现代中医临床
現代中醫臨床
현대중의림상
Journal of Beijing University of Traditional Chinese Medicine (Clinical Medicine)
2015年
3期
1-4
,共4页
叙事医学%平行病历%医案医话
敘事醫學%平行病歷%醫案醫話
서사의학%평행병력%의안의화
narrative medicine%parallel case%medical records
叙事医学主张通过培养临床医生理解、解释、反馈的叙事能力,提高其对患者的理解、共情、亲和能力,促进其对自身医疗行为的反思。平行病历重视对患者主观痛苦与体验的记录,是将叙事医学理念引进临床的一种方法。中医学临床实践活动始终重视人文关怀,而医案医话正是叙事医学的精神内涵在我国中医学中的具体表现与重要载体。发掘中医医案医话优势,构建中医平行病历,在当前重视临床人文关怀、关注患者主观体验的大背景下,具有重要的理论意义与临床价值。
敘事醫學主張通過培養臨床醫生理解、解釋、反饋的敘事能力,提高其對患者的理解、共情、親和能力,促進其對自身醫療行為的反思。平行病歷重視對患者主觀痛苦與體驗的記錄,是將敘事醫學理唸引進臨床的一種方法。中醫學臨床實踐活動始終重視人文關懷,而醫案醫話正是敘事醫學的精神內涵在我國中醫學中的具體錶現與重要載體。髮掘中醫醫案醫話優勢,構建中醫平行病歷,在噹前重視臨床人文關懷、關註患者主觀體驗的大揹景下,具有重要的理論意義與臨床價值。
서사의학주장통과배양림상의생리해、해석、반궤적서사능력,제고기대환자적리해、공정、친화능력,촉진기대자신의료행위적반사。평행병력중시대환자주관통고여체험적기록,시장서사의학이념인진림상적일충방법。중의학림상실천활동시종중시인문관부,이의안의화정시서사의학적정신내함재아국중의학중적구체표현여중요재체。발굴중의의안의화우세,구건중의평행병력,재당전중시림상인문관부、관주환자주관체험적대배경하,구유중요적이론의의여림상개치。
Narrative medicine advocates that through the training of clinicians'narrative ability of understanding, interpretation and feedback, thus to improve their understanding, empathy and affinity ability to their patients, and to promote the introspection of their own medical behavior.Parallel case emphasizes on the records of patients’ subjective pain and experiences, and it is a way to introduce the idea of narrative medicine to clinic.Traditional Chinese medicine ( TCM) always takes humanistic care as major consideration, and medical records are the specific performance and important carrier of narra-tive medicine’ s connotation in TCM.Under the background of paying attention to humanistic care and patients’ subjective experience, the exploration of TCM’ s advantages and the construction of TCM’s parallel case contains significant theoretical meaning and clinical value.