叙事医学对提高患者依从性的影响.pdfVIP

堕垦里竺堡堡 叙事医学对提高患者依从性的影响 王 玲① 马 俊② 甘代军① 摘要：患者依从性差是医疗诊断和治疗面临的一个严重问题，医务人员和患者是造成这一问题的主角，叙事医学叙事的特 点决定了它是联合两主角解决问题的重要手段。通过叙事达到医与患心灵的交流，让双方变得自律并且相互尊重，再根 据患者个体情况，找到最适合和更愿意采取的治疗方案，并依靠家庭和社会对患者遵医行为的帮助和监督，叙事医学对提 高怠者依从蛀的价值得以体现。但在叙事的过程中应该注意惠者叙事的真实性、患者隐私和医务人员对患者所产生共情 程度的把握。 关键词：叙事医学，依从性，医患沟通 中图分类号：R--05文献标识码：A 文章编号：1002一0772(2016)03—0071—03 DOI：10．120t4／j．issn．1002--0772．2016．03b．22 TheInfluence·ofNarrativeMedicineon of WANG J“”，GANDai—j““． ImprovementPatients’ComplianceLing，MA ResearchCenterHumanitic Medical 513000，China for Medicine，ZunyiUniversity，Zunyi isaserious thatmedical andtreatmentare themedical Abstract：Patientspoorcompliance problem diagnosis facing．Both staffand the roleinthis narrativemedicineisa toolformedicalstaffand patientsplay leading problem，and connecting tOsolvethis valueofnarrativemedicinein is inthe patients problem．The improvingpatients’compliance presented themedicalstaffand become and eachother themind followingaspects：both patients self-disciplinerespect through oftwosidesthe ofmedical mostsuitabletreatmentis tothe exchange by help narration；the employedaccordingpatients individualsituation；the and and the ofthe patientsfamiliessocietyhelp supervisepatients’compliance．Butauthenticity and ofmedicalstafffor shouldbe intoattentioninthe of narration，patientsprivacyempathydegree patients put process medicalnarration． Words-narrative