米国におけるヒモン族の患者と臨床医の痛み伝達における解釈の誤差:会話分析に基づく研究
Binh Ta1, Mai Nhia Yang2, Alice Hu2
1Monash University, Faculty of Medicine Nursing and Health Sciences, Australia.
Social science & medicine (1982)
|August 27, 2025
まとめ
通訳はしばしばヒモン族の患者の痛みを 物語を要約し 声のヒントを見逃すことで 誤って伝えます これは痛みの管理と臨床医の共感に 影響を及ぼし 文化的コミュニケーションのニュアンスに関する 通訳者訓練の必要性を強調しています
科学分野:
- 医療 コミュニケーション
- 言語学人類学
- 社会言語学
背景:
- 効果的な患者と医療従事者のコミュニケーションは 痛みの管理に不可欠です
- 限られた英語能力を持つ患者は,通訳に頼るため,痛みに関するコミュニケーションに困難に直面します.
- 以前の研究では 患者さんの痛みの管理が悪かったことが示されています
研究 の 目的:
- 解釈の誤りにつながる 痛みのコミュニケーションの インタラクションの特徴を探求する.
- ハムン族の患者や 通訳や 臨床医を対象とした診察を分析する
- 痛みの評価と管理に影響を与える特定のコミュニケーションの課題を特定する.
主な方法:
- 会話分析に基づくアプローチです
- トライアディック・プライマリー・ケア・コンサルタント27人のオーディオ・録音の分析
- ハムン族の患者27人,通訳4人,臨床医20人が参加しました.
主要な成果:
- ハムン族の患者の痛みを物語を通して表現することは 翻訳者による要約や省略につながりました
- 患者によって痛みの重さや感情を伝えるために使われた声の特徴 (延長,強度,繰り返し) はしばしば誤って解釈された.
- 解釈の誤りは 臨床医が共感を示し 患者の懸念に対処する 機会を逃すことにつながりました
結論:
- ヘムン族の患者の痛みの説明や声の表現を 正確に伝えるという通訳の課題は 痛みの管理を最適にしないことに貢献します
- 痛みの物語の文脈的な構築と 声の特徴の微妙な意味を扱うために 翻訳者の訓練は不可欠です
- 通訳のスキルの向上は,限られた英語能力の集団の患者と提供者のコミュニケーション,共感,および疼痛ケアを向上させることができます.
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