赋”与“人事”相联系,找到一条“尽心,知性”的通达天理之路。墨子的“非命”和孟子的“天命”,都强调了人的后天主观能动作用,这是对他们之前天命观的改造和发挥,对于突破以往天命观的局限和束缚具有深远意义。

中国式乡村教育现代化:概念、逻辑与推进路径

作为中国式现代化的有机组成部分,中国式乡村教育现代化对推动乡村教育高质量发展、赋能乡村振兴和建设现代化强国具有重要的战略意义。中国式乡村教育现代化有着独特的逻辑,这些逻辑的生成既继承着马克思主义和世界教育思想的理论,又承继着中华优秀传统文化的智慧;既回应了新时代教育强国战略的关切,又着力破解乡村教育发展的现实问题,助力我国乡村教育发展实践的经验总结和升华。未来中国式乡村教育现代化的可能进路在于全方位构建适宜教育生态,实现乡村教育理念现代化、要素现代化和评价现代化。

从责任共同体到命运共同体:边疆治理中的共同体建构研究

当今民族国家社会发展的难题,需要依据整体性、系统性的思维来治理,需以责任凝聚合作与发展,进而内化为“命运共同体”。我国边疆治理充分动员边民的参与就体现了共建共享共赢、多元协同这一思想精神。据此,基于怒江州边民参与治理跨境流动人口问题的实践,深入分析福贡县的多级联动机制与泸水市特色护边队“守土有责、守土负责、守土尽责”的责任共同体建设,进而推动边民“守小家顾大家”向命运共同体的转变,为我国陆地2.28万公里边境线区域治理路径和对策做出有益思考,也为学界提供开拓性的跨境治理研究视角,促进现代治理的创新实践与模式改变。

虚实相间:模式化和写真视阈下与辽人“性格”相关内容之书写——以辽代石刻文字为史料

检索出土辽代石刻文字发现,辽人墓志铭作者在书写志主“性格”及与其相关的“姿容”“行为”及“命运”等内容时,大多从“模式化”和“写真”双重视角切入,交替映现“性格”关联“姿容”,“性格”支配“行为”,“性格”影响“命运”等文本景观。但其中也有些书写内容属于溢出常态之外者,需要稍作辨析或说明。

命运共同体教育理论视野下的宁德畲族教育史

畲族是福建省分布最广的少数民族,畲族教育作为宁德畲族文化传承的历史性工程,吸收了马克思主义民族理论中国化时代化的先进思想。畲族教育史凝聚畲族优秀传统文化智慧,借鉴国内外民族教育理论的研究成果,形成了以地方民族院校为基地的课程建设体系。新中国成立前后,宁德畲族教育历经了从无到有、从简到丰的发展进程。现今,宁德畲族教育的学科平台设置,主要集中在以政治理论逻辑思维引领宁德畲族教育的发展层面,和以畲汉共赢双向思维推进宁德畲族教育的实施层面。以史为鉴,为了实现民族教育的理论高度与实践效能的提升,地方将依托思政教育与重拾历史记忆两点,展开宁德畲族教育课程建设,为当代中华民族命运共同体教育史书写地域篇章。

中国当代交响乐创作中的人类命运共同体精神

中国当代交响乐创作是反映中国当代社会发展的一个多棱镜,从思想、意识、精神、观念的多维触及个体、社会、民族、国家的方方面面,在自身改造、创造中上升为国乐精粹而为中华扬声。文章意图从中国当代交响乐的创作轨迹中归纳出其中的主要体征,然后对应人类命运共同体开放、繁荣、安全、绿色的思想内涵,揭示前者对后者的融入、嵌合、呼应及表达。